97-100508rA
r
('ITY Of7 f*'[DEROt. WAY
:33.530 F i r i; Way SOui:.h
F'e(lera1. Way, W(-1 980o"A
ADI)RESS:32711 40111 FsVL SW
MCI.: 87'3195-0150
PROIJEr.T F t::l F4'I IC)Ed�G 6 FURNANCE
r� OWNER -! ...... . .
JAMES SORENSON
32711 40AV SW
1 FEDERAL NAY WA
i
838-7897
i4Y 1��W:Wn4.Ftt'SiFi.R9 �'L4itYa; :'
M
nit.`CCS.^IU:F^.^::4.:"YM. T'f.A'::i RC.: ✓fTffitl'�i:sY4KnFT C: F:KCF:
PROJECT VALUATION 970
fUEL TYPES.:? ? FANS.
GAS PIPING.: 0 ft HOOD. %�'
FURN�11101'..: l DUt'1`i1�°:"�
GAS HWT....: U ""S . I
CONY BORNLR: 0 FIMUO
BBQ......... 0 MISC
CAS DRYER..: 0 AIR HAW
RANGE......: O t=10,00
N GAS LUGS...: 0 > 10,000 l'
uwitcfiriq I risper ti ori Requests 661-4140
917 IM5-0?
PERMIT NO: MEC97 —UU5c3
t<;uULT.'a: [12/x.-3/`-+7
BY: FC'2
EXPIPF ;: 02/07/98
CONTRACTOR a.>,:....FRmLENDIR
NORTHWEST WATEN HEATER
8201 DUkANGO ST SM
TACOMA WA 9.3499 1 )
984-6404
�.>x--.rt a. u. r..t_., n_.-.Y..:•as�:'x-vr..cuu:mG�r, r....as.._Ru. zM_.n•as a -R.«. .. ...rn.i xe_.,.,c..Rs...;x:..:. ......xr.«.n
ves the eater supply system contain a Pressure Reduction Device or
Inspection Record Water Line QV Insp t
GAS PIPING Ot Date . 9y
VtNHiTS LXP.IRL to" DAYS KIER 65W)ILk it MCI IRHRI
I CERTIFY THE 111101("AT tON I'"RRISUID HY Mt IS -M
OWNER OR AGIHI
� 1
x:SSfi iYRR:: ^C. C."14 m: -: �.. _.s.:_ . ..C.T..:Fai 2'T:3^q.it.^^, aixcC9affiS.A_ a .nm,rar. ...7... ,.;:... � s.... .. -, :. ...:. ! Y:x.'. ......: a. Z., ...It A.tl •F.Ci`i: ^[C }E _v .. 61v�i'l S^.Isn C
iC SALES TAX FOA PROJECTS NITNIN TAE Citi OF FEDFM 4hy. TAX RAtt = 8.25 ts:
i:intY SL A:M'R1rfETl:Sfl'R'O�T.tStiW0::R1'e;: Y. `a,:. :YLRG ^:!C.n:`l:2R.>^:GSY «..5.'+:^Y�'::9f
iit„
FEES:
f
ernit* $ 32.00
UANCE... S 20.00
go
j
y
i
FEES
$ 52.00
- e. rc
R:_rs :_r. vs•.. r..mn .r....: ...:..„...,,. �, r.m c.+:-mmaer'•r.rir .
:'x.: yC�
xpansion tank
required on Not Water Tank)
I
-r
AND 6001101 PIERNI I ' 1,0A dal YEAR AFILK DAN. OF ISW,' KE.
Uf MY kFRIALkt k AI'!► INC AP L C11!1:0I f(DERAd VAY PIQUIRLMENIS HILL IA I
I;Art � �•.•
FIELD COPY
CITY OF FEDERAL_ WAY PERMIT NO: MEC97-0053
33530 First W a _y South �'"° � �;Iwil �'' ih :::` 'u;:,,:.° If�`4 IN...,. i� � ;Ir";,, i�'yi h IP'+;''Il' .:`,II!;. „mISSUED: 02/13/97
Federal Way, WA 9800:3 Building Inspection FZecluests 661-4140 BY: FC2
661-4000 EXPIRES: 02/07/98
ADDRESS : 3;?711 40 rFH AVE SW
NO.: 8731.95-0150
PROJECT DESCRIPTION:G-G FURNANCE
OWNER=__: ____________________:.___ ______-__________ _____,: CONTRACTORLENDER
JAMES SORENSON a NORTHWEST WATER HEATER
32711 40AV SW 8201 DURANGO ST SW
FEDERAL WAY WA TACOMA WA 98499 )
E � I
838-7897 i 984-6404
NORTHWH103R2
M CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.25 s:x
PER11TS EXPIRE 180 DAYS AFTER ISSUANCE If NO WORK IS STARTED. - IAV AND GRADING PERMITS EXPIRE ONE YEAR AFTER DAft Of ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS N BE Of MY KNOWLEDGE AND THE APPLICABLE CIT OF FEDERAL WAY REQUIREMENTS WILL BE MET.
2, � -(: -- -
OWNER OR AGENT - ---- 7
---------------------- DATE ,�_
FILE COPY
PROJECT VALUATION
970
FEES:
FUEL TYPES.:? ?
FANS..........:
0
BOILERS/COMPRESSORS
Mechanical Permit*
$
32.00
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 HP......: 0
I
MEC PRMI ISSUANCE.-
$
20.00 j
FURN<1OOK..: 1
DUCT WORK.....:
0
3-15 HP.—.: 0
GAS NWT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
F
CONV BURNER: 0
FURN>100K.....:
0
30-50 HP....: 0
y
BBQ......... 0
MISC...........
0
5+ HP........ 0
GAS DRYER..: 0
RANGE......: 0
AIR HANDLING UNITS
<-10,000 CFM:
D
FUEL TANKS ---------
ABOVE GROUND: 0
}
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
$
52.00
�
)
I
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)
Inspection Record
Water Line OK
Mechanical Inspection Notes: -_--
f
GAS PIPING OK -.--_-__-_--
Date .---.____. BY .___._.......
'
r
r
PER11TS EXPIRE 180 DAYS AFTER ISSUANCE If NO WORK IS STARTED. - IAV AND GRADING PERMITS EXPIRE ONE YEAR AFTER DAft Of ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS N BE Of MY KNOWLEDGE AND THE APPLICABLE CIT OF FEDERAL WAY REQUIREMENTS WILL BE MET.
2, � -(: -- -
OWNER OR AGENT - ---- 7
---------------------- DATE ,�_
FILE COPY
CRY OF G
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(206) 6614000
Fax (206) 6614129
APPLICATION FOR MECHANICAL PERMIT
MEC CC'S
PARCEL # -If29 '5 U l f Single Famii y -[f Multi-Fam_il� Commercial ❑
SITE LOCATION
Tenant/Owner
CL 6
Phone -
Address/City/State/Zip
Nature of Work Project Valuation: $ "
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR
Company Name A � W W
Address/City/St/Zip - I- C�—«<
Fax
I
Contact Person t� — Phone Fax
State L & I Contractor Registration # / v t�s97H V,/LJ l C�� (2-'-2— Exp. Date 2 2
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dyer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handlin > = 10 000cfrn
Above Ground
Fum <100K BTUs
f Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
Wood Stoves
A/C
DISCLAIMER: I certify, under penalty of perjury, that the information furnished by me is true and correct to the 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. I further agree to save harmless the City of Federal Way as to any clamp (including costs, expaues, 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 Federay Way but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suDched to the city as a part of this application
Owner/Agent
MP,CrAPP
Rmsrin 12/11/96
Date 2::Z L��2L