97-100233CITY Of F'F-I)ERr)L WAY
33530 Fit-st, Way Sc)ui.li
Feder -al Way, WO 98003
661 -4000
ADDRESS: 317:18 x4Bill LN
NO.: 784300-0180
PROJECT DESCRIPTION: NVAI
OWNER
COOKIE BREMER
31118 48111 LH SN, 11B
FEDERAL WAY WA 98023
*tt
MC1C"MHXIC"L—
Bu i Idi. riq I nsp(-c H on kc�qtje�'.'-ts 661- 414(.)
S;W 01i f". H
ELI TO GAS FURNACE & NWT 4.11AHGLOUI W1111 ASSOC. GAS PIPING.
PROJECT VALYAJIOH 3500
IU(t FYPES.:GAS ELI FANS........ 81
GAS PIPING.: 43 ft
GAS ONI.... I WtD�
fil
('0HV BURNER: 0 r
BOO......... 0 Hl ..........
GAS DRYER-: U AIR 11A
PANG[ ...... : 0
GAO, LOGS.... 0 0
PERMIT NO: MEC97-0021
11:;9-X V: 1-11/23/97
By: i"l-C
1-.XPIRES-, (11./1 7/98
CONTRACTOR LENDER .....................
HORTHWLST WATER HEAD
81101 DURANGO Sl SW
VACOMA WA 98499
984-6404
L41S IAX IOR WJL(IS 1111111111 flit QIY Of fLKM MAY. TAX RAIL 0.25
4
DANCE... t 20.00
erai t* t 63.00
TWW
3
VE GROUND: 0
UNDERGROUND.: 0 fOIAL tas 3 83.00.
Does the water supply system contain a Pressure Reduction Device or 00, - I ve? V I f water expansion tank is required on Hot Water Tank)
Inspection Record Water tine OK d of
GAS PIN K OF Dat
FERMIS LVIRL 100 DAYS At III, ISSUAN(f. It WO VORI I' SIAR110- 1-14ifflIjulf M
LXPIRI OWL YL ILA DAIL Of ISR(L-
I CERTIFY [Of IM -0
(WHAII00 tURNISHED BY III IS IRIA ANY JPftr(-i1 11) W 1`111 ArnICA111.1 CITY Of FEINEW WAY RkQVIRthibla VIII. At ?*I.
OWNER Op AGLHI DATE
FIELD COPY
e
CITY OF FEDERAL WAY
33530 Fi r-st Way SeutT7
Feder -al Way, WA 98003
661--4000
ADDRESS : 3171.8 48111 LN
NO.: 784300--0180
PROJECT DESCRIPTION:HVA(
= OWNER
CONNIE BREMMER
31118 48tH LN SW, #B
FEDERAL WAY WA 98023
PERMIT N0: MEC97 —0021
F-1 r,,,,., kZ,' 1,.,.R il' 4 11 M 9,.... P1,111C., n, U-1:;� .' ,.R..' ISSUED: 01/23/97
1-3ui1di_ny Irnspection Requests L6:1.--4140 BY: KLC
EXPIRES: 01/17/98
SW Unit: E3
ELE TO GAS FURNACE & HWT CHANGEOUT WITH ASSOC. GAS PIPING.
CONTRACTOR::-_______-:_____________________________--__-- LENDER
NORTHWEST WATER HEATER
8201 DURANGO ST SW j
TACOMA WA 98499
984-6404
NORTHWH103R2
Irr CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 M
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTS . HESID RAD HITS EXPIRE ONE YEAR AFTER DAIL OF ISSUANCE.
I CERTIFY FRE INFORMATION FURNISHED BY ME IS TRUE AND CO ECT TO E NOWL E AND THE APPLICABLE CIFY OFFEDERAL Y EOUIREMENTS WILL BE MET.
OWNER OR AGENT - DATE
l
FILE COPY
PROJECT VALUATION
3500
FEES:
FUEL TYPES.:GAS ELE
FANS..........: 0
BOILERS/COMPRESSORS
MEC ARM( ISSUANCE...
$
20.O0
GAS PIPING.: 43 ft
HOOD..........: 0
0-3 HP......: 0
Mechanical Permit*
$
63.00
FURN<100K..: 1
DUCT WORK.....: 0
3-15 HP.....: 0
GAS NWT....: 1
WOOD STOVES...: 0
15-30 HP....: 0
CONY BURNER: 0
FURN>100K...... 0
30-50 HP..... 0
BBQ......... 0
MISC........... 0
5+ HP........ 0
GAS DRYER..: O
AIR HANDLIW; UNITS
FUEL TANKS ---------
--------RANGE......:
RANGE ...... 0
<:10,000 CFM: 0
ABOVE GROUND: 0
3
C
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES
$
83.00
Does the ;nater 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:
------------------------------
--------------.---------GAS
i
GASPIPING OK ...........
Date ... .... BY _ ......---------------
------ --.-----------------------._..
i
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTS . HESID RAD HITS EXPIRE ONE YEAR AFTER DAIL OF ISSUANCE.
I CERTIFY FRE INFORMATION FURNISHED BY ME IS TRUE AND CO ECT TO E NOWL E AND THE APPLICABLE CIFY OFFEDERAL Y EOUIREMENTS WILL BE MET.
OWNER OR AGENT - DATE
l
FILE COPY
City of Federal Way
CITY OF 33530 First Way South
Federal Way, WA 98003
(206)661-4000 MEC
APPLICATION FOR MECHANICAL PERMIT
PARCEL • T — n (0 �� Single Family Multi -Family ElCommercial 11JA N 2 2 1997
Ci SITE LOCATION;y
Tenant/Owner: Phone:
Address/City/State/Zip: �� i� r`z, D �-/ (r ���i(J t'i� �(��� 02
Nature of work: Tl. � 1 r '1�HLA p( LJ N(_r 2(0 C)
�—�1 � Project Valuation: 5
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: 1.4
x
Address/City/St/Zip: 2242, eft( P q I � � LAItq SS2�j
Contact Person: L?�'uS Phone: 79z-� _100 Fax:
State L & I Contractor Registration #:
(Card must be presented)
MECHANICAL UNIT COUNT:
' LVq 6 r W CA (T0 3 r::��- --I— Exp. Date:
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
I Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
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 sav arml a 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 any pers in i e n , igne ,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, upon the ac acy on suppli d to the City as a part of this application.
Owner/Agent: C''/�1� Date: