96-100762 9 . 1010.9_
(.. IT'? 0 E.E DERAt_ WAY , ,11 I F NO: MEC9t,
33530 F. i rst Way South II C lc: 11A N I C A L P(.1.111 I '11 1 (..SUED: 03/21 /9K
Federal Way, WA 98003 PuiI ,Ii.no Try:Tection Reques-As 661 -4140 NY: FC2 /
661-4000 1 XPTRFS: 03/15/97
ADPRESS:29201 20TH AVE S
NO. : 422280-01/0
PROJECT DESCRIPTION:INSTALL FIREPLACE INSERT/PIPE
I ROBERT ANDERSON I NORTHWEST WATER HEATER
29201 20111 AVE S 8?01 DURANGO SI SW
FEDERAL WAY WA 98003 TACOMA WA 98499
839-3340 984-6404
L . .,Ii„,-114-4,4 t 4,t4.—,A.-, ,V..”,v. zr,r.rs=1-.141, r„Anr.,,,,,.. •: .a.--p ,.,,,, --------- ---..,.., ,,,.,,,,,,,,,,,,,,,, , _I.-'. ''''' '”"r'Z I.'''. — "C";;;;;AC' '''101t*4 Ss', "''Pt EI tkAnk Of 3'r *"""!"*1''.41 ''i„iit' ' 4 SO IttPORILK
- ' '' SALES fAX FOR PROJECTS WEIRD! INF CITY OF ILDEPAL WAY. IV RATE = 8.25 Sts
COSE t
' --,i.„--;„ ,- i-1-;i„„ ;?,.W.,..:„.,....,,.....,.,,,,,,..,,...., ,,..„_,..„„,, _.„,,„,_ „„v„,...._„,„,.,,_ _
''''''''''''''''''''''''---—'---'' i--'"'" r.—1, 41),;•tiii-,;--;,7,--,.... 74,-4 Z44''-7'i•, ' -!' FEES:
PROJECI VALUAIION 667 t-‘',4'
, b.., '. -
ih, '--,, . ) isi)
FUEL TYPES.:GAS GAS FANS ' - - - ` Illic r $ 26.0°
i E
GAS PIP1NG•: 2 ft 11()° -••'-'''••••'! 1:'64, r'''''."- "'"' ':t 3 '..j••• i',' ''''''''r lig411.6111.11111 4 ''';'41‘- 4 -I ' 4 i''!. 11444;_,F.r1,. •,,r:;!_,r : ' •• 20.00
FURN<TOOL..: 0 J - ,, • 4k',, .6.1'1,44 .NL ,. ,
DUMV"-:',...“""r'' , t 15; P..'''.. ..
GAS NWT • 0 0,,,• •,., ,,P4440444, ' r ,..*Hp •- .-•i ---- - - - -
WOOP ...,) •
CONY BURNER: 0 H .' ,,, I. v,, ,,,,-,.. i „ ,,,,,,3i- ,11)-?Iiiiiiii'`‘ " .„, ' A'
BBQ • 0 misc. ., \3- „.„\
4,..,.:‘;‘," ` 1, '4,\ r/,,,4,,, •4412' * ''' \ 10
1—.., (d
AS DRYER..: 0 AIR HA t ' . , * , AN ,1,`.` ----- Iv „,,,,,,„ -
RANGE • 0 <10,1 '. , ' 0 -- ,OVE GROUND: 0
GAS LOGS...: 0 > 10,000 : 0 -; UNDERGROUND.: 0 TOTAL FEES $ 41..00
" " Pl" -''l'rCo— ' n'--'''—"T-;fi'' ---,,, .,, I2, ,; I . ^,-,,.,..4;;;th;;;;;;Ppysysle; ntaiaPressiretedonDevice
or Check valv0 0 s () No (If 'Yes" then wk,r expansion tank is required on Hot Water Tank)
Inspection Record Water Line OY naChnic31 inspection Notes: '1-1 -Y-e 's-rf!25
GAS PIPING OL -1-Lue1, DYv z2z6
i
,.. NO ... ........ %.4... ,, ,,,,tahn
.._,---
PERMITS EXPIRE 180 DAYS At/ER ISSUANCE IF AO S SI S DENTIA1 AND GRAP PiRAITS IXPIRI OBE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY ilk INFORMAIIOR IONNISIIED BY Mt IS UE Cl t 10 TR BEST 0/ MY KANNIEDtt AND INF APPILI1ABLE CITY 00.,tEDtRAI WAY REOUIREMLNIS Will OF KT.
„
. ..7(
OWNER OP AGENT /: 7
FIELD COPY
CITY OF FEDERAL WAYIll :..M:.: � PERMIT NO: MEC96-0055
33530 First Way South fl'w '', �;;::.: "..�i „' ,;": ',;' N..... ,::,� :,.,. ill, . .. ,,.�,,.
ISSUED: 03/21/96
Federal Way , WA 98003 Building Inspection Requests 661--4140 BY: FC2
661-4000 EXPIRES: 03/15/97
ADDRESS: 29201 20TH AVE S
NO . : 422280-01770
PROJECT DESCRIPTION:INSTALL FIREPLACE INSERT/PIPE
CONTRACTOR =_____._.. -- ----=_-- LENDER :,_ __-__-•__- ___�__------- •_-- -
ROBERT ANDERSON ! _:
NORTHWEST WATER HEATER -- 1
29201 20TH AVE S 1 8201 DURANGO ST SW
FEDERAL WAY WA 98003 1 TACOMA WA 98499
1
839-3340 1 984-6404
NORTHWH103R2
Rat CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
PROJECT VALUATION 667 FEES:
FUEL TYPES.:GAS GAS FANS ' 0 BOILERS/COMPRESSORS Mechanical Permit* $ 26,00
GAS PIPING.: 2 ft HOOD 0 0-3 HP • 0
MEC PRM1 ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK.....: 0 3-15 HP 0
GAS HWT ' 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
880 • 0 MISC ' 1 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 46.00
fi ___.. -... ___._.- •- _._..__...__-- __>_ __.___.--- ____... _._._.._._... . -_.. ___._
_1. _
__.. _._ ...._a
Does the water supply system contain a Pressure Reduction Device or Check valve? O Yes O 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
_--- -• ------------------._ .__ - ---= .._._...- ........._c__r.._......-...-... : -- ----- ....=s_.,----...-...,�
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NOR STA' �� :ND GRAD G PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS 'UE A FBEST OF Y KN' LEDGE AND THE APPLICA Y 0 FEDERAL Y REQUIREMENTS WILL BE MET.
. cOWNER OR AGENT -',, .... _.. DATE ..___.._..
ALE COPY
City of Federal Way
CIT' '?. l' '''''' 33530 First Way South
Federal Way, WA 98003
(206)661-400f .e F:::I:,,..K ,,. ' ' , MEC F - c,( �S
uv f7Y : ...,.
APPLICATION FOR MECHA if7 f' ?MIT
PARCEL 0• `L Z2- Z o0° I CI TY F FEDEr>
Single FamilyAILDING t p -'family Commercial 0
SITE LOCATION:II�� ^, ` \ Q vq
Tenant/Owner: t`f' D E g 0 / '-0 6e- Phone: t 33 L 0
Address/City/State/Zip: Z-CA 2-0I - 7-61:-
O i&\U %`, FED 1AV\4 1 ooT
Nature of work: I ASIA LC- I-(21-• (NSA-T +"` I re Project Valuation: $ a b�
APPLICANT: " -t—
Name: , IAo eChl1vl c I
Address/City/St/Zip: 2$C Z MAD l'S&r\A ST 10 / 5 �/s7)/2_.
Contact Person: 1----.::1) .-F. Ir' OLD Phone: 7,-. C.-1,(-0q5-6---k Li-IC-Fax: '3-0-'1,2 77 -
MECHANICAL CONTRACTOR:
Company Name: t I A) SIA l eg--1 E-71
•
Address/City/St/Zip: ZpC �ol�� V �� GIt
Contact Person: 66-0 F F \0 LD Phone: ZK l(Cq"ve (I/f Fax: 32 'VL77
State L & I Contractor Registration #: / \W-----17-1- [a ID 3 C-7-- Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
i
Length of gas piping 7� 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 ,1-4-19L. )IR eT
Cony Burner Duct Work A/C TONS Other
BBQ's
Wood Stoves
TONS <7fltafaanY<eo4n '»>E >#>ni```>'<>
DISCLAIMER: I certify under penalty of perjury that the information furnished 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 ' of Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be made by any per-•-, igned - • i ed , ainst the City of Federay Way but only where such claim arises
out of the reliance of the City,including its officers and employees,upon th . curacy of •-•s -•led to the City-s a part of this application.
Owner/Agent: �� - • , 2 ( # 7 g Date. �
2