97-102466CITY OF FEDERAL WHY
33530 Fircsl. Way South MCHPIP414C04Lr FAr-MMMT
Federal Ways, WA 9£3UO3 Building .Tnz-:p.rt:ion Re(4LIE ;fS 66L_4140
661-4000
ADDRESS: 1201 SW 32911-1 1-11..
NO.: 926494-1190
PP011 F (-A DFS(:'R T FST T ON : HYAC - GAS TO GAS HMT REPT ACEMENi.
(INNER �.� �� K,.x: �z aaaar v ..icerzaas snm c 'max
DAVE BURAIISTEP
12el SN 31291H Pt.
F€ KRAL WAY WA 98013
874-1595
HORTHWESI MAIER NEATER
2506 1.0410 ST CT S, SUITE A
TACOMA WA 98444
984-6404
NORT1NdN103R2
97 /w y(P6
PERMIT NO: MEC97-0201
1JSLJI:L?: 07/08/97
BY: F C2
EXPIRES 01/0.q/98
LENDER
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in CORTRACION. Iu"t WE
LiKA1101 Cook 11-32 Mall
REPORIING SALES TAX FN PROJECTS MIFMIM INE CITY Of FERM VAY. FAIL RATE
: 8.25 M
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PROJECT VALUATION
650
FEES:
FUEL HPES.:GAS
? FANS.........-... 0
KILLP40"PRISS%S
M£C PRMI ISSUANCE...
= 70.00
GAS PIPING.: 0
ft HOOD.........„ 0
0-3 HP......:
U
Herhaoiral K? rmitt
3 76.00
FURN<100k..: 0
DUCT WORt.....: O
3.15 HP.....:
0
GAS HWI.... : 1
WOOD FT01,11...° 0
15-30 NE'....:
0
CONY BURNER: 0
FURN 1001.....: 0
30 `O
0
8BQ........ . 0
Hist.,. ...... G
if lila........
0
GAS DRYER..: 0
AIN HAROLT UNIT`
FUEL IANKS------
..-_
RANGE,.....: 0
<:10,000 CFM: It
AwVL sAOU11D:
0
GAS LOGS...: 0
> 10,000 CIM: f;
UNDERGR0 011.:
0
TOTAL FEES
S 46.00
-~ _
Does the eater supply system contain a Pressure Peduction Device or Check Valve? () Yes()Ho (If 'Yes'�then�v
waterexpansionrtank`is�required or, Not Water tank)
Inspection Record Water line OK ._ Mechanical Inspection
GAS PIPING Oy ._____.__.... Datel!���r�y
Notes:
t."'..II:'_'.RW90.'a0.'AiYS."d �f:'l �'.iiYb=': SF'. „;lt.:w S>ffk STS;?: iL.t:sK i-dix`-9FL6S'a )t:: CW14iDC:IILxmC:R➢fL4fi i:amt','i9mm'M:lS1FYiffYmG »av5$:kAta`.'.Jseas:asn:acSxasnaasnssFca aC,LYc'>xGm3?GiDCi WS 2,:SSK�rfi.JW;Y:iIL'1�i9Sa�4p61�Y`iPs?:.'YW.SAiJawCYY6:aiAAGiL:sl3a
FIRNIIS EMPIRE 180 DAYS AFTER ISSVW1 IF NO WAK IS START . R MG OMITS EXPIRE ONEYCAR AFTER DATE 01 IS';tIhMCE.
I CERTIFY IME 1MFORITATION FWNISKI V TIL IS TREE ARI CT T $A'NY C EKE AMB TRE APPLTCATTLE CITY OF FEDERAL MAY RFITIIIREMERTS KIEL KNET.
OWNER OR AGINT _ .. a_._ _--------- DATE _ __
FIELD COPY kvC I
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
Building Inspection Requests 661-4140
ADDRESS:12O1 SW 329TH PL
NO.: 926494--1130
PROJECT DESCRIPTION: HVAC - GAS TO GAS HWT REPLACEMENT.
OWNER
DAVE BURMEISTER
1201 SW 329TH PL
FEDERAL WAY WA 98023
874-1595
CONTRACTOR
NORTHWEST WATER HEATER
2506 104TH ST CT S, SUITE A
TACOMA WA 98444
984-6404
NORTHWH103R2
*i= CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 tst
----------------
1#
PERMIT NO: MEC97-0201
ISSUED: 07/08/97
BY: FC2
EXPIRES: 01/03/98
LENDER
--------------------
-------------
-------------------------------------
---------------------------------------------
---...------- ------ -----------------
PROJECT VALUATION
650
FEES:
FUEL ``!PES.:GAS
?
FANS..........:
0
BOILERS/COMPRESSORS
MEC PRMT ISSUANCE...
$ 20.00
GAS PIPING.:
0 ft
HOOD..........;
0
0-3 HP......: 0
Mechanical Permit*
$ 26.00
FURN<100K..:
0
DUCT WORK.....:
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
E
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
TOTAL FEES
$ 46.00
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 STAR
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORA
OWNER OR AGENT
RE'SIDEIITIAE-AIIDRAOING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
b� BEST F MY KUOWLEDGE AND THE APPLICABLE CITYOF EDERAL WAY REQUIREMENTS WILL BE MET.
------- --- �------------ DR T E --5. - ---- -
FILE COPY
City of Federal Way
CITY OF 33530 First Way South
Federal Way, WA 98003
(206)661-4000
APPLICATION FOR MECHANICAL PERMIT
PARCEL &• L2� q l -i 1 / ��n Single Family, Multi -Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner:—.—Phone:
Address/City/State/Zip:
Nature of work: Project /� �_ ���'C� Project Valuation:
APPLICANT:
Name:
Address/City/St/Zip: —
Contact Person: Phone:
MECHANICAL CONTRACTOR:
Company Name: is- aC -fiWC.1 >
Fax:
Address/City/St/Zip: C)a ftwzt,�ytr-, ;—:- �1. h
Contact Person: �--- ` I Jd Phone: Fax:
State L & I Contractor Registration #: 1�{�T� ` b2T[�. �- Exp. Date:
(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 > = 10,00ocfm
Above Ground
Furn <I OOK 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
RRO's
Wood 5tQves
AIC TONS
DISCLAIMER: I certify under penalty of perjury that the information funnis y e is true a correct
Premises to perform the work for which permit application is made. rther spree to sa mle City
incurred in investigation and defense of such claim), which ma made by an1Y Pers in the txdersi
out of the reliance of the City, including its officers and em yea., upon &C-.Jinformation supl
Owner/Agent:
best of my knowledge and further that I am authorized by the owner of the above
of Federal Way as to any claim (including costs, expemm — and attorneys' fees
ned, and filed against the City of Federay Way but only where such claim arises r
ied to the City as a part of this application.
7`
Date: