97-102364CITY OF F=EDERAL WAY
33530 F i rs t Way South �'r,� ,; M, ,.,,,`ii ��' ..,. w° " i"''ii,�'�t� ,. �'e� .,1'* ..T.
Federal Way, WA 98003 Building Irispection Requests 66:1 4140
661-4000
ADDRESS:302 328TFl ST
NO.: 701681-0150
PROJECT DESCRIPTION:FRPL INSERT AND AWH PIE AND REPLACE
F= OWNER
SHIRLEY JONES
302 S 328TH ST
FEDERAL WAY WA 98023
874-1060
CONTRACTOR
NORTHWEST WATER HEATER
2506 104TH ST CT S, SUITE A
TACOMA WA 98444
984-6404
NORTHWH103R2
9'1 ion 3& �
PERMIT NO: MEC97-0193
ISSUED: 07/01/97
BY: FC2
EXPIRES: 12/27/97
US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 Us
PROJECT VALUATION 1265
FUEL TYPES.:GAS GAS FANS..........:
GAS PIPING.: 35 ft HOOD..........:
FURN<100K..: 0 DUCT WORK.....:
___________-_____________________________:_____________________=____
FEES:
0 BOILERS/COMPRESSORS Mechanical Permit* $ 38.00
0 0-3 HP......: 0 s MEC PRMT ISSUANCE... $ 20.00
0 3-15 HP.....: 0
GAS HWT.... :
1
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER:
0
FURN>100K.....:
0
30-50 HP....: 0
BBQ.........
0
MISC...........
1
5+ HP........ 0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... :
0
<:10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
$
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
1 Inspection Record Water Line OK ---------- Mechanical Inspection Notes:
GAS PIPING OK ---------- Date ------ By ------ --------------
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STAR . RESIDENT G PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AN RRECT TO KNOW EDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ------------ ------ -- ---- --------------- DATE - - - -- _
F COPY
. .
9 7
CITY OF FED[RAL WAY PERMIT NO: MEC97-01.93
33530 First Way South te4 CCM*,H IC Pa_ t'A Cirt itc4 I I ISSUED: 07/01/97
Federal Way, WA 9E3003 Building Inspection Rc..qu,'-:-)st..'s 661 4140 BY: FC2
661-4000 LXPIRES: 12/27/97
ADDRESS:302 328TH ST
NO., : 701681-0150
PROJECT DESCR I P T ION:FRPL INSERT AND AWN PIE AND REPLACE
4.. No www,mmmar.itamsgmwarx=irmatutpc===.=m,..4.u====scuslaimmx,,41,-To-w CONTRACTOR ...................4............ LENDER roa.v.m.assmcmx.m.x0tatocommumgamareuM,,mmo. .m=aufmammrz.
I SHIRLEY JONES NORTNWESI WATER NEATER
1 302 S 328TH SI 2506 104TH ST CT S, SUITE A
DERAL WAY WA 98023
7 TACOMA WA 98444
04-1060
984-6404
WIRTHON10112
, 1
.....,---.....—..."...".,,....m."44. --„#. -.......— —0............—...................................................—
11
*** CORTRACTORS, PLEASE Oa MOON (OK a42 atm MORTIS SALES TAX FOR PROJECTS NITER INE CITY Of FINAL WAY. TAX RATE z 0.25 st*
rnAcLowp ===ms,mrat,uanww=1=mxitummsamma,a=axr,=14M*M4,=====vv4a , - - ' 4.06SWOMVW=WORWV,===64=W3.4===== =ftaig.,==,QZNrar,0a=*.X0=X ,A41.7AntsWist2g.r=,AZOVAMat.-..V4-.P
I PROJECT VALUATION 1265 FEES:
FUEL TYPES GAS GAS FANS... .. ..: 0 WILEPSIOMPRISSOr3 Mechanical Permit, j 3L.00
GAS PIPING.: 35 ft HOOD...........: 0 9-3 HP... :.: 0 MEC PPM BSVAN(f.„ $ 20.00
1 FORIT:100k..: 0 TIM WAK...,.: o 3-1; HP ' 0 I 1
I GAS NWT • 1 WOOD sToyL. ,: 0 Ir)-30 HP_ 0
1 (ARV BURNER: 0 FURN)100t......: r 3h-50 HP • 0
PRO 0 MISC. ....., .: 1 PP.....,.: V ..
GAS DRYER..: 0 AIR HANDLING UNIT'. fUlt. IANtS-
RANGE • 0 <10,000 CM 0 AROVE GROUND: 0 1
AS,LOGS...: 0 ) 10,000 CIM: 0 UNDERGROUND.: 0 TOTAL FEES $ 58.00 1
I
1,4,.......,......5{414,..24S.31.1=..sa,u,gtmetsan,tr.VA rd.,=at....=sr,....19‘1.21....x.uxnar,.....4,4wra:Ovirolise4,44M3A,C=7:4a114=AIUSPIt.111...111.1.01....eSZ...4,..V.,,nx......talr.....,xise,..ai.S.4t,i144421,ARIC.=1;$,4=ziA61.41S,IMM,V.4.=.v it..;., ....=&....:::
Does the water supply srtee contain a Pressure Reduction Device or Check valve? 0 Yes 0 No (If 'Yes' then water expansion tank is required on Not Water lank)
! -
I inspection Record Water Line OK Mechanical Inspection Notes:L„plikitit 6 ' cP6'' Il '71-7
1
1 I
GAS PIPING OE
r Date By
-,......:. szmecitnesgiltanCO.1:4.i.105.4SMOC,..1.40==.3===,2740.2rUtSt«ertc.r....ZIIC 3....1,77...NR==35=3,14.1,4.1.4.10040M-03:::,s.lara.:1,1.41W5MUVU11.3.141.10=1,14.01.40.9=111=.7:4,,,,,mmeaCiiit...t.e.SAW102101114.:,:4,32Clia,IMAW:6143ntSiNC,;,,,,x ar.:4,,VZ:X.,,,,,=...r4z.,n1.:^c,):::.,....,I
,...,
KNITS EXPIRE 180 DAYS AMA ISSUANCE IF NO *ORE IS STARIfeRESIDEN 8II PERMITS EMIL ONt YEAR AFTER 'Alf Of ISWANCt.
I CERTIFY INI INFORMATION fURNISIED BY NE IS TRUE 911 [40kRECT..-TO T111-11T K EDGE AND 101 AMICABLE CITY Of 1E01101 BAY REQUIPENINI5 HILI Pt NIT.
-- ---'
. ,_.....
OWNER
OR AGENT (7 ,..,2,::- / DA E
/.;:
, /7
\
FIELD COPY
crry OF
ON>
JUL p 1 1891
G11 BUILDING UEPTVAY
BUILDING DIVISIO;+i
33530 First Way South
Federal Way, WA 98003
(206)661-4000
Fax (206) 6614129
APPLICATION FOR MECHANICAL PERMIT /
MEC y - C) c
PARCEL #� C ` �1 , Single Family VMulti-Family ❑ Commercial 11
SITE LOCATION
Tenant/Owner ') (- [ I (---z L C-: � �L� �\( C' ' Phone -44 - ( O
Ad&ess/City/State/Zip -2—
Nature
Nature of Work �� (`t�r��T (f I �C rK� PLL C C Project Valuation: Z `'
APPLICANT
Name
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Phone
Fax
Company Name / v vet v v n 1 L r--, (� c_v t
Address/City/St/Zip ZSC (� (L <�T C S {� ;� �C1✓� .f'� �� �i
Contact Person 1<1&-" '� +�`�1.� �� Phone i Fax
State L & I Contractor Registration # / `� t, ` L L H Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Drver
Air Handlin < = 10 000cfm
Fuel Tanks:
Length of gas piping
r Ran a
Air Handlin > = 10 000cfin
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum >100K BTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
BBO's
Wood StoygL-
A/C TONS
DISCLAIMER: I certify, under penalty of perjury, that the information furnished by me is true and correct to the
for which permit application is made. I further agree to save harmless the City of Federal Way as to any elaitgTm
made by any person, including the undersigned, and filed against the City of Federay Way but oedy <
information supplied to the city as a part of this application. / / �e�
Owner/Agent
Mrcu Aur
Revrsm 12/11/96
and further that I am authorized by the owner of the above premises to perform the work
, and attorneys' fees mcumed m urvestigation and defense of such clairm� which may be
:fiance of the city, including its officers and employees, upon the accuracy of the
-Date