97-102421I -Or' I? 10 ��l IV
CITY OF FEDERAL WAY
33530 F i rs t Way South P. -I IE, M,;,; . I„,,1 ?N 1M L.,, F-% C., n. F. -I ..T,
Federal Way, WA 93003 BUildifIg frispection Requests 661_41,'tO
661-4000
ADDRESS:3372O 29TH CT SW
NO.: 255700-0440
PROJECT DESCRIPTION: HVAC - GAS TO GAS HWT REPLACEMENT.
(= OWNERCONTRACTOR=_______=_________________=_________________-- LENDER
TIM SHOOK NORTHWEST WATER HEATER
33720 29TH CT SW 2506 104TH ST CT S, SUITE A
j FEDERAL WAY WA 98023 TACOMA WA 98444
a
861-0965 984-6404
NORTHWH103R2
________________________________________________________________________-______=
_t; CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 sts
PERMIT NO: MEC97-0196
ISSUED: 07/03/97
BY: FC2
EXPIRES: 12/29/97
PROJECT VALUATION
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS NWT....: 1
CONY BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
350
FANS..........: 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC..........: 0
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
FEES:
MEC PRMT ISSUANCE... $ 20.00
Mechanical Permit* $ 22.00
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 00,16RK IIS S-1
I CERTIFY TME INFORMATION FURNISHED BY ME IS TRIIE�Ai�fO�
OWNER OR AGENT
NTIAL OD GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
THE BEST F MY CNOWLEDGE AND THE A E CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
.�
----- f----------------- DATE --- -- — (7
FILE COPY
City of Federal Way
CITY OF 33530 First Way South
7KEnFederal Way, WA 98003
(206)661-4000
=UERAL APPLICATION FOR MECHANICAL PERMIT
r� WAS
a ►'Y ��DEPT
PARCEL &`.- �6 r) �' `t Single Family d Multi -Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner: �/ Y► !�D O Phone:C�( ��✓
I tT G >
Address/City/State/Zip: _.._
i� l�
Nature of work: -C,, L� CL ,r'yt (– j a Project Valuation: $
APPLICANT:
Name
Address/City/St/Zip:
Contact Person:
MECHANICAL CONTRACTOR:
Company Name: hl_
Phone: Fax:
Address/City/St/Zip: ��wzt,�Dii-er,z-7 AL Vl
Contact Person: Phone: -L9 —4 `6c�) Fax:
State L & I Contractor Registration #: Exp. Date: 12 -
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling <
= 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling >
= 10,000cfm
Above Ground
Furn <IOOK BTU's
Gas Log
Unit Heater
Underground
Furn >I OOK BTU's
Fans
Boiler
BTU/H
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 furnia y e is true a correct best of my knowledge and further that I am suthorized by the owner of the above
Premises to perform the work for which permit application is made, rther agree to sa mIe Qty f Federal Way as to any claim llncluding costs, expenses and attorneys' fees
incurred in investigation aril defense of such claim), which ma made by any Pers in the undersi ned, and filed against the City of Federay Way but only where such claim arises
out of the reliance of the City, including its officers and em yep, upon •ec in/ormation sup lied to the City as a part of this application.
Owner/Agent: 4 4 Date:
City of Federal Way
CITY OF 33530 First Way South
Federal Way, WA 98003
(206)661-4000
APPLICATION FOR
� ® � MECHANICAL
P
PARCELI&IC ! IO Single Family
SITE LOCATION:
Tenant/Owner: /lr1 b
Address/City/State/Zip:
.A,). rC:`g
(n
XJ
PERMIT ((�
�v
Multi -Family ❑ Commercial ❑
Phone:'
0
Nature of work: 4 L 004.4 e a- L Project Valuation: $
_�l (0
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: ---- .a
Address/City/St/Zip: �1rtlS'(S l7� rc I -Tv VI-
Contact Person: ` " Phone: Fax:
State L & I Contractor Registration #:._ Iy��+�T 0�7� _ZExp. Date: Z
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling < = 10,000cfm
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
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
BBO's
Wood Stoves
A/C IONS
DISCLAIMER: I certify under penalty of perjury that the information furnis y e is true
premises to perform the work for which permit application is made. rther ag�tos.aincurred in investigation and defense of such claim), whichma mde by anyout of the reliance of the City, including its officers and em yeas, upon ac
xrect best of my knowledge and further that I am authorized by the owner of the above
City f Federal Way as to any claim (including costs, expenses and attorneys' fees
the ur erai nod, and filed against the City of Federay Way but only where such claim arises
nation sup lied to the City as a part of this application.
Owner/Agent: \oT� Date: D —
-
CITY OF FEDERAL WAY PERMIT NU: PILL9Y -u196
4359:0 First Way South 04 C..C fill PI I C ril L ri r irt 144 I T ISSUED: 07/03/97 '
-Fede To 1 Way, WA 98003 Utii Wiry) EnspFction RequeI . 661 4140 BY: FC2
661-4000 EXPERFSj 1'2/29 97
iek.1/l5E-0 : -1 I(D c0
ADDR ESS: 33720 29TH Cl SW
NO. : 255700-0440 ' c A„,1
PROJECT DESCRIPTION:HVAC - GAS TO GAS NWT REPLACEMENT. ArAcUa ' 111,4 p late iiii, I4 -, -IL, ces filY .
f= OWNER UWWWW=MUMIOw=a93.1111101WWUMWMU,.,1C,54:=AUX0,31n,W,AW W CONTRACTOR mA24n.—a..==,=ftus====.==.x.u,.,t.4.7,,,,44.4.,4 . .,. LENDER itan==.mx==.saromAxm==.1,4,.am.Avm,u444.=wwanwzmwm
I TIM SHOOK NORTHWEST WATER HEATER
I
3?720 29TH CI Se 2S045 10414 Si Cl S, SUITE A
III/HOME WAY WA 93023 TACOMA WA 98444
06)-0165
984-6404
00$10011042
ss* CONTRACTORS, PLEASE USE 1001110N COIN 1/1? WEN WONTING SALES fAX FOR PROJECT'S Vi10111 101 CITY Or FEDERAL NAL TAX RATE : 0.75 so
fx=rta.4..m.zsx=.=mr4m.24r.14.=usmr,2.x =wu,4=mv,rg*ounicra.14uwamst$01 .1magc.......444,amarm.allam.v.iammlascu,Imrum,=224.4=1,-..wm...4-,m1,,a3.22.xm.sumazumisi144.se0= 4.4==.4.w4,24lg,leaszo.mnywamot42.:11.ftnorALAra
i PROJECT VALUATION 350 FEES:
MEE TYPES GAS ? FANS__ ...: 0
.:
RIPM<100K..: 0 •
DUCT ROPY • 0 l'oILERS/COMPKESSuRS
-1 ., _.:
3-1‘, OP _ 0
,., NEC PM3 ISSUANCE._ $ 20.00
GAS PIPING0 ft HOOD 0 0HP0
, 0041(31 Wait* $ 22,00
3L.Cx)
1
GA NWT • 1 WOOD 'IOW: . 0 6.10 OP - 1
ICONY BURNER: 0 tURN)1001....: e 20-50 1W ' 0
BW I • 0 rinc. ... .. ; 0 5' HP • 0
GAS DRYER..: 0
......: )0 AIR ITAHD1,100 00In FUEL TANSRANCE0 - -
-40,000 CEM: 0 ABOVE (WOUND: 0
GAS LOGS...:
\ 10,000 CFN: 0 UNDERGROUND.: 0 TOTAL FEB $ ,$›Otr.
--tif ob
,olvx.=--,1.--,.-.,malwax.w..,,,Tozma.x.mr..x. 44a,am====.3.Amoxcaroaluzn.nmemz.=..vwsvnaczam-vx=s=r4.3-===.4....smmo.,:rw.,,m4o.sts M222442A42W'„.a=1111MW1442&46US=WWIMM3442tr..4131.,422m722,2 *44.122242.44,,alsma i
Does the water supply system contain a Pressure Reduction Device or Check valve? j) Yes 0 No (If "Yes' then w ter expansion tank is required on Hot Water Tank)
Cikuttik ,
Inspection Record Water tine Ot Mechanical Inspection Note,,
__.
GAS PIPING or Date By
... .._ . ........., __________
1 ....)
KIWIS EXPIRE 100 DAYS AMR ISSUANCE ft I IS S , RESTIENIIAL GRADING MITTS EXPIRE ONE YEAR AFTER DATE OF ISSOANCI.
I CERTIFY IDE INFORMATION FURNISHED NY . IS TRUE RIO'10 IRE NEST NY KNONLEDGE AID TNE CITY Of FEDERAL NAY RLOOIRENDIS NIEL HI 1111.\.),isi>
t ..‹,
-,.-' — --7
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FIELD COPY
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CD0193(Rev 4/97)