97-100565q 17 iso s
(' i TY OF F E:I)ERAL. WAY PERMIT NO: MEC 9 !
33530 F`i r-st Way SOULt') P-41. t:V4 L F1 r_ R M I T 1>s uEU:
F•e?der-,al Way, WDA 98003 :r.ri.I(1irig Er►•�;petictinri R*-(Xuc,,4.k•s 661-4140 BY: KLC
661-4000 LXPIRES: 02/1.4/98
r' A.UIRESS:"3812.' SW 'UBTtl ST
NO.: 1373198--1180
PROJECT 1)FSCRIPTION:HVAC - ELE TO 6A5 FURNACE S HNT REPLA(EMLNI.
I"F
OWNER••............'.KAtKia.........S'e:.:L.aL'.............N..... CONTRACTOR Sr7K:t: rJYI:09fS:iICCt0.'eOGs!:St1CLlb:idi'1'I:'tE2'.: "S WG�:4�eTS1�l r:ApPKM�.�"J LENDER J4..FL4fi:S".'atL•...I:tICP:N±E:.i6?'.^.Y.T€.SaF:roCKT.x:WR:YL'i`1r23Stlt.FTK': t�^T'!r:n!111.•::ti^�
i RAY CASEY HORTHNEST NATER HEATER
i 3812 SN 31310 ST 8201 DUP.ANGO ST SN j
i FEDERAL NAY NA 98023 TACOMA NA 98,499 i
i I j
874-1946 ( 984-6404
NORTHNH103R2
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its COIIFRACRWSt #TEASE A1I 811E Ii13,2 onREM1INR SAES FAX FU PKIEUS NiI81b 1ff CITY OF FEKRAI NAY. TAX NATE = 8.75 US
kn:Ku-:xra c:axa:alnAAr.:exe:nrvc�ruosAc nrt��;: a•.M . ... a+xer .•, .• _rs•props:ra�uswKsaeser.:ra:.sAAa®rmrtmoa:az,a �ruxrsx+Kcec ap r;....nrx:arnc.•inert.raxrnsarA:t..c•s,tr::,n:r.-sa+:xacxmur
i PROJECT VALUATION 4700 FEES: j
i FUEL )YPES.:GAS ELI FANS. .... 0 !�'-IU ,ff4MPP1cegf` MEC PRMT ISSUAKE... $ 20.00GAS j
FURNp100KG.: I5 ft IDU0 NORf ... 4 0_3 #P,- 0
erait* $ 72.00 j
1 3 t tl!' 0
i GAS NOT....: 1 NOD UO.'E''.. • 0 15 io
j
CONY BURNER: 0 FURk0 36-1A #+t,
O,
BBQ......... 0 MI('( .: ��► �, t HFA.
GAS DRYER—: 0 Alp"ItALOPIts 0011'`' 01t 1 IFtHF��
RANGE ....... 0 ; Y 10, 410'"IM 0 Af111 E ND: U j
GAS LOGS...: 0 > 10,00, w 0 tINDERGROUND.: 0 TOTAL FEES $ 92.00 j
DRi,,...rY:xylK:7A39C«^.r.2®fw«s�.„'x.e•eszrr.!<x.AAcsx;:p��r::: zt ••mc�.�a..s.r.., s;”is:na>rr'CSi+:c:,"i.^r.:J:`ysb^: uacc:sc-r�:v:r.ro..............aA::aro.ue::er;»ctn:.rrr.•�..,+x llaiax:;rx^:N:�r:sc:rz�'r.aa•.-n:x •sxe.::ec.RSr:erscnrosa C':._.. •rza �v.::mz ._._...v..._.::>..._x^.; xexa,wr.3c'�
Does the water supply system contain a Pressure Reduction Device or Check valve?() Yes () No (If *Yes` then water exp.3nsion tank is required on Hot Nater, fank) j
j Inspection Record Mater Line OK Mechanical Inspection Notes: "L ^ t� '� N ,tom i
GAS PIPING OK Date .. BY _..
kLv{Dxl.a',iLLa J: ufKXTir1_ffi::%-a:�=Si::.aiC^YYJm3a�z6AF.L:aGrssIRF�lMcIt C.AG'4SC"A:l:AtcAaAla O?Y!!'11t c+n:SF.d31iL:1«.^R2':.1MC�➢iSCirt::n1'CSGRS>::LrartR'2cstl'a6u�'Srx:..:.5#ss::".CSJl0�:1TR:91tYA:2ikn'wAGtW:'W.$LYC'Y.2Lt Ts tL'ra G:�M4L06A:aJa;iaa:.'.AASLJnas:S'^s'Q6.T.ru�1¢C.CSxmki:S.Jk:YAIaR
pCRn1►s Eifl'IRI I80 DAYS AIIFfI ISSbtt IT tN1 MC SIAif►C (E AMD fAfA N6 PIRMi►S EXPIftI UIiE YEnit AFTER DAtL 01 1S5t1AIl(E. .
E CERTIFY lNE IRI(9(KA11trk FURNISHIP Ila" TA f5 .UI AND IQAVU,31:S1,QF hV LOU. AND IfN I'PPtlflll J_(11Y 41 11,K9,111 VAY.RLOIJIR161.911a Hill 9 Ittf.
UNNER OR AGENT Ur+FE
FIELD COPY
CITY OF FEDERAL WAY
.53530 First Way Soutri
Federal Way , WA 98003
661-4000
ADDRESS ::'812 SW 313TFI
NO.: 873198-1.1.80
PROJECT DESCRIPTION:HVAI
PERMIT NO: MEC97-0059
�as�;~,., �•,,.�,$ �a'N ..:,. M;».`iW"�f:::r<'V;;,.",�'r'..,... ••,:, ISSUED: 02/20/97
Building Inspection RecTuests 661-'t140 BY: KLC
EXPIRES: 02/14/98
ST
- ELE TO GAS FURNACE & HWT REPLACEMENT.
F= OWNER =-_=______-::__________________::_____-_____________=
CONTRACTOR=:w.:::=__-___-________________________-
-_=====T= LENDER
I RAY CASEY
NORTHWEST WATER HEATER
'
6
3812 SW 313TH STi
I 8201 DURANGO ST SW
`
FEDERAL WAY WA 98023
TACOMA WA 98499
874-1946984-6404
r NORTHWH103R2
G
=ii
CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES TAX
FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE
: 8.25
sts
( PROJECT VALUATION
4700
FEES:
FUEL TYPES.:GAS ELE
FANS....,.....: 0
BOILERS/COMPRESSORS
MEC PRMT ISSUANCE...
$
20.00
GAS PIPING.: 65 ft
HOOD..........: 0
0-3 HP......: 0
Mechanical Per,, t*
$
72.00
FURN<100K..: 1
DUCT WORK....,: 0
3-15 HP--: 0
)
GAS HWT....: 1
WOOD STOVES...: 0
15-30 HP....: 0
�
CONY BURNER: 0
FURN>100K.....: 0
30-50 HP,...: 0
i
BBQ......... 0
MISC,......... . 0
5+ HP........ 0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
--------RANGE......:
RANGE ...... 0
<:10,000 CFM: 0
ABOVE GROUND: 0
j
GAS LOGS..-: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES
$
92.00
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)
I I
Insaection Record Water line OK Mechanical Inspection Notes: ...................... ......
9
GAS PIPING OK ..__._...__...._ Date BY ___----------------------.___----.__
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NOCULAND
TART At�AND GRA NG PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS T B F MY OWLEDGE AND THE APPL1, FEDERAL REQUIREMENTS Wlll BE ME1.
OWNER OR AGENT DATE -------------------------
F
c7K ECOPY
City of Federal Way
CITY OFMW
33530 First Way South
Federal Way, WA 98003 _
"\\ Ry (206)661-4000 M r� l
Q "�� APPLICATION FOR MECHANICAL PERMITC. V �/
C
71AL Wr.
PARCEL _ZZ�6 - Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner: �s
Address/City/State/Zip: ter.
Nature of work: 6
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person:
MECHANICAL CONTRACTOR:
ne:
Phone:
Project Valuation: $
Fax:
Company Name: a { V.l ( liu m7tu`,
Address/City/St/Zip:
Contact Person: -- I `� Phone: `—�� `�'� Fax:
State L & I Contractor Registration #: - ` b7� �- Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling <
= 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling >
= 10,000cfm
Above Ground
Furn <I OOK BTU's
Gas Log
Unit Heater
Underground
Furn > 1 OOK BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
A /Q
TONS
DISCLAIMER: I certify under penalty of perjury that the information furni y e is true • correct best of my knowledge and further that I am authorized by the owner of the above
premises to perform the work for which permit application is made. rther agree to sa mle City f Federal Way as to any claim (including costs, expenses and attorneys' fees
incurred in investigation and defense of such claim), which me made by any pens in the txdersi red, and tiled against the City at Federay Way but only where such claim arises
out of the reliance of the City, including its officers and em yeas, upon acc information sup lied to the City as a part of this application.
Owner/Agent:
Date:
M
IN
J