97-104243t%rT"' OF FEDERAL WAY
10 -st: MECHANICAL F'ERHIT
,.1530 Fit , Way South
rf.e(Jer.al Way, WA 98003 Ilechartical Iri,:,r)ection Re-que-Sts 253...661_..4140
253-661, 4000
A1)W<SS:2156 SW V
NO. : 896530--001,0
PROJECT DESCPIPI TON:G/C WATER HEATER AND fURNACC 0ARGIOUT
OWNER .........
(MKK DOLUND
P56 SW 326111 ST
FLDERAL WAY WA 99003
CONINACIORS, PLEASE trsi tOCAT
PROJECT VALUATION 1250
FUEL TYPES.:GAS GAS FANS__
GAS PIPING.:
0 ft
HOOD..........:
0
FURN000t..:
1
00", i
)I
GAS HNT. ... :
I
M SI f`....
j
CONY RUFM[R:
0
rumstoor...
v
opq ........ :
0
MIS(..... ....
0
FAS DRYER—:
0
AIR HAMv,! , fiIi. UNIT,-.
RANGE......:
0
<:10,000 Lffl�
0
GAS LOG:...:
0
10,000 (rh:
0
CONTRACTOP...... ... . .......
NORTHWEST WATER HEATER
2506 1041H ST CI S, SUITE A
1A(W WA 48444
984-6404
�T7 /oda �-�. .
PERM11 W: MLC97-0342
BY: TN
EXPIRES: 05/1-B/98
113"' WOW KrORTING SALES TAX (01 MJECIS N)ININ 191 Cirl * FEKJAL WAY.
P31) I LIP '1`4,4(10P ISSORS,
TAX RATE -- 8.25 *21
FEES:
1,Mechanical Perivitt 38.00
NEC PROT ISSOAKE... S 20.00
TOTAL FEE`; $ 58.00
Does the water supply systee contain a Pressure Reduction Device or Check Valve? Yes No (If les" then water expansion tank is required on Not Water Tank)
Inspection Record: Nechanical
Rough -in
Date
Gas Piping .____._.____.___ Date
ME(HARTCAL
FINAL
Date
501 rov�
4
FUP. ,
,
haftVI GROUND:
0
4111PGROUN).:
0
TAX RATE -- 8.25 *21
FEES:
1,Mechanical Perivitt 38.00
NEC PROT ISSOAKE... S 20.00
TOTAL FEE`; $ 58.00
Does the water supply systee contain a Pressure Reduction Device or Check Valve? Yes No (If les" then water expansion tank is required on Not Water Tank)
Inspection Record: Nechanical
Rough -in
Date
Gas Piping .____._.____.___ Date
ME(HARTCAL
FINAL
Date
=,, ... ... .0- ,. Mw .. ....u..;.^.:... �. A:Y..1�6:...YG6= .. mrl�=..i5R==..=2t1,=T{ -..= .. ..
F[FNftS EXPIRE 180 IMYS, A11fK IS%*'[ it *I WORK IS STARK11.
I CERTIFY IML INIORNAIIOH FURRISNED NY Nf. is TRUE AND CORRECT 10 INt, KS1 ut by ImEba m, Ift APPLt(M[ CITY 0F ILICKA11 MAY ft0U1PINEMTS Vitt it W, 1.
,()OMER OR AGINI DATE!
4N,
FIELD COPY
r
9 -
CITY OF
=• F�BUILDING
33530 1 ST WAY SOUTH 0
FEDERAL WAY, WA 98003
CORRECTION
ADDRESS: Z 5 %C/ 3z4 Lk .%Y
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED
VIOLATIONS
tA tYC� � ' ' � LLQ : ►� �
DIVISION
6361-4000
NOTICE
PERMIT #: lei G 6,3 I Z
BELO)6"-
� 1 G*
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.
DATE INSPECTOR' BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE
CITY OF FEDERAL WAY.
33530 First Way South
Federal Way, WA 93003
253-661-4000
ADDRESS : 2156 SW 2;26T1]
NO.: 896580.-0010
PROJECT DESCRIPTION:G/G
Mechanical Inst,ection Requests 253..661.-4140
ST
WATER HEATER AND FURNACE CHANGEOUT
OWNER___________________________________________________=r= CONTRACTOR
CHUCK BAKLUND NORTHWEST WATER HEATER
2156 SW 326TH ST 2506 104TH ST CT S, SUITE A
FEDERAL WAY WA 98003 TACOMA WA 98444
984-6404
NORTHWH103R2
LENDER
PERMIT NO: MEC97-0342
ISSUED: 11/20/47
3Y: TN
EXPIRES: 05/1€3/98
Sts CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 iii
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO
OWNER OR AGENT
AND THE APPLICABLE CITY OF FEDER WAY REQUIREMENTS WILL BE MET.
z01,
---- DAT �r-------------
FILE COPY
__________-______________________=___________________=____________
PROJECT VALUATION
1250
FEES:
FUEL TYPES.:GAS GAS
FANS..........: 0
BOILERS/COMPRESSORS
Mechanical Permits
$
38.00
GAS PIPING,: 0 ft
HOOD..........: 0
0-3 TON.....:
0
MEC PRMT ISSUANCE...
$
20.00
FURN<100K..: 1
DUCT WORK.....: 0
3-15 TON....:
0
GAS HWT.... : 1
WOOD STOVES...: 0
15-30 TON...:
0
CONV BURNER: 0
FURN>100K.....: 0
30-50 TON...:
0
BBQ........: 0
MISC.....,....: 0
50+ TON.....:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
--------RANGE......:
RANGE ...... 0
<:10,000 CFM: 0
ABOVE GROUND:
0
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.:
0
TOTAL FEES
$
58.00
a 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:
I
Mechanical Rough -in ----------------
Date ----------
Gas Piping ----------------
Date .-_-_---__-
9
MECHANICAL FINAL
Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO
OWNER OR AGENT
AND THE APPLICABLE CITY OF FEDER WAY REQUIREMENTS WILL BE MET.
z01,
---- DAT �r-------------
FILE COPY
CITY OF
^
VN�I�
7
m o v 2 n 1997
APPLICATION FOR MECHANIC -AL" IT
MEC
PARCEL # , Y1 �I > `JC' C C � Single Family Multi -Family ❑
SITE LOCATION
BUIMING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
Commercial ❑
Tenant/Owner I _4- 1:1 ,'i 0 t- „ CL !� �.LC' 1.1 r) Phone
Address/City/State/Zip
Nature of Work �- �'f1IY ��� ���� Project Valuation: $
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone
MECHANICAL CONTRACTOR
���Company Name Z�i C
Address/City/St/Zip
C t 7,
Fax
Contact PersonLl "� G'!` ! ,/t,'�f�j eel, Phone (.,Z-%� ' , r' C Fax
State L &I Contractor Registration # _rGI—r �T �G Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling
< = 10 000cfin
Fuel Tanks:
Length of gas piping
Range
Air Handling
> = 10 000cfm
Above Ground
Furn <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler
BTU/H
Miscellaneous
Hood
Boiler
BTU/H
Other
tGH
rner
Duct Work
A/C
TONS
Other
Wood Sloves
A/C
TONS
DISCLAIMER: I certify, under penalty of perjury, that the information fumished by me is tme�eecf 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 harmless the City of Fed ay as to any claim (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which may be
made by any person, including the undersigned, and filed against the City of Fe y Way but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application. ---7
Owner/Agent
Mecm.Arr
Revism 8/26/97
Date
�,z(i -;�