97-102432CT'TY OF FEDERAL WAY
:35 01 Pi. rst Way Soutti
Federal Way, WA 9800,j
661-4000
HC4C1"1P4H14CV4L PCMMIT
14,ri ldi.riq Inspectimi it sura t 661-4140
ADDRESS:28532 20T11 AVE S
NO.: 422200--0220
PROJFCT DESCRIPTION:HVAC - GAS TO GAS FIREPLACE R[PLACENIHI i PIPE.
ONNER :>..a—m.... ..... (OHIRACTOR
PAULINE TERRILL NORTOWFST WATER HEATER
28"32 20TH AVE S 2506 1041H S1 CT S, SUITE A
FEDERAL WAY WA 98003 TACOMA WA 98444
839-7596
984-6404
#041001M
PERM11 NU: MEC97-0198
ISSOUD: 07/03/97
BY: FC2
EXPIRES: 12/29/97
LENDER...... = ... ......
Inspection Record Water Line 1K Mechanical Inspection Notes:
GAS PIPING OK bite Ey
............
PERMITS EXPIRE ISO DAYS At 11K Issawl IF No MA SIAN KWMIJAI. AID GRAII MIS EXPIRE M YEAR AFTER OAT[ OF ISSUANCE.
I CERTIFY INE IWORM11911 tURNIS"11 By m is MD re "IN't KSI Of BY K IVA AND III AMICABLE (ITT Of FEKRAL WAY MUIRMNIS 111t]. K NET.
OWNER OR AGENT DATE
FIELD COPY
its
u)MIRACIOks. Plum ME 10(tiflom COOL: Ilm
MCK REPORTING SALES TAX FOR PROJECTS VIIVIN
IK CHT Of F1KM MAY. TAX RAft
a8.15
SO
PROJECT VALUATION 1545
FUEL TYPEC).:GAS
FANS.......
0
11'ijILLPS/0jM9USS08,
h[( PRAI ISSUANCE...
20.00
GAS PIPING.: 55 It
HOOT'......
0
9-3 HP......:
0
Pt'raitt
1
44.00
Ft)RK<IOOK..: 0
DUCT rim
c
3-15 911_'.:
0
GAS NMT....: 0
WOOD STOVIS-1-
a
15 31) "!. _:
9
COKV BURNER: 0
FU11>100Y.—
0
0-50 Hf.
0
BBQ........: 0
0
51 HP.
0
GAS DRYER..: 0
AIR HANDLIft 00M
F14 TANIS—
RAKE ...... : 0
<:10,000 CFL!:
0
ABOVE GROUND:
0
GAS LOGS...: 1
> 10,000 Cf".
0
9"DEPGROUND.:
0
TOTAL FEES
Does the coater supply systes contain a
Pressure Reduction Device or Check valve? Yes No (If "Yes" then water expansion tank is required on clot Water lank)
Inspection Record Water Line 1K Mechanical Inspection Notes:
GAS PIPING OK bite Ey
............
PERMITS EXPIRE ISO DAYS At 11K Issawl IF No MA SIAN KWMIJAI. AID GRAII MIS EXPIRE M YEAR AFTER OAT[ OF ISSUANCE.
I CERTIFY INE IWORM11911 tURNIS"11 By m is MD re "IN't KSI Of BY K IVA AND III AMICABLE (ITT Of FEKRAL WAY MUIRMNIS 111t]. K NET.
OWNER OR AGENT DATE
FIELD COPY
C00193 (Rev 4/97)
s N
CITY OF FEDERAL WAY
4,
33530 F i rs t Way South 1,14 C,.'A;. rl M 14 .,,1. lei L,. FAI ;.: M Pal ,,Y..
Federal Way, WA 98003 Building Inspection Requests 661-4'1.40
661-4000
ADDRESS:28532 20TH AVE S
NO.: 422200-0220
PROJECT DESCRIPTION: HVAC - GAS TO GAS FIREPLACE REPLACEMENT + PIPE.
OWNER
PAULINE TERRELL
28532 20TH AVE S
FEDERAL WAY WA 98003
839-7596
CONTRACTOR
NORTHWEST WATER HEATER
2506 104TH ST CT S, SUITE A
TACOMA WA 98444
PERMIT NO: MEC97-0198
ISSUED: 07/03/97
BY: FC2
EXPIRES: 12/29/97
LENDER
a
s
a
e
984-6404
NORTHWH103R2
F
=i= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 f==
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO
I CERTIFY THE INFORMATION FURNISHED BY ME IS
OWNER OR AGENT
FEES:
MEC PRMT ISSUANCE... $ 20.00
Mechanical Permit* $ 44.00
TOTAL FEES $ 64.00
() No (If "Yes" then water expansion tank is required on Hot Water Tank)
,,M GRADIA PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
OF MY KN LEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
--------------- DATEE -- -- -------�
FILE COPY
PROJECT VALUATION
1545
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.: 55 ft
HOOD..........:
0
0-3 HP......: 0
3 FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....: 0
GAS HWT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER: 0
FURN>10OK.....:
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...: 1
> 10,000 CFM:
0
UNDERGROUND.: O
Does the water supply
system contain a
Pressure
Reduction Device or Check valve? () Yes
f
Inspection Record
Water Line OK ----------
Mechanical Inspection Notes:..........
GAS PIPING OK ..........
Date ...... By ------ ----------------
------------
-----------------
-
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO
I CERTIFY THE INFORMATION FURNISHED BY ME IS
OWNER OR AGENT
FEES:
MEC PRMT ISSUANCE... $ 20.00
Mechanical Permit* $ 44.00
TOTAL FEES $ 64.00
() No (If "Yes" then water expansion tank is required on Hot Water Tank)
,,M GRADIA PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
OF MY KN LEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
--------------- DATEE -- -- -------�
FILE COPY
MY of G BUILDING DIVISION +
E� 33530 First Way South
�� AY Federal Way, WA 98003
® (206) 6611000
Fax (206) 661-4129
���®31891 APPLICATION FOR MECHANICAL PERMIT
r7`�A�S pY s
or Go
MEC' -V
PARCEL # ZZZ C6 C) V Single Family 1; Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner t ,�1-�L� fU ( "" (Z.C�:LPhone
Address/City/State/Zip ,-�Z U � o-�, M
cr �ht5C,2~_-
Nature of Work; r� �lj.(�� Project Valuation: $
--
APPLICANT
Name-
Address/City/St/Zip
Contact Pe�sorr'�/
MECHANICAL CONTRACTOR
Address/City/St/Zip s
Phone
Fax
Contact Person LI/r 6e, vPhone T - �n ? Fax
State L & I Contractor Registration # / }� ��� Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas err
Air Handling < = 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10 000cfm
Above Ground
Fum <100K BTUs
Gas Log
Unit Heater
Underground
Fum>100KBTUs
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
I Other
Conv Burner
Duct Work
A/C TONS
Other
DISCLAIMER I certify, under penalty of perjury, that the information Runished 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 as to any claim (mcludmg costs, wgmtses, end adomeys' 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 but o where such cWm arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
Owner/Agent
Mr Are
REV sm 12/11/96
Date