97-100438CI T Y () V I F- UE: R t)- t. W () Y
33530 Fil'St WAY ,C)Llt-ll Mr.X--A'fnHTk',e1L,. PERMIT
Ferieral, Way, Wt,) 9800"A IiUi1(.-jif)(g lrlspaCtlora 1?c-qkie-st%,. 661 -41,11()
663..-4t: 00
1)1)f)VESS:308?j Zul'li AVE S Llrij t -,
NO.: 785360-0002
I-)RO-JFC f E)E"SCR1PTT0N"NVA( - 0S 10 GAS FIREPLACE INSER.I.
OWNER..— ...... ....... . . . . . . .
LESTER (Ott
30821 201H AVE S IIA
FEDERAL WAY WA 98003
839-1183
(OHIRACTOR — .... --,
NORTHWEST WAILP, HfAILP
8201 DURA4§4-ST SW
TACOMA W"qtt
984-6404
NORINWHI03K
LENDER
111SCONIRACIM, ly-:! toafl"`�O* TAXf(W 1140,110'� 41fIffm Of QIy#ff 111k?A! !117 ":01 fl.25 33S
PROJECT VAtUA11OH 4125
FUEL TYPES.:GAS ? FANS. . IJ !.A NL( PRMI ISSUAKL... '110.00
GAS PIPING.: 0 It HOfj D .......... 0 0- - ersit* S 72.00
0 Dot I
S �
GAS 11141 .... : 0 WOOD SIOU4,- 0 I 31
(ONV BURNER: 0 f ft Mt.
'
884......... 0 "Ht"."o', 144, tin
p
GAS DRYER... 0 At' li
RANGE....... 0 '1
GAS LOG'—.: 1 1 0"KR6ROORD.: 0 TOTAL I'LES 92.00
Wes the eater supply systee contain a Pressure Reduction Device or Check valve! Yes 11 Ho it 'Yep' then ljab�r expansion tank is required on Not Water Tank)
Inspection Record Water line 01' mechanical Inspection Notes:�f '
GAS PIPING OK Date By
-A
C? q / 0-3 �
PERMIT' 140: ML( -9/ 0041
02/06/97
BY: KLC
019111 IS EXPIRE 180 MYS Affkk ISSUANCE If 90 VORK IS01 114W A
11-�,) GkADING PERMITS tXPIR( OK YHR AFTER 0411 01ISSUANCE.
I CERTIFY INt lIffewlioll 1,11RIff5"ID BY KE Is (ORR, 14 BEST (#/KY tNOMLLDGE AND IN[ APPL10131 MY Of ILIERAt NAY REQUIRCKNIS PILL U, 111,1.
OWNER 09 AGENT
FIELD COPY
CITY OF' FEDERAL WAY
33530 F i rs t Way S o u t l� P'1 1r;,. 1-1 M 144 H L.- f`k r.",. rk IOV,]..' "I"'
Feeler -a1 WAy, WA 9800:3 1:It.ai. (AtIg Inspection FZegtjests 661--€+140
661--4000
ADDRESS : 3082:1. 20T11 AVE S Unit- 0
NO.: 78.5360-0002
PROJECT DESCRIPTION: HVAC - GAS 10 GAS FIREPLACE INSERT.
F= OWNER __________________________________________________== CONTRACTOR
LESTER COBB i NORTHWEST WATER HEATER
30821 201H AVE S #A r 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA WA 9844`:'
839-7183 ° 984-6404
? NORTHWH103R2
LENDER
PERMIT NO: MEC97-0047
ISSUED: 02/06/97
BY: KLC
EXPIRES: 01/31/38
ts* CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 i=i
GAS PIPING OK -.._._.. __ Date _.__-_._ By _
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS TED. RE' GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS IRU D
COR
EST OF MY KNONLLDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL BE MET.
OWNER 0R AGENT ___-_--_-_-.._------.- .._..... _-- DATE/.
FILE COPY
PROJECT VALUATION
4125
FEES:
)
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
MEC PRM1 ISSUANCE...
$ 20.00
GAS PIPING.: 0 ft
HOOD,........,:
0
0-3 HP......: 0
Mechanical Permit*
$ 72.00
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP--.: 0
GAS HWT....: 0
WOOD STOVES...:
0
15-30 HP--: 0
CONY BURNER: 0
FURN>100K.....:
0
30-50 HP....: 0
BBQ......... 0
MISC......,..,.
U
5+ HP...,.,.. 0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
► RANGE......: 0
<:10,000 CFM:
0
ABOVE GROUND: 0
;
Y
GAS LOGS...: 1
> 13,000 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 Inspection Record
Water Line OK __.._.,._.._,..,
Mechanical Inspection Notes: ---
I
GAS PIPING OK -.._._.. __ Date _.__-_._ By _
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS TED. RE' GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS IRU D
COR
EST OF MY KNONLLDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL BE MET.
OWNER 0R AGENT ___-_--_-_-.._------.- .._..... _-- DATE/.
FILE COPY
cr;3l: '- BUELDING DIWSION
7-
En33530 First Way South
l�Y Federal Way, WA 98003
(206)661-4000
Fax (206) 661-4129
SEB o 6194 APPLICATION FOR MECHANICAL PERMIT
MEC
PARCEL # V V v Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner 11 ✓� 8p, Phone ` J g`�
Address/City/State/Zip v)�� (, �2-1 A a�
Nature of Work �� — L , Project Valuation: $ 4—LS'
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name '� /
Address/City/St/Zip �L A
Contact Person
Phone
Fax
a
State L & I Contractor Registration # /d �� [ L t LA� �(6 c Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handlin
< = 10 000cfm
Fuel Tanks:
Length of as piping
Range
Air Handlin
> = 10 000cfin
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Underground
Furn >100K BTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler
BTU/H
I Other
Conv Burner
Duct Work
A/C
TONS
Other
Wood Stove-,
A/C
10 NS
DISCLAIMER: I certify, under penalty of perjury, that the information famished by me is true and const 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 claim (mcluding costs, expenses, and attorneys' fees incurred in investigation and defense of such claims which may be
made by any person, including the undersigned, and fled against the City of FeoararWay but only wh ' mffiL out of the reliance of the city, inc officers and employees, / I lading its P Yees, upon the accuracy of the
information supplied to the city as a part of this application
Owner/Agent
MEcu.APP
Rensm IVl 1/96
Date
r
A
❑