96-101434 firrY 'kW. FEDERAL WAY PERMIT No: riLk...^:i.e..• uu`,/(..,
33530 First Way South 11 C.ti Pi H I C Pt L, P E R hi I T ISSUED: 05/28/96
Federal Way, WA 98000 Dtii :Wing Inspection Requests 661. ,4 1_40 BY: IC2
661-4000 EXPIRE:3: 05/22/97
ADDRESS :4003 SW 328 I H PL
NO. : 873204—0860
PROJECT DESCRIPTION:SRN - 11' GAS PIPING, FURNACE 10 100E. GAS NWT
I
1 MICHAEL PERSHA NORTHWEST WATER NEATER ELEC.
1 4001 SW 328TH PL 2506 1041H ST.CRT.S. SUITE 4A. 1
IFEDERAL WAY WA 98023 TACOMA WA 98444
1 838-8617 1 984-6418
II
INORTHWHO99,11
no CONTRACT0164 1444SE WE tACAIE1099E44411911yORILAG SALES TAX Ng MAROS NIININ TIE CITY Of HOUR WAY. lAit KW : 9 25 tts
PROJECT VALUATION 1447 .TV. Z4N,..woq.:11.,,o*Ww,W.,.
,,,,,,„ ,, , . , FEES:
..,
MEL TYPES.:GAS ? FANS .i.ii'44, 8144ERIJ, ,,,-,- ..-717uSegg*. . Mechanical Persia* $ 42.00
GAS PIPING.: 11 ft HOOD .4-, 4 *3 . 444zagte_. ,004,,,igemulp ,, orl-,-, :: ,:iz w,r-t*,,, -,F7 it.:,.—L , ‘ORIAN(1-- $ 2().00
fuRoqoor..: 1 Dui-1 44/4*--. ..,:'''.!''''''''''''' *15*"`, : '0wo..,,*" Nrep '',1,:i ittP".4,,,i-rr--,•:-W 124 :',,i4,--„: Oa,- ,, ,,,i,•,..,,, '1 ''',4m
I GAS NW)....: 1 WOOD STOVES.:.: 0 — ;f,,,-IIIP )641' I 4'a, 4
CONY BURNER: 0
HPDR ' 0
GAS DRYER..: 0 HP. .40,1,14-4 ,-0. ...i0-e-p,.. .,0
M15( ,..-41, 4, '" -, 4k5''' 4- 4, Itj(, 0/
-4i., milmmommwf,
AIR OWITIMAIIIS
- ---,-. - -i,,s,-..-
RANGE.....„: 0 <110,11. /pp --08, '''''' ' 'E ND: 0
'' -,--'-' ' ,,',,,'''' '
GAS lOGS...: 0 ) 10,11,- N.? 0 *, ,--_,-, DERGROUND.: 0 10 IAI. FEES $ 62.00',
1 Does the water supply system contain a Pressure Reduction Device or Check valve? 0 Yes 0 No (If "Yes" then vater expansion tank is required on Hot Water Tank)
I
Inspection Record Water line OK Mechanical Inspection Notes:
I i
GAS PIPING Ok V oateN06 9914 . .
MOMS EXPIRE IN DAYS KM ISSUANCE If NO WORK IS STARTED. RESIDE AND 4i 'DERAIIS EXIRE ONE TOR MIER DALE Ot ISSUANCE.
I CERTIFY lilt 11110101ATION fOltRISRED BY NE IS 1RIEL AND CORRECT 10 I DIST 01 XIDOILIDII AND 1I APPIKABLI CITY Of FLDIRAI WAY 1,1 NI Val It *I.
OWNER OP AGENT
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FIELD COPY
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CITY 'OF FEDERAL WAY PERMIT NO: MEC96-0096
33530 First Way South �I'"'�)I;;�,..Citi" (t�M�'ii f"' .,�I,,.1:.,,,,.ih��'t Vii,,,.. P .w,.,. '°'�a�h ,I,,. �I ISSUED: 05/28/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661. -4000 EXPIRES: 05/22/97
ADDRESS:4003 SW 328TH PL
NO . : 873204--0860
PROJECT DESCRIPTION:MECH - 71' GAS PIPING, FURNACE TO 100K, GAS HWT
f= OWNER ----------- - ::__..__ _.._... • :.:: :: CONTRACTOR •- •-__--.:...------. • _ _:: - - LENDER =--- --- -.___--__._ ______ .-
_
-T
MICHAEL PERSHA ' NORTHWEST WATER HEATER ELEC.
4003 SW 328TH PL 2506 104TH ST.CRT.S. SUITE "A"
FEDERAL WAY WA 98023 TACOMA WA 98444
I 6 �
838-8677 984-6418
NORTHWH099J1
-
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 =__
PROJECT VALUATION 1447 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 42.00
( GAS PIPING.: 71 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUA .E... $ 20.00
FURN<100K..: 1 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
BBQ • 0 MISC • 0 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 $ 62.00
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
44P
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDE AL AND G. . . TS EX'IRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO I BEST OF ., f" . 'ND I ' APPLICABLE CITY OF FEDERAL WAY 1 ''ME WILL BE MET.
OWNER OR AGENT DATE ______SI
4110
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n. City of Federal Way 011CMO " CO
CITY OFIEEIJET1FTL
t-- 33530 First Way South
• - Federal Way, WA 98003 •
(206)661-4000 RECEIVE®'
).A)1FEY .
A PPL/CAT/ON FOR MECHA N/CAL PERMIT AY 2 3 1996
� �1 l /) (Dr) rDING I�DEPT. ercial 0
AY
PARCEL #• r ) Single Family 4' Multi-Family ❑ l.Omm
SITE LOCATION:
Tenant/Owner: 4�---" of�-L j" �- 1--- )r-In Phone: . .....ng ‘M ` T-
c---)
Address/City/State/Zip: <1U�,� >h •-�' { /- "-(>��\i 93() 13
Nature of work: 0451/164- 1(i k A 4 C6 Project Valuation: $'t) q q
APPLICANT:
Name: /\11/077?--:-.7R41*/7"
Address/City/St/Zip: #6 • IA i A • - g ,
Contact Person: 4,0,7,1$. JD-1:":"L- Al bleteiS Phone: ��& (1 OD Fax: .2�p-�!��
MECHANICAL CONTRACTOR:
Company Name: A(/L.' 11-r-L- g_HE,IT g-
Address/City/St/Zip: — �} f� n nQ tID\ E J C_- (t 1 ll
Contact Person: l)(I 4i Uie-K-( % -Phone: " - '\Y Fax:
State L & I Contractor Registration #: Atif)i -- —// /4/1/h/ )r3 ce) 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 ' j f - 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 f Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's
s
Wood Stoves e
A/C
TONS
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is tr and correct..,‘10<es • y 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 •save ha �rrV it • Fede-:I Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be made by ,•. person ' i-:u••ersigned, nd filed against the City of Federay Way but only where such claim arises
out of the reliance of the City,including its officers and employees,upo. accur j •. ion supplies o the City as a part of this application.
)100
iiiiiie
___C-: 2
Owner/Agent: Date: I (c,.. ....„.