97-100226(,,:ITY OV VIED!)l—WOY
X3530 Fit-sst, Way So(_it,li
F,*edc?r,,al. Way, WF) 98001
61-4000
NO.: 784301.--0330
PROJECT DESCRIMON:NVA4
OWNER
GENE BENSON
31727 4710 PL SW, IC
FEDERAL WAY WA 98023
874-242
CON1940
PROJEO VALUATION
FUEL fYPES.:CAS ELI
GAS PIPING.: 0 ft
FURN4100K..: I
OAS IIWI... .: I
ii.1,I(Jivig Iti!F-pectJ(.)n
�-',W 1-Ini t: (_
- ELE 10 GAS FURNA(L & HWI CHANGLOUI.
f
J -Au
FANS.... . _7
WI �Vlly
WWI r-WIS..
CONTRACTOR LENDLR
HORTHWES) WATER $LATER
8201 DURANGO SI SW
IACOMA WA 98499
984-6404,
q I ICCAA�,
PERM11 NO: MLC97-0028
I.SSULD: 0112--V97
13Y: KL�C
LXPIRES: 01.117198
RG SALES I&I FOR PMECTS VI(HIN 1K (111Y Of fEKRAL !TAY. LAX RAKE - 8.25 Its
§110([.. ;!0,00
t
I'CORV BURNER: 0 FU,
BBQ......... 0 misc.,
GAS KYLE_: 0 AIR HA
RANGE......: 0 ,:10,00 VE GIM: 0
GAS LOGS ... 0 1 10,000 0 1.1"DERGROUR.: 0 1 !()(At LLL!;
............... - .... r .....
Dies the water supply systek contain a Pressure Redu(tidn Device or Check valve? Yes Ro (If "Yes* thei , i eater expansion tanP, is required oo Kit Water Tank)
Inspection Record Water tine OK Mechanical Inspection Notes:
GAS PIPING 01: bat
two_
KRAIIS EXPIRI 180 toys Al 0 159NAE It M) VORK R(IjiftKiIAL AND GRAD14i, PFROOS EXPIRE ONC YEAK 1911k #Alf Of ISSUAKI.
11 CERTIFY lilt Ift1ORM11011 IUPNISNLD by fit. ISS
-4,4io OR WaI
(09,1.0-1`W KSI- tNWLl.K00
f lilt APPLKABLL (11Y 01 11111FAI WAY RHOUIRLIKS V
KIILL BE 1111,N,
C_
FIELD DOPY
CIT.r• OF' FEDERAL WAY
(3 3 5 3 0 F i rs t Way S o u t h 114,1 C" ."", . y,, ;. I, „R lel* 1�-,l .'� ..: ?- ; N,.,,,, F.", C:., M, P14 J., „I,..
Feder-il Way, WA 98003 liu.i lcling Inspection Requests 661-4140
661--4000
ADDRESS:30.727 47T1i L.N SW Unit::: C
NO.: 784301--0330
PROJECT DESCRIPTION "HVAC - ELE TO GAS FURNACE & HWT CHANGEOUT.
-= OWNER ___________________________________________:_•__::_
GENE BENSON
i 31727 47TH PL SW, #C
i FEDERAL WAY WA 98023
i
874-2802
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA WA 98499
984-6404
NORTHWH103R2
i rimr
PERMIT N0: MEC97-0028
ISSUED: 01/23/97
BY: KLC
EXPIRES: 01/17/98
Ya: CONTRACTORS, PLEASE USE LOCATION COBE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY Of FEDERAL WAY. TAX RAI[ : 8.25 :ts
PROJECT VALUATION 3500
FUEL TYPES.:GAS ELE FANS....,.....: 0 BOILERS/COMPRESSORS
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0
FURN<100K..: 1 DUCT WORK.....: 0 3-15 HP.....: 0
GAS HWT.... : 1
CONY BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
WOOD STOVES...: 0 15-30 HP....: 0
FURN>100K... ..: 0 30-50 HP....: 0 T
MISC........... 0 5+ HP.,.,.... 0
3
AIR HANDLING UNITS FUEL TANKS ---------
<:10,000 CFM: 0 ABOVE GROUND: 0 C
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 83.00
--------------
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: _ $
i
y� GAS PIPING OK--.._------- Date By __...-..-------------------------------------------------------
PERMITS
-------------------------------- ------------------
PERMITS EXPIRE 180 DAYS AfIER ISSUANCE : NOWORK I TED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS T AND CORRECT HE;
City of Federal Way •
CITY OF 33530 First Way South
_ ® Federal Way, WA 98003
E
(206)661-4000 MEC�3
iii.
APPLICATION FOR MECHANICAL PERMIT
!Ah a 2 1997
PARCEL tL 11-1-0 a C::i^D Single Family Multi -Family ❑ Commercial ❑
A GEF:
SITE LOCATION:
Tenant/Owner: -JAVAA (--"'-, M(A P: l C) Phone: S '� G 9 D_
Address/City/State/Zip: a�--IISO Sud 736T�� ST t iI ::Q 2F
Nature of work: --� '� t"�vQni�tCJ CC=T�
�4 Project Valuation: $
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person:
r
MECHANICAL CONTRACTOR:
Company Name:
Phone: Fax:
Address/City/St/Zip: `�So(G i"C t4 c� ( ('-T- C -97-fn
Contact Person: KtIIA C)%'— �' n, iAiCI r -i Phone: 4S q _I(Q.46 q Fax:
State L &I Contractor Registration #: kL�TY W d. 1 0 2) e, :�L_ 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 > 1 OOK BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
TONS
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 harm) the City of Federal Way as to any claim (including costs, expenses and attorneys' fees
incurred in investigation and defense of such claim), which may be made by Epperson, i ing t 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, up a accurac atio supplied to the City as a part of this application.
Owner/Agent:(��1/ U Date: