97-102067CITY OF FEDERAL WAY
33530 Fi.rst Way
Federal Way, WA 91.3001
661— 4000
ADDRESS : 289251 51'H OV[_` !S
NO.: 515298 0250
PROJECT DESCRIPTION: G -G FUPHANCI
- OWNER
PAT WILSON
28925 5111 AVf' S
F[DLRAL WAY WA 98003
839-4522
MEC.V1A-N.1C()L. PERMIT
NORTHWEST WATER NEATER
2506 1041H ST CT S, SUIT
TACOMA WA 98444
984-6404
*n CONTRACTORS, PEEAl� 11 LOCA
PROJECT VALUATION 485
.......
FUEL TYPES.:GAS ? F Ail ..StR OMP
GAS PIPING.: 0 ft
FURN10OX—: I
GAS HNT... .: 0 N S 5 0 NP. .
CONV BURNER: 0 P
P,
BBQ......... 0
GAS DRYER—: 0 AIR HAND, Alit
--
RANGE......: 0 <:10,000 VE GROUND: 0
GAS LKS ... 0 10,000 0 ''UNDEPGROUND.: 0
PLRMI'l NO: 14LCV1-0175
ISStJkl): 06/1,2/97
BY: FC2
EXPIRE,,';: 12/08/9/
SAILS TAX FOR PROJECTS NITKIN THE CITY Of FEKRAL NAY. TAX RATE : 8.25 "1
22.00
20.00
$ 42.00
Does the water supply systea 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: __K7_7
4�W `W11>
GAS PIPING OX Date _ __ . By
. . . . . . . . . . mv . . . . . . . . . ........ =0 ..... ...... ................
PERMITS EXPIRE 180 DAYS 4 1t ISSUAKI If NO WWK 10) STAPI[D. RESIDENTIAL AND -4401K PERMITS EXPIRE ONE YEAR AFIER BAT[ Of ISSUANCE.
I CERTIFY IN[ INFOW11011 1'"RNISHID NY rot IS IRU! MV 09,'ItEali Tot HEST: AffK
INEDGE MD IK APPLI(AKL CITY Of FED[RAL NAY KINIREHINIS III!! H[IMEI. `LST
1jWHLR OR AGENT
FIELD OOPY
CITY "OF FEDERAL WAY
00530 First Way Soutf7
Federal Way, WA 98003
661-4000
ADDRESS:28925 5TH AVE S
NO.: 515298--0250
PROJECT DESCRIPTION:G-G FURNANCE
OWNER
PAT WILSON
28925 5TH AVE S
FEDERAL WAY WA 98003
839-4522
II !I...... Q,„„,. I!„l Ir"'„t !I 9..:,,. R i,l .„11,...,f -
Building _Inspection Requests 661-4140
CONTRACTOR
NORTHWEST WATER HEATER
2506 104TH ST CT S, SUITE A
TACOMA WA 98444
984-6404
NORTHWH103R2
i runrn
PERMIT N0: MEC97-0175
ISSUED: 06/12/97
BY: FC2
EXPIRES: 12/08/97
---------------------
i=s CONTRACTORS, PLEASE USE
LOCATION CODE 1732
WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE
CITY OF FEDERAL WAY. TAX RATE
: 8.25
Us
PROJECT VALUATION
485
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
j FURN<100K..: 1
DUCT WORK.....: 0
3-15 HP.....:
0
GAS NWT....: 0
WOOD STOVES...: 0
15-30 HP....:
0
,
CONV BURNER: O
FURN>100K.....: 0
30-50 HP....:
0
BBQ........: 0
MISC..........: 0
5+ HP.......:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
--------RANGE......:
RANGE ...... 0
<:10,000 CFM: 0
ABOVE GROUND:
0
I GAS LOGS...: 0
> 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.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRW
OWNER OR AGENT
51-DUTIAt A G ERNITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
THE BES LE E AND THE APPL ABLE ITY OF ER MAY REQUIREMENTS MILL BE MET.
----- - -------------- DAT--------
Pi-E COPY
crr OF r�
V V Ay
PARCEL #
BUIInING DPAKiON
33530 First Way South
Federal Way, WA 98003
(206) 6614000
Fax (206) 6614129
APPLICATION FOR MECHANICAL PERMIT
SITE LOCATION
MEC
Single Family 0 Multi -Family ❑ Commercial ❑
Tenant/Owner RK Phoned
Address/City/State/Zip � z 9 Z`� AV ` l W^4 �6 n -3
Nature of Work C_(,(, teal ACG Project Valuation: $ t�
APPLICANT
Name
Address/City/St/Zip
Contact Person —..&
MECHANICAL CONTRACTOR
Phone
Fax
Company Name /ll. lAl k I, -A t (/
Address/City/St/Zip Z—SL 0
Contact Person, t�1 t M, �, eL/-)- Phone Fax
��-�
State L & I Contractor Registration # (y� i �1 v �' r� � � �� ' Exp. Dat�-)
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel T as/other
Gas Drver
Air Handlin < = 10 000cfn
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10 000cSn
Above Ground
Fum <100K BTUs
? Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/11
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
DISCLAIMER: I certify, under penalty of perjury, that the information furnished 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 harmless the City of Federal Way asto (ruck uses, and attorneys' fees incurred in investigation and defense of such claim), which maybe
made by any person, including the undersigned, and filed against the City of Federay Way b where s ' es out o the reliance of the city, including its offices and employees, upon the accuracy of the
information supplied to the city as a part of this application.
Owner/Agent
Mecu.ArP
Rsvtsm 12/11/96
Date 6� l ��' 1