97-100304tjTY OF FFA)FRAL
33530 Fir",:;t Way
F,kderal Way, WA
661-4000
SOU
IA') rt C', I I rl C L 0 C 1 T,
980014 1 (Jiti<
_4 lri�,;pcm�ctio — 661-4140
4j)DRESS:33056 �351'11 AVE
NO.: 109975-0270
1*0JECT DESCRIPTION* IIVA(
OWNER ..... w ....
KAIANA KEIZHAM
33056 35TH AVE SN
FEDERAL WAY WA 98023
�Iw
- ELI 10 GAS FURNACE REPLACLOENT AND 50' GAS PIPE.
CONTRACTOR .::u..
HOPfHWESI NATER
8401 DURANGO st
TACOMA WA 984"
NEATER
SV
LENDER
I NO: MEC97--00 39
ISSULD- 01128/97
liy F��
L X P I R E S 0)3./22/`est
*** C01HWTW4 PLEASE W40CAMNAW-1732-SUAWTING SALES ffiX FOR FRWECIS WITHIN INCL. 01Y Of f[DUAt MAY. IAX RAIL : 8.25 stf
PROJECT VALUATION 2315 FEES.
- I r(.m "' I
FUEL TYPLS.:GAS ELI FANS......80 .9 0" Amm
- " ol, UANCE... 20.00
NOP,
GAS PIPIK.: ft flow ersits 54.00
'100y. I
"itemFUR", n 114
GAS ON I .... 0 Wwb1 S 1,4V 15
CORY 0,110: 0 1 0 1!,ri
-
AIR" II
RANGE......: 0 t'10 0 bf. RD: 0
'�AS LOGS...; 0 > 10,OOV Ok"i V!X011"D.: 0 IOTA[ IRS
OV11111
........................... ..... ........ . ...... - ............ . .... ............ .......
'Does the stater supply system contain a Pressure Reduction Device or Check valve? Yes () No (If 'Yes" then eater expansion tank is required on Hot Water tank)
Inspection Record Water Line OL Mechanical Inspection Notes: a,�-qv",7
GAS PIPING Of ✓
,PERMITS HPINt 180 DAYS AtILK )�JYNIKL It 90 WQKr 15 SI 110. 11 AL AND, 010C PUKIS EXPIAt, O*L YLAR AFUR Ofift Of ISSUWL-
f (ENTITY Illf IffORMAH0 19KNISHED BY Ht IS 1991 AND (09 1(t I K-51 of�N11K[DGC AND lift APRICARE Clly Of FEKRAI WAY RIQUIRE"t"Nts MITI. 11f, *I,
O'KyeAr2t;L A.
To Ito 01
4HER OR AGER! DAC[
FIELD COPY
CITY OF FEDERAL_ WAY
:33530 First Way South
Federal Way, WA 98003
661-4000
ADDRESS:33056 35TH AVE
NO.: 109975-0270
PROJECT DESCRIPTION:HVAC
D(ji ldinc, Inspect tion Pe(ItAes Ls 661-4140
SW
- ELE TO GAS FURNACE REPLACEMENT AND 50' GAS PIPE
OWNER=:,____________________ =====µ= __.:_____ _• _______
KAIANA NEItMAN
33056 35TH AVE SW
FEDERAL WAY WA 98023
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA WA 98499
PERMIT N0: MEC97-0039
ISSUED. 01/23/97
BY: FC2
EXPIRES: 01/22/98
838-5860
984-6404
NORTHWH103R2------------
i
xxx
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX
FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25
Us
F=o===ac=cc=zv=a=====�s==-x=:_nc=c::=::a==cc:::_=====ocos=::=a.a_ac_=a°°._==-=-:zr:a::=:::-.::=c=::;nc=m::s=__=:axcs==c='c===:==c::=c:rc�:=c=r,===c=•.cc=::==_::-:_=•::.:a:=
•a::c:::.s^_.==_==='a=a¢::=-c=c=::=�
PROJECT VALUATION
2315
FEES:
FUEL TYPES.:GAS ELE
FANS..........: 0
BOILERS/COMPRESSORS
MEC PRMT ISSUANCE... $
20.00 t
GAS PIPING.: 50 ft
HOOD..........: 0
0-3 HP...:..: 0
I Mechanical Permit, $
54.00
FURN<100K..: i
DUCT WORK.....: 0
3-15 HP.....: 0
( GAS HWT.... : 0
WOOD STOVES...: 0
15-30 HP....: 0
CCgONV BURNER:
FURN)100K.... .:
30-{{5{{0 HP....: 0
�
p0
j GABS bRYi�..: S
pp0
ARCHAW V4 UNITS
FUE8L TANKS ---=___0_
i
I RANGE......: 0
<:10,000 CFM: 0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
( TOTAL FEES $
74.00
Does the water supply
system contain a Pressure Reduction Device or Check valve? O Yes
O No (If "Yes" then water expansion tank is required on Hot
Water Tank)
a -
Inspection Record
Water Line OK _•.___
Mechanical Inspection Notes: _,_--_ _--
GAS PIPING OK ........... Date ..,-....,_,. By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STA TED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND COR ECT
OWNER OR AGENT
R D AND,,GrDING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
T OF jf' 1 LEDGE AND Ti#E APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL HE NET.
_...._ _ _.../.....__`.._/. _ DATE
F
FILE COPY
CfrYOF G
• EO
vv AY
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(206) 66111000
Fax (206) 661-4129
JAN 2 8199 APPLICATION FOR MECHANICAL PERMIT
UI i y OF FEDERAL WAY MEC
BUILDIO
PARCEL # Single Family"2Multi-Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner
Phone
Address/City/State/Zipr
` r
Nature of Work �(`=�.� R�h ��Project Valuation: $ l ��
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name
Address/City/St/,
Phone
Fax
r
Contact Person dl/y� Phone c `i �.. Fax
State L & I Contractor Registration # �,�._( �� '� Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10 000cfin
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Bumer
Duct Work
A/C TONS
Other
xxxxxx
DISCLAIMER: I certify, under penalty of perjury, that the information famished by me is true and correct to the best of my knowledge and further that I ern authorized by the owner of the above premises to perform the work
for which permit application is made. I further agree to save hamdess the City of Federal any c including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which may be
made by any person, including the undersigned, and filed against the City of Fed ay but o ch c o of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
Owner/Agent
MrcaAee
Revrs® 12/11/96
0C
Date