97-103176I
F4 r. 1C. U1 P4 HX ri L C rqkF4 I T
jw-(Aef-,:41, wx/, w(1 4-1(710
253-661- 40011
AK44ESc."406 avJ 292ND Sl
NO.: 119600-0215
PV01lF(7T DESCR1V1J(1t4:f-C FURNACE k AWN REPLKC
97 lo5lfi�
PEV1111 NO: ML( -97--0241
SHIRLEY STIVARD 0TINIST WAILP, NEATER
306 SW 192911 ST m 10410 SI cl S, SUITE A
f[DIPAL49AY WA 98023 TACOMA WA 93444
5x9 :485 984-6404
US CONOWT(gri, PtI.ASt USE 1.0LA110M CODE 1142 1144 'n11=11K SALES 1AX FOR 10"Pr(is villuN Iff City (N ftw-w WAY. TAX *11 = 8.25 M
PROJECT VALUATION 1755
FEES:
Fult TYw,:[[F- GAC, FAGS. .. pelmitt 48.00
GAS PIP10G.: 0 ft woo
ISSUAH(1— 20.00
FURK"100t..: I wit ON
GAS Owl..... I WOO
S WE S 0
(0" TURNER: 0 F UR30 10;
"rR,
Bw ........ 0 his(
GAS DRYER..: 0 ATP KAHRING 0111 F
RAKE ........ 0 <10,000 CKF 0 1BOVf GROUND:
1�
6Aj LOGS...: 0 10,000 A, 6 INDERGROUND.: 0 101AI FtEb 68.00
Does the water supply systes contain a Pressure Rodurtion Device or Check valve? yes iIf 'Yes" then eater expansion 00 is required on Not Nater Ink)
;
Inspection Record: Me(,hapical Roug1rio oatGas PiF�.ir Da 9 �`c�`7 �
ME(RAOI(At filIAL Dat
pflAys wilt AU DAYS AtuR IssimE it No Vol.% is
14flyffy TNI, INI-OW110 FURNISHED 01 K IS1Ukliif9 1 1 w NY K LIDGt AND 011- APPI 14,4w-laly Wjtpa MAY ItLQUIRIN[NIS VIII 111. Nil.
INK$ OR AGENT
Q - —/ �
FIELD
---------
FIELD COPY
CITY OF FEDERAL_ WAY
33530 First Way South
Federal Way , WA 98003
253-661,-4000
rlechardc,= i Inspection Requests 253..-661-4140
ADDRESS:306 SW 292ND SF
NO.: 119600-0215
PROJECT DESCRIPTION:E-G FURNACE & AWH REPLACE
= OWNER_____________________________:___________=____=====r= CONTRACTOR
3 SHIRLEY STEWARD NORTHWEST WATER HEATER
306 SW 292ND ST 2506 104TH ST CT S, SUITE A
FEDERAL WAY WA 98023 TACOMA WA 98444
t
r Y
529-2085 984-6404
NORTHWH103R2
PERMIT NO: MEC97-0241
ISSUED: 08/21/97
BY: FC
EXPIRES: 02/16/98
CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY.
TAX RATE : 8.25 it#
PROJECT VALUATION
1755
FEES:
FUEL TYPES.:ELE GAS
FANS..........:
0
BOILERS/COMPRESSORS
Mechanical Permit*
$ 48.00
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 TON.....; 0
MEC PRMT ISSUANCE...
$ 20.00
FURN<100K..: 1
DUCT WORK.....:
0
3-15 TON....: 0
GAS HWT....: 1
WOOD STOVES...:
0
15-30 TON...: 0
7
CONV BURNER: 0
FURN>1OOK.....:
0
30-50 TON...: 0
BBQ......... 0
MISC...........
0
50+ TON...... 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
$ 68.00
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: Mechanical Rough -in
Date ---------- ---------- Gas Piping
Date
i
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK I .
I CERTIFY THE INFORMATION FURNISHED BY ME IS T AN T 0 T OF MY K LEDGE AND THE APPLICA 0 E AL WAY REpUIREMENTS WILL BE MET.
OWNER OR AGENT _ _ .._
. _ _.. _.._ ._---.------.-_.____ _ DATE__.-.._._.._ --
FILE COPY
Ec
City of Federal Way
CITY OF 33530 First Way South rk
j Federal Way, WA 98003 AUG 2 1 1997
(206)661-4000
APPLICATION FOR MECHANICAL PERMIT 'DING DEPT SAY
PARCEL 'tt• I ! 1(p ®yam C ':7� Single Family ❑ Multi -Family ❑
Commercial ❑
SITE LOCATION:
Tenant/Owner: — ! � 5.�� ZY") Phone:
Address/City/State/Zip: �V�� - ���d� Ift Y =1 1i (7
Nature of work:C-I r t �rlV �1k1' Project Valuation: $�
APPLICANT:
Name
Address/City/St/Zip:
Contact Person: Phone:
MECHANICAL CONTRACTOR:
Company Name: - h-�. C) C`
Fax:
Address/City/St/Zip: d � (f L� l ),t r-, z_:7 �JY I
Contact Person: � l f " d, Phone: 2_4��jc:� Fax:
State L & I Contractor Registration #: iUc)RTk+yJ_H I k Z-- 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 Z
Range
Air Handling >
= 10,000cfm
Above Ground
Furn <100K BTU's !
Gas Loa
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
BBQ'S
Wood Staves
A/C
TONS
DISCLAIMER: I certify under penalty of perjury that the information furnis ylne is true
premises to perform the work for which permit application is made. rther spree to se
incurred in investigation and defense of such claim), which ma made by anY Pers in
out of the reliance of the City, including its officers and em yeas, upon acc
correct best of my knowledge and further that I am authorized by the owner of the above
Je City f Federal Way as to any claim (including costs, expenses and attorneys' fees
the txdersi ned, and filed against the City of Federay Way but only where such claim arises
xmation sup lied to the City as a part of this application.
Owner/Agent: ��_ � ��\-.I Date: