97-101836(::I T Y OF FE I)ERot. WAY
33530 F i. r 7 f. Way soutt,E ��.: N T. C L. P M I "T
Federal Way, WA 9f 003 F(tildiriy 11,1SP(acti.on F1ecTr.jeFts 661-4140
661-4000
ADT)RESS . 301.00 23 S f AVE
NO. : 198300-0040
PROJFCT DESCRiPrION: INSIALI. NEN GAS FIRE PLACE INSERT
OWNER.VA."Asa .....x:...CONTRACTOR v....... -:r:.:a.......r......A.....:.IDAxx.m.c.. LENDER #�
M. BISSEGGER NORTHWEST WATER NEATER
'±0100 21ST AVE S. 2506 104111 S1 CT S, SUITE A
FEDERAL WAY WA 98003 TACOMA WA 98444
839-1416
PROJECT VALUATION
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN'100K..: 0
GAS NWT....: 0
COHV BURNER: 0
BR4........ . 0
GAS DRYER—: 0
RANGE......: 0
GAS LOGS...: 1
984-6404
�=i CONTRACTORS, At ERSE !�E LOCA 'b
k
P
400 R
TKC1 WaRK A 5
woo,SttES 30IP
FUR�laalt 1 m IPS
AIR HANTANt -----
<.10,0VL GROUND: 0
> 10,000 0 �r"UNDERGROUND.: 0
2 -
? FANS.. .. BO � R ON
f t Haab,
97 lr kz3
PERMIT NO: MEC97-0169
1 SSUF_D: 05/2 8/97
BY: FC2
EXIIIRES: 11/23/97
tiR3»C'.n::.^_K]LRxx::at«YR.R�#:PJ:tibfS:'h•nJ:T.Of:".A.`#.+`.a'X�xC:,?t1 :A:E.R CYe�;'.^.mx:6l FvlM�-C:.C`:9tlYY::1m:AS:S».^I.:.:F'Y.IIimYJ:l_:':'S'>•.Jl Tum6q�¢tY.m WC32. «.3tYCL
Si1LES TAX FOR PROJECTS WITHIN -19 CITY Of FE6ERAL NAY. TAX RATE = 8.25 tet
Yif`i4SS:1".... .......EWIdC:::Was. GS:F]4S........ .Z'
FEES:
1 Permit* $ 22.00
IS UtitICE... S 20.00
TOTAL FEES $ 41.00
::...^.r SCF x:?:,f@::�.^.xS:xf tYSSa:SG'Ra?T'em3Axt FYW;SASaa�"»ID»rJIDAC.C-F:=Viti XY291CS::l A1C:'�5'S»a:.A::SJJlM.M9a:�8.'.`.SSM]1::::;12YI1C:Ii«E:S�[#i4A:WRgC4iFm TICi�':. LR6RmAaGAS'S �.S:.: �L^:`dC SG:tS3x:^mAGA:C:Li4A1"J:fi'NIIxtCT.COf:A:3::�:-.:fT. J'AC"::SC.�YS/�4i'St.@S]S ^.ST
Dees the water supply systes 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 or � Mechanical Inspection Notes:
GAS PIPING OK —3 `1V) �Date __,__ By
aaxrmcxaKr.mac.AAIDa--.-..rysvca¢..a gra, �sc.:mmwlx:c.__:..:.. :_x _ ...: e:..� .-7xa.•.... annx...mxamrsticxrr. ss:;::.xxss.:s.sJx`s:.s: �•cxs�,:usm _cmmasu®ate: rm+es;x�:sums;aruKs:e+s::xcmasxocrs.::cm �xeeszeescr-aaaexerm..�Arsr-�r»a_..... __: aa.ro.::
PtRNIIS EXPIRE ISO 'DAYS AFM ISMACE If NO NORX IS STAttTED. RESIDINTIAt. AND GRADING PERMITS EXPIRE ONE YEAR AFTER 6A1E OF ISSOW1 .
I CERTIFY TNL 1WFORMHON FIRtMOLO";ilY ME IS TRUE AND CIAKCT TO 1NE BEST Of MY FROWI.fOGE AND INE APPIK06f. CITY OF FEK941. WAY RE IUMNENTS WILL OE MEI.
OWNER OR AGENT FATE
FIELD DOPY
97 lr kz3
PERMIT NO: MEC97-0169
1 SSUF_D: 05/2 8/97
BY: FC2
EXIIIRES: 11/23/97
tiR3»C'.n::.^_K]LRxx::at«YR.R�#:PJ:tibfS:'h•nJ:T.Of:".A.`#.+`.a'X�xC:,?t1 :A:E.R CYe�;'.^.mx:6l FvlM�-C:.C`:9tlYY::1m:AS:S».^I.:.:F'Y.IIimYJ:l_:':'S'>•.Jl Tum6q�¢tY.m WC32. «.3tYCL
Si1LES TAX FOR PROJECTS WITHIN -19 CITY Of FE6ERAL NAY. TAX RATE = 8.25 tet
Yif`i4SS:1".... .......EWIdC:::Was. GS:F]4S........ .Z'
FEES:
1 Permit* $ 22.00
IS UtitICE... S 20.00
TOTAL FEES $ 41.00
::...^.r SCF x:?:,f@::�.^.xS:xf tYSSa:SG'Ra?T'em3Axt FYW;SASaa�"»ID»rJIDAC.C-F:=Viti XY291CS::l A1C:'�5'S»a:.A::SJJlM.M9a:�8.'.`.SSM]1::::;12YI1C:Ii«E:S�[#i4A:WRgC4iFm TICi�':. LR6RmAaGAS'S �.S:.: �L^:`dC SG:tS3x:^mAGA:C:Li4A1"J:fi'NIIxtCT.COf:A:3::�:-.:fT. J'AC"::SC.�YS/�4i'St.@S]S ^.ST
Dees the water supply systes 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 or � Mechanical Inspection Notes:
GAS PIPING OK —3 `1V) �Date __,__ By
aaxrmcxaKr.mac.AAIDa--.-..rysvca¢..a gra, �sc.:mmwlx:c.__:..:.. :_x _ ...: e:..� .-7xa.•.... annx...mxamrsticxrr. ss:;::.xxss.:s.sJx`s:.s: �•cxs�,:usm _cmmasu®ate: rm+es;x�:sums;aruKs:e+s::xcmasxocrs.::cm �xeeszeescr-aaaexerm..�Arsr-�r»a_..... __: aa.ro.::
PtRNIIS EXPIRE ISO 'DAYS AFM ISMACE If NO NORX IS STAttTED. RESIDINTIAt. AND GRADING PERMITS EXPIRE ONE YEAR AFTER 6A1E OF ISSOW1 .
I CERTIFY TNL 1WFORMHON FIRtMOLO";ilY ME IS TRUE AND CIAKCT TO 1NE BEST Of MY FROWI.fOGE AND INE APPIK06f. CITY OF FEK941. WAY RE IUMNENTS WILL OE MEI.
OWNER OR AGENT FATE
FIELD DOPY
CITY OF FEDERAL WAY
00530 First Way South
Federal Way, WA 98003
661-4000
Building Inspection Requests 661-4140
ADDRESS:30100 21ST AVE S
NO.: 798300--0040
PROJECT DESCRIPTION: INSTALL NEW GAS FIRE PLACE INSERT
OWNER=_=______=___________________________________________ CONTRACTOR
M. BISSEGGER NORTHWEST WATER HEATER
30100 21ST AVE S. 2506 104TH ST CT S, SUITE A
FEDERAL WAY WA 98003 i TACOMA WA 98444
i r—rn
PERMIT NO: MEC97-0169
ISSUED: 05/28/97
BY: FC2
EXPIRES: 11/23/97
839-1416
984-6404
'•
NORTHWH103R2
6
-----------------------------------------------------------T-----------------------------
------------ ------___-------
Sts CONTRACTORS, PLEASE USE
LOCATION CODE 1732 WHEN REPORTING SALES
TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE
= 8.25
xst
PROJECT VALUATION
400
FEES:
FUEL TYPES.:GAS
? FANS..........: 0
BOILERS/COMPRESSORS
Mechanical Permit*
$
22.00
GAS PIPING.: 0
ft HOOD..........: 0
0-3 HP......: 0
MEC PRMT ISSUANCE...
$
20.00
FURN<100K..: 0
DUCT WORK.....: 0
3-15 HP.....: 0
GAS HWT....: 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 UNITS
FUEL TANKS ---------
RANGE.. .... : 0
<=10,000 CFM: 0
ABOVE GROUND: 0
GAS LOGS...: 1
> 10,000 CFM: 0
UNDERGROUND.: 0
, TOTAL FEES
$
42.00
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:
GAS PIPING OK .......... Date ...... By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMAMN FURNISHEkV ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT
FILE COPY
DATE 5 'd� &-17
CITY OF
VV FW
PARCEL #
SITE LOCATION
Tenant/Owner
Address/City/State/Zip
5
RECE�vED
APPLICATION FOR MECHeA*1*3AL PERMIT
%S5
M
Bun DING DIVISION
33530 First Way South
Federal Way, WA 98003
(206)661-4000
Fax (206) 6614129
GCt i ING DEPT. AY L
MEC 9 7 -� 00
Single Family b Multi -Family ❑ Commercial ❑
Phone
Nature of Work Zoo (' project Valuation:
APPLICANT
Name en v1 G" lC1 D
Address/City/St/Zip �r `%C2- L-7 3/L /L/Z7 15c--
Contact Person �G�(UI D ( J C ) l"" L) Phone �U - / (c ,� Fax
MECHANICAL CONTRACTOR
Company Name �,- / �-� S �� �� c -,o --7-,-I-z� t
Address/City/St/Zip 22 2 -7 25 L 1 "-,t el- l e t4-11 5 Li � L% j %
Contact Person -_ ��/ 1'1 11 lam/ j ��G G Phone 0 aG ` `7/l2 Fax
State L &I Contractor Registration # -� r1 r5 �' 3 �z Exp. Date 1 -
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling < = 10 000cfm
Fuel Tanks:
Len of gas piping
Range
Air Handling > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Lo 1 s' '
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
I Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
-aaxs-
Wood Stoves
A/C IQNS--
DISCLAIMER: I certify, under penalty of perjury, that the information famished 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 save hamdess the City of Federal Way as to any claim (mcluding casts, orpenses, and attorneys' fees interred in investigation and defense of such claim), which may be
made by any person, i nchuding the undersigned, and filed against the City of Federay Way but only where such claim arises out of the reliance of the city, vnc
information supplied to the city as a Wof this application. 1/ IudmB its officers and employees, upon the accuracy of the
Owner/Agent
Maca.ArP
REV= 17/11/96
Date ( ' � l