97-100136CrfY OF FEI)F-RAL W(�Y
3,'453-0 F i-st Way, c;cafl,h M CIC r'1404 H14�. V4 L 1% Cr% M I.
heder-al Way, Wf) 9800".1 66J '0 .11
661 '4000
ADDRLSS:30108 2ND AVt1-1 SW
NO.: 233730-0320
I,)ROJECI` DESCRIP'TION: HVAC -6ASIOGAS FURRACL, FIREPLACLINSLRI AND GAS PIP[ R[PLA(Ch[Ill.
PERMIT W): MEC91-0015
]t-;15UED: 0-1/14/'?`/
BY -
I-XPIRES: 011/08'/913
I OWNER COHIRACfOR LENDER
hit[ KoOrS NORTHWEST MACER HEATER
30108 2111) AVE SW 811131 DURANGO Si SW
FEDERAL WAY WA 98023 TACOMA WA 984"
984 -6404
"R,
sts NG SA11.5 TAX IOR PIROJECTS*111111 fit CITY Of I'LOIRAI. VAY. TAX RATE = U-25 ttt
PROJECT VALUAI ION 2460
FEES:
? DO),, 104 UAHQ ... i ?0.00
FUEL fYPFS.:GAS FANS. IS "n,
I -A
GAS PIPING.: 60 It 1100D." —*m arritr T 54.00
5
* -I"-- 1 "20
GAS HNT ..... u "� JP t ......
030 BURNER: 0 ru 3 iP
Boo—. 0 NISI.
GAS DRYER—: 0 AIR 11A 4 H
RANGE......: 00 VE GROUND: 0
GAS LOGS...: 1 10:000 0 UNDERGROUND.: 0 101AL FEES
Does the water supply systes contain a Pressure Reduction Device or (00 valve'a (I Yes t1 No (If 'Yes* then water expansion tank is required on Not Water lank
Inspection Record Water Line Ot mechanical Inspection Note,.:
GAS PIPING or
FERKIIS LXPIRL 180 DAYS fiI1LR 6SUAIKI- 11 110 WMI ISsl 0. 040W -ft 'A" 601 PillfillS LXPIRL OR YIN AHLR NAIL fit ISSOAN(t.
I (EXIIH IRE INFORNAtION IURNISKP YY 111 1% IPU1 "Pir my xkv ou AND itif Apnicatt city ut tutmAL NAY nQuiRtNimis mitt of off.
OWHV OF AGEN)
FIELD COPY
CDO193
SETBACKS & FOOTINGS'
Date By
F.0UNDATION WA.L S
Date By
PLUMBING GROUNDWORK
Date By
7
UNDERFLODR FRAMING
Date By
SHEAR WALLS
Date By
7
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date 2 —Z,O ') By .
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
.... ._......
FRAMING
Date By
7
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
7
SUSPENDED CEILING
Date By
PLANNING FINAL
PLANNING
......................
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
7
BUILDING FINAL
Date By
OTHER
Date By
OTHER 4,VJ" �
Date ;L_ P q - J,5 BY -DL-
CDO193
T
CITY OF FEDERAL WAY PERMIT NO: MEC97-0015
33530 F i rs t Way South I'A C." W"": 1""I V4 0,?l :;K P4 I.M.. Pl; I; rk I' 1f ':K "T ISSUED: 01/14/97
Federal Way, WA 98003 r5ui.Ldir)Q .Ir �:,Pectiori REti(juest.a 66i-'140 8Y: FC
661--4000 EXPIRES: 01/08/98
ADDRESS:30108 2ND AVE SW
NO.: 233730-0320
PROJECT DESCRIPTION: HVAC - GAS TO GAS FURNACE, FIREPLACE INSERT AND GAS PIPE REPLACEMENT.
OWNER:.:__-_____-_____:__________==_______________:_____:___- CONTRAC(OR ::.__ _-___.____.___ ___________==_=__=________= LENDER
MIKE BROOKS NORTHWEST WATER HEATER
30108 2ND AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499
941-6577 984-6404 j
NORTHWH103112
M CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.25 Us
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 60
FURN<100K..: 1
GAS HWT.... : 0
CONV BURNER: 0
BBO........ . 0
2460
? FANS........... 0
ft HOOD..........: 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>lOOK.....: 0
MISC........... 0
! FEES:
BOILERS/COMPRESSORS NEC PRMI ISSUANCE... $ 20.00
0-3 HP......: 0 Mechanical Permit* $ 54.00
3-15 HP...... 0 j
15-30 HP....: 0 +
30-50 HP....: 0
5+ HP........ 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ---------
RANGE ......
--------RANGE......: 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: I > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 74.00
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record Water line OK Mechanical Inspection Notes:
GAS PIPING OK Date BY
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS ST ED. D GRADIN PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE A COR T MY KNOW EDGE AND THE APPLICABLE C TY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT --- _-_- _-- _.____._ .- DATE _-1441
FILE COPY
City of Federal Way
CITY OF AC— 33530 First Way South
Federal Way, WA 98003 —
C (206)661-4000 //�/�? /
00
V
APPLICATION FOR MECHANICAL PERM/T V E D
PARCEL & Z_ J J 0 n Single Family M uAhnlili 8997 Commercial o
Cl7$UJLDING DEPTuMt
SITE LOCATION:
Tenant/Owner: 16�coIPhone:
Address/City/State/Zip: � _ Zr-!�' ACNc c
Nature of work: �� 1 ��ll��' � L l/�l .,14�� f Project Valuation: $
P i r e -4-
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person:
MECHANICAL CONTRACTOR:
Company Name: 41 1 C �wQ&
Phone: Fax:
Address/City/St/Zip: o kzpit E,G !---► �/
Contact Person: (" d, Phone: `�'� Fax:
State L & I Contractor Registration #: �IU(2T41011` ti IExp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling <
= 10,000cfm
Fuel Tanks:
Length of gas piping
f Range
Air Handling >
= 10,000cfm
Above Ground
Furn <100K BTU's
Gas Log
Unit Heater
Underground
Furn > 100K BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other E 'L
Conv Burner
Duct Work
A/C
TONS
Other
Wood Stovnq
A/C
TONS
DISCLAIMER: I certify under penalty of perjury that the information furnis y e is true
premises to perform the work for which permit application is made. rtter spree to sa
incurred in investigation and defense of such claim), which ma made by any para , in
out of the reliance of the City, including its officers and a yees, upon acc
erect best of my knowledge and further that I am suthorized by the owner of the above
City f Federal Way as to any claim (including costs, expenses and attorneys' fees
the undere red, and filed against the City of Federay Way but only where such claim arises
nation sup lied to the City as a part of this application.
Owner/Agent: a 4 Date: