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97-100082CITY OF FEDERAII., WAY 9- 33530 Fit-st Way Sout-Ii ­ 17*eder-al Way, WA 9800'3 ci-,61­4000 k AI)1*)PEc'S:301-04 12TIl AVE M. - 51-S320-0476 PROJECT DESCRIPTION:HVAC 13(jib1in,-4 fr)spectiosi 661-4140 Sw ELE TO GK, FURNACE & HNT RLPLA(AN181, W! ASSOC PIPING. 97 /-Cc r K a -- PERMIT NO: MEC9/---0006 01/07/97 BY: KLC EXPIRES: 01/01/98 OWNER, : =4CORIPA(fOP LENDER ...... ...... Jim No I HORIHWESI WAIER HEATER 30104 12M AVE SW 8201 IIURAK60 St SW f[DERAL WAY WA 98023 TACOMA NA 88499 839 1849 984-6404 WQW sts CONIRkruskiit mAl Q 01 )V'84* ­_1T IK SUIS TAX[OR PPOK(TS 911HIN FBI CITY flf FM 11H LNAY. TAX 1 8.25 NO 11 0— Q pk* PROJECT VALUATION 3985 "A m FEES: FUEL TYPES.:GAS UAKE... 10.00 rmi t M FANS. 00 9 117 �Wffl- ft JRLe 1 11 - _'t 1w ermitt GAS PIPING.: 35 ft HOOD. 63.00 to fURN<IOOK..: I DUCT My G6 HWI....: I "P 1W (OHY BURNER: 0 ws(. U GAS DRYER—: 0 AIR HA ^ I RANGE......: 0 ::10,0 VF GROUND: 0 GAS LOGS...: 0 > 10,000 0 UNDERGROUND.: 0 191AL FEES $ 33.00 Does the water supply system contain a Pressure Reduction Devi( Check valve? 0 Yes No (if "Yes" then water expansion tank is required on flot Water lank) Insiction Record Water tine OF mechanicAl �i tint GAS PIPING OF Pf"IfS EXPIRE 110i DAYS fillit ISSUAKL 11 NO VURt _*'a I AV1_ SlINK911 AND GRADING KIMLIS LYPIRt ONE YL& MILK 1611 Of ISSM1. 71 (-[kitty fit IN[twofloN fwmlsao By mt.. IS A Ah J 1 10 131 KS Of NY KNOWID&I AhD TO[ APKICAUtt C17 Of 7f[KA t VAY Pf9U121KNIS WILL of 1111. ,OWNER OR A(AH1 FIELD 0017y 4T;Y0BUILDING 33530 1 ST WAY SOUTH FEDERAL WAY, WA 9B003 COR R E CTI O N ADDRESS: /�` `` VIOLATI❑N OF CITY AN /OR STATE LA��ARE LISTE l -� C l All- DIVISION 661-4000 NOTICE PERMIT #: BE W: , Olt 4 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 6151-4140 FOR REINSPECTION. DATED I INSFWCTofFOR BUILDING DEPARTMENT DO NOT REMOVE THIS NOTICE r S CITY OF G EO BUILDING DIVISION 33530 1 ST WAY SOUTH FEDERAL WAY, WA 96003 661-4000 CORRECTION N ADDRESS:j77 j-' /'/ / �I PERMIT VIOLATIONS F CITY AND/OR STATE LAWS ARE LISTED BELOW: r -Z1n �C lam-✓ 7J-� oel l ` Q zoo 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 -41 40 FOR RE-INSPECTION. ­:5�7 Ao� (( DATE INSPE TOR FOR BUILDING DEPARTMENT DO NOT REMOVE THIS NOTICE r CITY OF FEDERAL_ WAY . 33530 F i r -s t Way S o u t n �„ �!;w:;: �.;; . ,,,,I F1 114 1.... FA ir,",*. fl, P-1. 1:., ", Feder -al. Way, WA 98003 BtAI ling Ir)spection FRec7�.j.ests 661-•4140 661-4000 ADDRESS:30104 12TH AVE SW NO.: 51.5320--0476 PROJECT DESCRIPTION:HVAC - ELE TO GAS FURNACE & HWT REPLACEMENT, W/ ASSOC PIPING. OWNER____________________ ________-____:___ _.- _______=_-- CONTRACTOR ==:.::,_-_.-======== JIM MONROE NORTHWEST WATER HEATER 30104 - 12TH AVE SW 4 8201 DURANGO ST SW FEDERAL WAY WA 98023 ) TACOMA WA 98499 839-1840, 984-6404 NORTHWH103R2 i runrn PERMIT N0: MEC97-0006 1��5UED: 01/07/97 BY: KLC EXPIRES: 01/01/98 ;=s CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 sts PERMITS EXPIRE 180 DAYS AFTER ISSUANCE 1F' NO WORK TART IA AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY NE INFORMATION FURNISHED BY ME IS AND HE BES OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDER L NAY REAUIREMENTS WILL BE MET. �� OWNER OR AGENT -- .....DAAt/�... Crl................_ FILE COPY ( PROJECT VALUATION 3985 ? FEES: FUEL TYPES.:GAS ELI FANS..........: 0 BOILERS/COMPRESSORS MEC PRMI ISSUANCE... $ 20.00 i GAS PIPING.: 35 ft HOOD..........: 0 0-3 HP......: 0 Mechanical Permit* $ 63.00 FURN<100K..: 1 DUCT WORK.....: 0 3-15 HP.....: U - GAS HWT.... : 1 WOOD STOVES...: 0 15-30 HP....: 0`' CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 BBQ......... 0 MISC......... - 0 5+ HP........ 0 ° I GAS DRYER-: 0 AIR HANDLING UNITS FUEL TANKS--------- j RANGE......: 0 <:10,000 CFM: 0 ABOVE GROUND: 0 ( 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: .___.-----_.-..------------------.---..------ Y � ( GAS PIPING OK _..__ ...... Date .._ .,.__ BY _........._ --.-_----__---..------------------------------•---- PERMITS EXPIRE 180 DAYS AFTER ISSUANCE 1F' NO WORK TART IA AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY NE INFORMATION FURNISHED BY ME IS AND HE BES OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDER L NAY REAUIREMENTS WILL BE MET. �� OWNER OR AGENT -- .....DAAt/�... Crl................_ FILE COPY City of Federal Way CITY OF 33530 First Way South __ `_ - Federal Way, WA 98003 "" oqy (206)661-4000 APPLICATION FOR MECHANICAL PERMIT IM- AN 199 - CITY OF FE Y� - - I PAR6HI! P '--/ Single Family/ Multi -Family ❑ Commercial ❑ SITE LOCATION: Tenant/Owner: lizo nI )(LPhone: 2 � r �S �C Address/City/State/Zip: 23 C) 1 L a 1Z M StAl Nature of work: — Project Valuation: APPLICANT: Name: Address/City/St/Zip: Contact Person: MECHANICAL CONTRACTOR: Company Name: O < Address/City/St/Zip: Phone: Fax: Z'6 0o Ct-t("S�DYr__ j -7 - Contact Person: H, Phone: " © Fax: State L & I Contractor Registration #: i�0RTgV1ftf I k� Exp. Date: 1 (Card must be presented) MECHANICAL UNIT COUNT: Fuel Type (gas/other) Gas Dryer Air Handling < = 10,00ocfm Fuel Tanks: Length of gas piping Range Air Handling > = 10,000cfm Above Ground Furn < 100K BTU's Gas Log Unit Heater Underground Furn > 100K BTU's Fans Boiler BTU/H Miscellaneous Gas Hwt 1JHood Boiler BTU/H Other Conv Burner Duct Work A/C TONS Other DISCLAIMER: I certify under penalty of perjury that the information furn y e is true a torte premises to perform the work for which permit application is mala. they agree to a mla incurred in investigation and defense of such claim), which m• made by any pars in the out of the reliance of the City, including its officers and em yeas, upon acc inferm.r best of my knowledge and further that I am authorized by the owner of the above if Federal Way as to any claim (including costs, expanses and attorneys fees ned, and filed against the City of Faderay Way but only where such claim arises ad to the City as a part of this application. t1 Owner/Agent: -a--� t Date: U 11