97-102518g1TY- OF' VIDEPAL WAY
33530 First. Way Scutt,
Federal Way, WO 98003 btAl<3:ir)g lnspcct.ior) Regt1E'4:.t.s 661W41.40
661-4000
0DDVES:3:353`_ 6 12TH C:'T' SW
NO.: 502860-1660
PROJECT LSF SCP i TAT I ON: HVAC - INSTALLING 2.5 TO?. A/C UNIT.
Ex OMNLR sx®:auuaewari:aRacarnae«::x: .ate
ROGER BENNETT
35356 121H CT SN
FEDERAL MAY NA 98023
947-160
ttt CtMITRACT
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PROJECT
PROJECT VALUATION
1480
FUEL TYPES.:G�6 ?
FANS...,, 0
GAS PIPIMG.:
0 ft
HOOD.........., 0
FURN 100K..:
0
DIXT wr. ...: 0
GAS HMT....:
0
WOOD SIMS-:
(011V KIRMER:
0
FURN)10f*.. 0
BBQ.........
0
GAS DPYER..:
0
AIR HAMW UMTT'-
RANGE ...... .
0
.40,000 (!M: 0
GAS LOGS...:
0
, 10,000 Cth: 0
pII CONTRACTOR ... =nx:x:Y--z:....
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NORINWESI NATER HLATLR
2506 10418 SI CT S, SUITE A
TACOMA MA 98444
984-6404
m:x:•taz.:: _: . m�mc.ane_:raax.asz._.mm4.xms4acmxxmasazca:assca,xaAmiaaw
COK 1732 MM REPORTING SALES TAX FOR (iMECTS LlITNIN IK CITY 6F FE1N NAt VAY.
K", 1LIF S/y 0I PRL 3
0-? HP... 1
15 ;0 10"l ... n
Ap�'Vt 0011 P: 0
UH!1f R GROUtf U.: 0
� 7 /O26 -C(5
PERTH NU: f IGC ! --U'206
11;SULD. 0 A0/Q7
BY: F -t:
LXPIRES: 01/05/98
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TAX RATE : 8.25 Its
',ia ROR14.:i0T4diWiiRi83mW ad6kiZ::SaM 4YClu- �:'..':. a:""•;:'.31Gsrt.a«A.4
FEES:
ITEC FAsT"E UAKE... ?0.00
mech3ittat Pertits # 42.00
IOTAI FEES $ 6<.00
c.xwsxmxcass.: re_....: xc:w_«asa::e..'._a-z_o«+:s:xcu4a x:ma.w,r:uax:anar�: rn4'.axsrar:amams4aaaamxcrosm«_a. : +C'+:4a«= ss r:::a::»-t_.s=.-s x.-cx saatx.. a.aa.:. sa..,.:canm.. ....s;: x.:. y.:...uc.,; .a..:xar.msas;.:.: �.au. a:c:,. m.. ;::rw na_�.ss:^:ma:..:x-..ns::xx::,.zce•ssx...,..,,,;. x,x .:
Ices the water supply systes contain a Pressure Reduction Device or Check valve? (} Ye,. () No (If *Y1ten then water expansion tank is required on Not Nater Tank)
Inspection Record Nater Line OK ---___ Mechanical Inspection Notes: � ,'��__ P (IvV'Iv 4
GAS PIPING OK _.__.....__ _. Date __,. ___ By
�::, .iz .: ..36'«4lX:.:sC:-..':1C'a.xLa rAl:�4a:.i.�'m%iSY2:a%:G:aofsarm 4:exY>:oS,A•,::xa:Xa.a sta.:r'a �roscamx�rewe�astil:was:.:xs..::.ims::.aF�s-•aascxn;::saxrs:xscto+Cwal�,arts:�a',aos xsialS3ms7I.��aaJam�::.xe 4_. r.:s�aaicatsr.mza•r: rreac zt,.'.._..2n�ur ID:::,;xa
^tltNlfS EXNINt 100 MY5 Al ILA M30ANCI TF RO NMI TS E!. RFS *b GRADIPG PE 01If, V-1PLRE OML: YUM AFTER BATE OF ISs IKI.
I CERTIFY 1111 LNFORMAMIN [MISNILD VY Mf IS IRt�,46 CORRE � J ktS Of MY I(I MMU AND TNt APPLKA CITY QF fLKRAl MAY RIQUIR MENTS MILL. BE MET.
Ow"[P, OR A(,�[Nf _.... _. .. DAIS _.
FIELD COPY
W".
CITY OF FEDERAL_ WAY
33530 First Way South
Federal Way, WA 98003
661-4000
ADDRESS:35356 12Til CT
NO.: 502860-1660
PROJECT DESCRIPTION:HVAC
OWNER
ROGER BENNETT
35356 12TH CT SW
FEDERAL WAY WA 98023
927-1608
Building inspection Requests 661-4140
SW
- INSTALLING 2.5 TON A/C UNIT.
CONTRACTOR
NORTHWEST WATER HEATER
2506 104TH ST CT S, SUITE A
TACOMA WA 98444
LENDER
PERMIT NO: MEC97-0206
ISSUED: 07/10/97
BY: FC
EXPIRES: 01/05/98
fY OF FEDERAL NAY. TAX RATE : 8.25 Us
FEES:
MEC PRMT ISSUANCE... $ 20.00
i
Mechanical Permit* $ 42.00
a
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 re
Inspection Record Water Line OK ---------- Mechanical Inspection Notes:
GAS PIPING OK ________,__ Date ...... By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE44
OWNER OR AGENT
SAND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
OF MY KNOWLEDGE AND THE APPLI Cl / OF FEDERAL NAY REQUIREMENTS WILL BE MET.
'T------------------- DATE ------------
FILE COPY
_S CONTRACTORS, PLEASE USE
LOCATION CODE 1732
WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CI'
PROJECT VALUATION
1480
FUEL TYPES.:GAS
? FANS..........: 0
BOILERS/COMPRESSORS
GAS PIPING.: 0
ft HOOD..........: 0
0-3 HP......;
1
FURN<100K..: 0
DUCT WORK.....: 0
3-15 HP.....:
0
GAS NWT....: 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 ......
RANGE......: 0
<:10,000 CFM: 0
ABOVE GROUND:
0
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.:
0
fY OF FEDERAL NAY. TAX RATE : 8.25 Us
FEES:
MEC PRMT ISSUANCE... $ 20.00
i
Mechanical Permit* $ 42.00
a
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 re
Inspection Record Water Line OK ---------- Mechanical Inspection Notes:
GAS PIPING OK ________,__ Date ...... By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE44
OWNER OR AGENT
SAND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
OF MY KNOWLEDGE AND THE APPLI Cl / OF FEDERAL NAY REQUIREMENTS WILL BE MET.
'T------------------- DATE ------------
FILE COPY
City of Federal Way
CITY OF Ali-:
IVEID 33530 First Way South
0_ - C�--� Federal Way, WA 98003mtCq O ZO(/-)
(206)661-4000
RY
l yL)r - NG DEPT. AAPPLICA TION FOR MECHANICAL PERMIT
r3UILPARCEL It- �D ^ �,P/ 6 4 D
Single Family/ Multi -Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner: /` 0 C-, c /� ��/�"\I C��� Phone:, 2, 7 0
Address/City/State/Zip: --��+ ! J �/ • /'G �Q . `t%� /��� g �� Z 3
Nature of work: * " '' Project valuation: $
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person:
MECHANICAL CONTRACTOR:
Company Name: Q c,�
Phone:
Fax:
Address/City/St/Zip:�(S
Contact Person: (\J Phone: Fax:
State L & I Contractor Registration #: Mc)RT_ V\ ti I K Z-- Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handlin
= 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling
> = 10,000cfm
Above Ground
Furn <I OOK BTU's
Gas Lola
Unit Heater
Underground
Furn > 1 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 fu, y e is true a correct 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, rther agree to sa mle City f Federal Way as to any claim (including coats, expenses and attorneys' fees
incurred in investigation and defense of such claim), which ma made by any para , in the txdwai ned, and }fled against the City of Federay Way but only where such claim arises
out of the reliance of the City, including its officers and a yeas, upon aec information sup lied to the City a •part of this application.
/v
Owner/Agent: � n Date: � � � '�