97-100149CI-WOF VII)FRAI- WHY
33530 First, Way Sout,fi m C 1 r, 104M I t-11 M U- FA C: n, 141 "T"
Fe&�ral. Way. WF) 98003 Lit vilditig 1nsp-5-.,rti(.m 11'4-11(111 x'11 661-4140
661-4000
ADDRESS:29250 121`14 P1. S
NO.: 516200-0090
PROJECT UFS SCR TPT10t4:HVA( - GAS TO GAS FURNACE RIPLAUMM.
OWNER
JIM/VICKI WOLFHOVE
29250 1 111 PL S
FEDERAL WAY KA 98003
Q41-4719
sit P"
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN<IOOK..: I
GAS HWI .... : 0
(ONV BURNER: 0
660......... 0
GAS DRYER..: 0
RAKE......: 0
GAS LOGS...: 0
1000 �'Tm
? TANS.. .. ..... 0
It HOOD. u
I upto
Misr '
AIR H
lines th wat r supply sys
671-116010 . - .4
IJLRMI] NO: MU -9/-0016
11,,SUED: 01/14/97
BY: r -C
I-XI)IRES: 01/08/98
(ONTRACIOR ........ ..
NORTHWEST WATER HLATIR
8201 DURANGO ST SW
TACOMA WA 18499
108 f 04011%.
- I , I d
"I --ftm SM[S flu M PROJECTS 411"IN ME City of 10fafft WAY. TAX VAU = 8.25 US
Mai
U, 000 0 UNDERGROUND.: 0
twin a Pressure Reduction Device or (heck valve? Yes () No (I
�
FEES ES:
U(I-PM 'UAKU... 20.00
ermit* # 32.00
TOTAL ILLS 56.00
them water expansion tank is required on Hot Water Tank)
Inspection Pm`rd W. -i t- ftechaiii I I�� Notes:
k-�� cz 1
Me
PUNITS EXPIRE 130 OM AFTER ISSINKt LSIK#j"b DJW PLRAIIS M111 ONE YEAR Atlig IMI1 1W ISSIM1.
I (FIRMY IRL IMIRM110H MINISHIP b! fit. IS 1101 fifib C I jQAJff1 HILS1 (4 MY KWIJ.061, AND lot APPILKAtt ffb[NAL WAY R1QUIRLUNIS Mitt K All,
OWNER OR AGENT
FIELD COPY
CITY OF FEDERAL_ WAY
33530 F i rs t Way South 1111 C,: 1„„1014 ilii M,. FA C,: n 1,14 ]1.' "1,,,
Federal Way, WA 98003 Building l nspectic)r Rec4ue:st 661-4140
661-4000
ADDRESS:29250 12T[] PL. S
NO.: 516200-0090
PROJECT DESCRIPTION :HVAC - GAS TO GAS FURNACE REPLACEMENT.
PERMIT N0: MEC97-0016
ISSUED: 01/14/97
BY: FC
E=XPIRES: 01./08/98
OWNER=w= -===_-.____ _-=W=V==_==_-_•-__-_-::__:___==____-_____• CONTRACTOR = _,_-_ ____._-___.::____._-_-______-::______= LENDER = __________:_--_____.•-__-_.:.:- --- - -=--- =-===i
JIM/VICKI WOLFHOVE 9 NORTHWEST WATER HEATER
29250 12TH PL S 8201 DURANGO ST SW i
FEDERAL WAY WA 98003 TACOMA WA 98499 ¢!
P
941-4779 984-6404 f
a
NORTHWH103R2
I=i CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL HAY. TAX RAFE = 8.25 1*1
PROJECT VALUATION 1000
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.: 0 ft
HOOD- ........:
0
0-3 HP......:
0
I FURN<100K..: 1
DUCT WORK.....:
0
3-15 HP.....:
0
GAS HW1.... : 0
WOOD STOVES...:
0
15-30 HP....:
0
CONV BURNER: 0
FURN>100K...•.:
0
30-50 HP....:
0
BBQ.,......: 0
MISC. — ......:
0
5+ HP.......:
0
GAS DRYER..: 0
AIR HANDLING UN11S
FUEL TANKS ---------
--------RANGE......:
RANGE ...... 0
<--10,000 CFM:
0
ABOVE GROUND:
0
GAS LOGS...: 0
i
> 10,000 CFM:
0
UNDERGROUND.:
0
4 Does the water supply
i
system contain a
Pressure
Reduction Device
or Check valve?
Inspection Record
Water Line OK
Mechanical Inspection Notes:
GAS PIPING OK _._------_- Date _......_.._ By
FEES:
MEC PRMI ISSUANCE...
Mechanical Permit*
() Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank)
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If NOW K IS START ESID l�ffFD G ADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED 8Y ME I5 RUE AMD C T T BEST Of MY NONLEDGE AND THE APPLICADLE 6F FEDER{�L WAY REQUIREMENTS WIII BE NET.
OWNER OR AGENT O /
� � - - - DATE --�_..._..__.%_.. _ ,• ,t
FILE COPY
City of Federal Way
CITY OF 33530 First Way South
_ Federal Way, WA 98003
(206)661-4000
W\NN:EIVEL)
APPL/CA TION FOR MECHANICAL PERMIT
JAN 1 4 1997
PARCEL ti zc)c' C% %t%1 Single Family/ Multi -Family o FEDr= Commercial C3
BUiLDING DEw- j,
SITE LOCATION:
Tenant/Owner. �✓" �1 K K� � � � l�G Phone: � y/_ V 7 7
Address/City/State/Zip: ` �7 Z �1
Nature of work: �' � � f%<<= X&LIC C'27L_41 Project Valuation: $
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person:
MECHANICAL CONTRACTOR:
Company Name:
3�ilm _wm
Fax:
I
J
Address/City/St/Zip:�� �� �� ► ,/
Contact Person: " Phone: `—'� + �-'� Fax:
State L & I Contractor Registration #: IyUExp. 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 <100K BTU's
Gas Log
Unit Heater
Underground
Furn > l OOK BTU's
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
Wood Stoves
A/C Toua
DISCLAIMER: 1 certify under penalty of perjury that the information fur nis y e is true
premises to perform the work for which permit application is made. rther ag��r..,n
incurred m investigation and defame of such claimh which ma made by anyout of the reliance of the City, including its officers and a yeea, upon ae
rrrect beat of my knowledge and further that I am authorized by the owner of the above
City f Federal Way as to any claim (including costs, expenses and attorneys' fees
the urdersi ned, and filed against the City of Federay Way but only where such claim arises
nation sup lied to the City as a part of this application.