97-100344C1 [Y OfI 1:4)ERAt- WFYY
33530 Way 1Outl) m C. is it I ro$ k -T -CIN L. P1 C, CA, P -I I F
F'eclera.L W. -+y, !-10 98UU'3 8UiJ_(Jj119 Inspec-tion 1�(_Aqmmts 66J. 41.40
661-4000
2NV AVE
NO.: Z-139190-02JU
VFtOJUJ DF-'3Cf'UPI10H-HVA( INSIALL100)NE GAS tURNA(L.
9 r/
PERMIT NO- MI C9/ UU43
01113( ' /w
BY: FC2
U,J)IRES: 01/24/98
OWNER (OHIRACIOR
LENDER
J4011A F1YK0 NORTHWEST WATER HEATER
30413 2ND AV[ S 84101 DURANGO Sl SO
FEDERAL WAY WA 98003 TACOMA VA 91;499
-6404
$0 CHTWINS, PIECE WE LOCATION (0K 1132 TINGVEWWOKSALES JAX FOR PROJECTS VIININ IN (117 Of FEDERAL MAY. TAX RAIL L3-6
PROJECT VALUATION 1590 FEES:
FUEL TYPES.:GAS ? FARS .......... At!)0. U0
HU PPMI ISSUANCE... $ I
GAS PIPING.: 0 It HOOD. Q_, Ip. NINMU Mechanical Permits t 44.00
FL)R"",190r..: I DUO WON_ fw.
I
GAS NMT....: 0 WOOD - 16111f I 1P,ri
(ON", ENNER: 0 ...... I0
BOO........: 0
GAS DRYER—: 0 Alp *llmlN!J I I ftJO fAtit
RANGE......: 0 �10.00(, (1-11. 1) A Vt AQV0D*
GAS LOGS—: 0 10, LAO J#-. 44 "D. :_ 064.00
TOTAL ass
Wes the water supply systes contain a Pressure Reduction Device o ck valve! Yes No (If *Yes' then water expansion tank is required on Not Water Tank)
inspection Record Water Line OK Mechanical 40peit S:
GAS PIPING OK DatW) By
Pt9NI IS EXPIRE IN DA(S A) IER ISSUAKI, 111 M.' WORK IS St Itsi
C
I CERTIFY HE 191(wallon ItIPNIALD, by 1111. b 1011. AN Ima r
OWNER OR AGENT
of NY
NIIS EXPIRE ONE YEAR A(UR DAU Of ISSUAN(f.
AND To[ APPI I(Am L U I of ft#�m "m K6 MILL BE NEI.
DAlf
tITY',OF FEDERAL WAY,, PERMIT NO: MEC97—Q04�
33530 F i rs t Way S ci u t i t �'"' i ";;:' ;µ;. "IP il�''"fl IP'u ll� ..;II!.: '��:;..` ,P;'It 4 ilk'";: II I; IIS^" .,I!! �,... ISSUED: 01/30/97
Federal Way, WA 98003 Building Inspection RecTuests 661-4140 BY: FC2
661--4000 EXPIRES: 01/24/9E3
ADDRESS:304.3 2ND AVE S
NO.: 339190-0230
PROJECT DESCRIPTION°HVAC - INSTALLING ONE GAS FURNACE.
= OWNER = -==--r xxxxxxx=====______________________=====Y= CONTRACTOR =___::===-=xxxx=====_--====xxxxxxxx======x=x== LENDER
JUANITA FEYKO NORTHWEST WATER HEATER
30413 2ND AVE S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA WA 98499
i
839-4513 ' 984-6404
a NORTHWH103R2
US CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 :_s
( PROJECT VALUATION
1590
FEES:
FUEL TYPES.:GAS ?
FANS..........: 0
BOILERS/COMPRESSORS
i MEC PRMT ISSUANCE... $
20.00 j
GAS PIPING.: 0 ft
HOOD........,.: 0
0-3 HP......: 0
Mechanical Permit* $
44.00
FURN<100K..: 1
DUCT WORK...,.: 0
3-15 HP,....: 0
GAS HWT....: 0
WOOD STOVES...: 0
15-30 HP....: 0
CONV BURNER: 0
FURN>100K.....: 0
30-50 HP....: 0
BBQ........" 0
MISC.........., 0
5+ Hp........ 0
g
GAS DRYER..: 0
AIR HANDLING UNITS
--------
FUEL TANKS ---------
RANGE ......
RANGE.,....: 0
<:10,000 CFM: 0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
) TOTAL FEES $
64,00
J
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 Hct
Water Tank)
Inspection Record
Water Line OK _._-__-,_.-,-._.-
Mechanical Inspection Notes:
GAS PIPING OK
Date ---. .......... BY
.................................
1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WOR[ffANDRRECT
RESID ADING P RMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUETO T MY OWLE 'E AND THE APPLICABLE CITY Off ER ENTS HILL BE MET.
OWNER OR AGENT --.---------___ _.._.._............ DATE
...
FILE COPY
aTY OF /—
``�``
V V Ry
BUII.DING DIVISION I
33530 First Way South 411
Federal Way, WA 98003
(206) 6614000
Fax (206) 6614129
AL PERMIT
APPLICATION FOR MECHANICAL C C
� 141
131 MEC o �- 6o-�`'�
ti.
PARCEL A D o 3 �V Single Family Multi -Family 11Commercial 11
SITE LOCATION
clAnl��A �
Tenant/Owner (� Z hone zo6kS
—�
Address/City/State/Zip 3 �Q
Nature of Work Project Valuation: $ O
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip ;� �Ip D �
Phone
Fax
Contact Person h J �� �� %� �'/ �hol9n�) 17- Com/ Z 20 0 Fax
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT
Exp. Date l_ 9 —41-z
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Length of gas piping
Air Handlin > = 10 000cfm
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/11
Miscellaneous
Gas Hwt
I Hood
I Boiler BTU/H
Other
Conv Bumer
Duct Work
A/C TONS
Other
Wood Stoves
A/C
DISCLAIMER. I certify, umda penalty of perjury, that the information furnished by me is true and correct
for which permit application is made. I further agree to save harmless the Cityof Federal Way as to any
made by any person, including the undersigned, and filed against the City of Fedaay Way but only ere
information supplied to the city as a part of this application.
Owner/Agent
Macu.App
Revrsm 12/11/96
to the best of my knowledge and further that I am authorized by the owner of the above premises to perform the work
(mets expanses, and attorneys' fees incurred in investigation and defense of such claim), which may be
such out ofMete ul—anc�of the city, including its officers and employees, upon the accuracy of the
Date