97-100234I , TY OF" F11)EPAL WAY
X3510 First W. -Ay Sotit-1-i
�edC�ral Way, WA 98003
661-4000
AD17tRESS.31723 41:1r1 -I LN S14 (Init: f1
NO.: 784300-021.0
PROJECT - ELI TO 0S FURNACE t HOT (HANCLOUI
OWNER
GERALDINE GUYlOK
31723 118111 LH SW, IIA
FIDEFAt WAY WA 98023
838-8614
PROJECT VALUATION 3500
FUEL TYPES.:GAS ELI FANS. ...
GAS PIPING.: 0 ft HOOD.
GAS NJ .... : I
QMV BURNER: 0 fu
BPQ ........ : 0 his(.
GAS DRYER..: 0 AIR HA
RANGE......: 0 -10,0
1
GAS LOGS...: *� 10,000 0 10,000 0
Does the water supply system contain a P
Inspection Record Water line OK
GAS PIPING OK
lrisptrbion Requests 661. �140
k-�-6f-
PERM I1 NO- MEC97 0020
01/22/9"
BY; K I- C
....... CONTRACTOR :...... LENDER ---- .........
NORTHWEST WATER HEATER
8201 DURANGO S1 SW
TACOMA WA 98499
984-6404
P I.- 1., 1, 1� n.. .o a.—ry
*%PMOMING SALES FAX f0h, Int ilas V1111A ME MY (W FEMAL NAY. TAX 1411 - 11.25
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
P..
P ...
POUND: 0
OUNLAWD
tion Device or Check valve? () Yes () No (if *Yes
Mechanical Inspechor, Hofer -
Date
FEES:
F- UAKE... 20.00
ersitt 63.0(1
TOTAL FEES 83.00
en water expansion tank is required on Not Water Tank)
PLIMI is uPIRE III) ow Al f tv IsSuAR-1 It START 041-1"�Mo 621#pl1w oth"Ifs OW Milt 111111 DATE Of ISSUANCE.
I (Ellify fill 111101'011011 11#111slift gy U/I.. Imp, 6 1 HISI 0 K MAlt. I APPLI(Abtt MY Of TIMM WAY RIQUIRINLRIS MITI bt MI.
Kit, / � � ��
OWHROP AG[:11
FIELD COPY
GITY OF G
•
- �ED
■� 7 33530 1 ST WAY SOUTH
FEDERAL WAY, WA 9B003
CO R R E CTI O N
ADDRESS: L� _ O �]
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED
► i�
BUILDING DIVISION
f'� 66 1 -4000
NOTICE
PERMIT #: � C%ru�L�
BELOW:
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
REINSPECTION.
DATE SPECT❑R FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE
41 -,-
CITY OF' FEDERAL- WAY
33530 First Way South
Federal Way, WA 98003
661-4000
.&Jildir,rl Inspection R.ecluest 661-4140
ADDRESS:317248r] L.N SW Unit: 0
NO.: 784300--0210
PROJECT DESCRIPTION:HVAC - ELE TO GAS FURNACE & NWT CHANGEOUT.
r OWNER _____________________________________==__-_______:_= CON]RACTOR
GERALDINE GUYTON NORTHWEST WATER HEATER
31123 48TH LN SW, #A 8201 DURANGO ST SW
FEDERAL WAY WA 98023 ( TACOMA WA 98499
838-8614 984-6404
NORTHWH103R2
PERMIT NO: MEC97-0020
ISSUED: 01/23/97
BY: KLC
EXPIRES: 01/17/98
LENDER
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS 4IT11IN THE CITY Of FEDERAL WAY. TAX RATE : 8.25 ***
FEES: j
NEC PRNT ISSUANCE... $ 20.00
Mechanical Permit* $ 63.00
4
TOTAL FEES $ 83.00 i
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)
1
Inspection Record Water Line OK Mechanical Inspection Notes: ,--.---_---------------------_.----___-
GAS PIPING OK .......... Date ._._..... _ By --------------------------------------------
PERMITS
--------------------_-------_----------__
PERMITS EXPIRE 180 DAYS ALTER ISSUANCE IT A WORK IS S
I CERTIFY THE INFORMATION FURNISHED BY e IS TRUE Mir,
OWNER OR AGENT
D GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
MY KNOWLEDGE AND 1HE.APPL� CABLE CITY OT FED AL NAY REQUIREMLWTS WILL BE MET.
,,AT I _ /` 2 l
FILE COPY
0
9
1
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
WOOD STOVES...:
0
15-30 HP.,..:
0
CONV BURNER:
0
FUR 0 100K.....:
0
30-50 HP....:
0
BBQ.........
0
MISC...........
0
5+ HP........
0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS---------
s RANGE.,....:
0
!=10,000 CFM:
0
ABOVE GROUND:
0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
i
FEES: j
NEC PRNT ISSUANCE... $ 20.00
Mechanical Permit* $ 63.00
4
TOTAL FEES $ 83.00 i
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)
1
Inspection Record Water Line OK Mechanical Inspection Notes: ,--.---_---------------------_.----___-
GAS PIPING OK .......... Date ._._..... _ By --------------------------------------------
PERMITS
--------------------_-------_----------__
PERMITS EXPIRE 180 DAYS ALTER ISSUANCE IT A WORK IS S
I CERTIFY THE INFORMATION FURNISHED BY e IS TRUE Mir,
OWNER OR AGENT
D GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
MY KNOWLEDGE AND 1HE.APPL� CABLE CITY OT FED AL NAY REQUIREMLWTS WILL BE MET.
,,AT I _ /` 2 l
FILE COPY
0
9
1
City of Federal Way s
CITY OF re_— 33530 First Way South
Federal Way, WA 98003
(206)661-4000 MEC - ( C���
JAN 2 2 19 r
PPL/CA TION FOR MECHANICAL PERMIT
PARCEL -Ir 62 (�� Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner: �- < <-,�L- N ��.(�`l�C�(/� Phone: %P I
n v ` �
Address/City/State/Zip: �+ �c� �A,(
Nature of work: �-� ��R�� �L � �CE(1"i T Project Valuation: $ DZZ.l L'*_
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: i
MECHANICAL CONTRACTOR:
Phone:
�- � Fax:
Company Name:
Address/City/St/Zip: - CJ y
Contact Person: Phone: ��{ ��`� Fax:
State L & I Contractor Registration #: �n�"I 1 A'i 1A t ,' 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
BRO'S
Wood Stnves
A/C
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true
Premises to perform the work for which permit application is made. I further agree to sa
incurred in investigation and defense of such claim), which may be made by any pars inc
out of the reliance of the City, including its officers and employees, upon the .42-y of th,
Owner/Agent:
f my knowledge and further that I am authorized by the owner of the above
Ira) Way as to any claim (including costs, expenses and attorneys' fees
filed against the City of Federay Way but only where such claim arises
the City as a part of this application.
Date: T—