97-100224,, I 1'1`Y OF F'H)ERAL WAY
33530 Fi i-st Way Soutti
Fedei-al. W.iy, Wf) 93000
661-4000
ADDIESS :303'20 19TH PL
NO.: 085050-0080
PROJECT I)ESCRIPTION:11VA(
4k
Btjil.diriq lw�pect.ion Peqtjc�-st-s 661--4140
w
- ELL TO GAS FURNACE t HW1 (HANCEOUI W/ASSO(. GAS PIPING.
OWNER
(NOMAS VOS
30370 19tH Pt SW
FEDERAL WAY WA 98029
661-3160
its rwtt"� AF&F N4 't
CONTRACTOR -1:---`,..----
"OR11111flif WATER HEALER
8201 DURANGO ST SW
TACOMA WA 98499
984-6404
qrl ffM�
PERMIT NO: MEC97 --0030
BY: KLC
L.XIJUIL,. 01 /17/98
LENDER ..........
SALES Ifix 10K PROJUIS VIIHIN 1111. (ITT Of FLKFA VAY. TAX 11411. - 8.25 to
PROJECI VAIUA[ION 3500 M FEES:
FUEL TYPES.:GAS ELI FANS. (9 'OMP
114111
;1 20.00
GAS PIPING,: 50 ft HMO ...... amdflk- 3 erni reit,
V 6*,1. 00
--Oak,
GAS 11#1 .... : I wov P.....
CORV OMER: 0 3
BOO......... 0 tl1s
GAS DRYER..: 0 AIR 11A AN
PANG[— 0 :1,00
OV GROUND: 0
GAS 1. OGS ... 0 10:000 - 0 7- 11HRRUOUND.: 0
TOTAL FFIS
Does the water supply system contain a Pressure Reduction Device oX (beck valve? Yes No (if 'Yes* then eater expansion tank is requireel oo Hot Water Tank)
Inspection 'Pecord Water tine OK hachanical Act on tes:
r - ,
GAS PIPING 0K or Date ti By
FIERNIIS UPIRL 109 DAYS 11110 ISSUAKI. 11 IS ]EB; LS NJ IAL lift OADIK PLRHI I S LYPIRL ONE Y1*0 at 119 IM11 Of ISSUAKI.
I CERIlly Wt INIORRAIIOM IligNI53#0 rtI is I ii -I it td6l Of 11Y 930,0JUDGE AND lift iWPLI I UIY Of FID(RAI MAY NIQUIRININIS Wilt BE Nfl.
OWHIP OP AGENT DATE
FIELD DOPY
11
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
ADDRESS -30320 19TF1 PL
NO.: 085050-0080
PROJECT DESCRI PT ION : HVA(
F= OWNER
(NOMAS VOS
30320 19tH PL SW
FEDERAL WAY WA 98023
661-3160
,Y U-1 '"�°,: 9..�, N,,,,�; N .';: N"'�. N'9i :;;�:,,,
Suildin�� In pect,ion Requesl:s 661-41'+0
aW
- ELE TO GAS FURNACE & HWT CHANGEOUI W/ASSOC. GAS PIPING.
ORTHWEST WATER HEATER
201 DURANGO ST SW
ACOMA WA 98499
84-6404
ORTHWH103R2
PERMIT NO: MEC97-0030
ISSUED: 01/23/97
8Y: KLC
LXPIRES: 01/17/98
:x: CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 M
PROJECT VALUATION
FUEL TYPES.:GAS ELE
GAS PIPING.: 50 ft
FURN<100K..: 1
GAS HWT....: 1
CONV BURNER: 0
BBO........ . 0
GAS DRYER,.: 0
RANGE....... 0
GAS LOGS...: 0
3500 FEES:
r
FANS..........:
0
BOILERS/COMPRESSORS ! MEC PRM[ ISSUANCE... $ 20.00
HOOD..........:
0
0-3 HP......: 0 ' Mechanical Permit* $ 63.00
DUCT WORK.....:
0
3-15 HP.....: O j
WOOD STOVES...:
0
15-30 HP....; 0
FURN>100K..,..:
0
30-50 HP....: 0 i
MISC...........
0
5+ HP........ 0 z
AIR HANDLING UNITS
FUEL TANKS --------- j
<:10,000 CFM:
0
ABOVE GROUND: 0
> 10,000 CFM:
0
UNDERGROUND.: 0 TOTAL FEES $ 83.00
� I
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes: _------- ._._._-_ r
d I
GAS PIPING OK Date ......_,.__ By — ------------------------_
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE I RX I' RES1 ENfIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMAtiON FURNISHE ME IS ECT TO T E BEST OF NY KNOWLEDGE AND THE APPLICA,leLE CIFY F FED L WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT �� G>
FILE COPY
City of Federal Way
CITY OF 33530 First Way South
Federal Way, WA 98003
\`\\ (206)661-4000 mea q3 Z
V V
APPLICATION FOR MECHANICAL PERMIT
EITY OF FEDEPAL WAY
QUILDING
PARCEL it _ Single Family, Q' Multi -Family o Commercial O
SITE LOCATION:
Tenant/Owner: - ,A Phone:
Address/City/State/Zip:
Nature of work: �- �' 6a i!iACc :J A, rj ViklL-Project Valuation: $
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person:
MECHANICAL CONTRACTOR:
Company Name:
0�-0001M
.Fax:
Address/City/St/Zip. v ,( "l
Contact Person: L ` � d, Phone: Fax:
State L & I Contractor Registration #: t1U(ZT4Vitt I b k 2- 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 <1OOK BTU's
Gas Log
Unit Heater
Underground
Furn >I OOK BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
DISCLAIMER: I certify under penalty of perjury that the information furnls yyne is true
premises to perform the work for which permit application is made. rther agree to so
incurred in investigation and defame of such claim), which ms made by any pen , in
out of the reliance of the City, including its officers and em yeas, upon acc
erect beat of my knowledge and further that I am authorized by the owner of the above
City f Federal Way as to any claim lincluding costs, expenses and attorneys' fees
the tx ersi nod, and filed against the City of Feder -ay Way but only where such claim arises
motion sup lied to the City as a part of this application.