97-100306of, I-Ei)ERnt- WAY
3A5,30 Fit-st Way c;ot.011*1
I`edt�ral Way, Wo 9800-4
6�Sl --4000
ADMI ESS:284'37 2or1-i (Avc.
NO.: 422200-0280
PMTEC'T I)ES(,R1PT10N:HVAC
OWNER
NELSON ONERO
23431 20111 M S
FEDERAL WAY WA 98003
M C C. I I ON P1 1", 0C V1 L F% C M IW 1''T"
11tii1cliii(j 1t)sppicticNn I?PqtitElst-s 661 4140
S
- (LE TO GAS FURNACE I HWI RIPLA(MMI W/ASSO( GA5 PIPL.
NORTHWEST WATER HEATER
3201 DURANGO ST SW
MCONA WA 984"
984-6404
6? 1 v3ao
PLRMII NU. MLC97-004U
ISSULD: 01/28/9-7
BY: FC2
LXPIRES: 01/22/98
LENDER - ........... .................... nt .........
m (ONtwtM& 0141 at, tkA I;W'T1tV`W1fW SAILS IAX 109 PM MS VITRIN TK CITY 8F FLKM- WAY. TAX NAIL = 8.25 sts
2............. ......
Or "n-,
PROJECT VALUATION 2722 FEES:
M
OMPjLES * , - UAIKE... 20.00
3
..... 80
f(Ift. fYPtS.:GAS ELI f ANS .
ermi tt 54.00
GAS PIPING.: 58 ft HOOD,--�—ai
FUPH<IOOX..: I Dod- 15
P....
GAS Owl ..... I
CORY BURNER: 0 FUR 1P
BBO ........ : 0 mist I'll,
GAS DRYER..: 0 AIR HAN
,
RANGE ...... : 0 <.10,0 F 0 VC GROUND: 0
GAS LOGS...: 0 10,00v 0 )NDERGROUND.: 0 TOTAL ICES 3 74.00
Does the water supply system contain a Pressure Reduction Device or (beck valve? Yes No (If "Yes' then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By ri —!F
PIRMIS MIRI, 1811 DAYS MILK M011tt. It NO M1 IS 5 ILD
C1.11IFY OHL MOR"Allon MIMED By Off IS IRK M6 CORRECT
OWNER Of AGM
AW11 P11% I't"Ill, LXPIRL OWL YLAR AI TLV DAIL Of ISSMI.
"jtst of immi: An itit ArnicAet, qauf 119ERAt RENTRENRIS wt BE Illi.
FIELD COPY
CI7 Y OF '��
ED • BUILDING DIVISION
7 33530 1 ST WAY SOUTH
■ •' FEDERAL WAY, WA 98003 66 1-4000
CORRECTION NOTICE
ADDRESS: ;� �D�v( /�L[PERMIT
VIOLATIONS OF CITY AND/OR STATE LAWS ARELISTED
� c
lov
YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661-4140 FOR
RE -INSPECTION.
G
DATE INSPECTOR FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE
4ge- - .
CIT -Y OF' FEDERAL WAY PERMIT N0: MEC97-0040
33530 First way S v u i 1, p'rt'� ,N,, ; ;: r-1 ies 00 ; ';: '�:::, : ii'"'�i N,_,,, iF`41 »N: M, FIT "I" I S 5 U L D : 01/28/197
Federal Way, WA 9800:3 IwL,ditig lnspectic)n Req(je!:to 661--4140 BY: FC2
661-4000 EXPIRES: 01/22/98
ADDRESS:28497 20 (-H AVE
NO.: 422200-0280
PROJECT DESCRIPTION. HVAC - ELE TO GAS FURNACE & HWT REPLACEMENT W/ASSOC GAS PIPE.
€= OWNER =__-_________=-________::__ _ __.-____:._::____ _____=-_= CO NTRACTOR =________________.-.:___ _-.:__ _ ______-_-___= LENDER
NELSON OMERO NORTHWEST WATER HEATER i
( 28437 20TH AVE S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 e TACOMA WA 98499 r
839-0127 984-5404
- NORTHWH103R2
xs= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.25 :x:
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No
i
( Inspection Record Water Line OK _ Mechanical Inspection Notes: ...........
( GAS PIPING OK Date . By ____ . ........................
FEES:
MEC PRMT ISSUANCE... $ 20.00
Mechanical Permit* $ 54.00
C
TOTAL FEES
(If "Yes" then water expansion
74,00
tank is required on Hot Water Tank)
f
PERMITS EXPIRE 180 DAYS AFTER 'ISSUANCE IF NO WORC 15 5 ED_ RE k OADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE CORRECT OF M KNOWLEDGE AND flit RPPLICABL CIJ 0 F AL N REQUIREMENTS WILL BE MET.
OWNER--;z—
OR AGENT _DATE
FILE COPY
PROJECT VALUATION
2722
FUEL TYPES.:GAS ELE
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.: 58 ft
HOOD..........:
0
0-3 HP......:
0
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
BBO...... —: 0
MISC...........
0
5+ HP........
0
GAS DRYER—: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... ; 0
<:10,000 CFM:
0
ABOVE GROUND:
0
( GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.:
0
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No
i
( Inspection Record Water Line OK _ Mechanical Inspection Notes: ...........
( GAS PIPING OK Date . By ____ . ........................
FEES:
MEC PRMT ISSUANCE... $ 20.00
Mechanical Permit* $ 54.00
C
TOTAL FEES
(If "Yes" then water expansion
74,00
tank is required on Hot Water Tank)
f
PERMITS EXPIRE 180 DAYS AFTER 'ISSUANCE IF NO WORC 15 5 ED_ RE k OADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE CORRECT OF M KNOWLEDGE AND flit RPPLICABL CIJ 0 F AL N REQUIREMENTS WILL BE MET.
OWNER--;z—
OR AGENT _DATE
FILE COPY
crrY of G BURRING DimioN
• EO 33530 First Way South
"" Ay Federal Way, WA 98003
V V (206) 661.000
C _ Fax (206) 661 A 129
APPLICATION FOR MECHANICAL PERMIT
JAS Z � 1997
U,'14AL WAY MECq
`lly t3i=p NG Dit � n 1')Q ?_9
PAA��L # �-�-- 1 Single Family,:C`] Multi -Family ❑ Commercial ❑
SITE LOCATION R
Tenant/Owner CL�n ; v �� " ' � �� Phone v � _ 0/27
Address/City/State/Zip
Nature of Work �Ie CL KL914cem. Project Valuation: $ �
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name 4 - GAl n �nl EZMa,
Address/City/St/Zip 22HY) (0 f Ja4 az C—r • . -T-hcar4 Y Y %"
Contact Person ` I /02' ? z12L L4.::!2 Phone �(� L6% Z Fax
State L & I Contractor Registration # A 11 'K 1V L IJ � "�� 7 Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Drver
Air Handling < = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handlin > = 10 0006in
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 Burner
Duct Work
A/C TONS
Other
BBQ's
A/C TONS
DISCLAIMER: I certify, under penalty of perfidy, that the information Srnished 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 claim (mcluding costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which maybe
made by any person, including the undersigned, and Sled against the City of FederayW ut where syc� claim arises out of the reliance of the city, including its officers and employees, upon the accuracy oCthe
information supplied to the city as a part of this application.
Owner/Agent
Mrca.Arr
Rsvrsm 12/11/96