96-101762 -
q& /61/7(0.)---
CITY OF FEDERAI WAY Pi1011 ! '111 - ilik ')
33530 Firt Way South pircirrillicelL P C P.tel ,11: "I - isstit
Fede ra I Way, WA 9800 ). Boitdin , in-,rK , Ii,m P,-qu; '-.I ', .' r--.1 . 1 '01 -"--'" II)"
661-4000 EXPEP.Fc, : ft ,/.1 .:, l'?.?
ADDRESS:2636 E.',W .11.51.,..; 1 til ,
NO„ : `10294 t•") OF?:It i
-PROJ 1 ( 1 or-.(P T P I Hail :AE(11 INSTALL- HUTITA0 le 100k twt
ROBERT 11111THEY I NORTHWEST WAJER HEATER j j
2636 SW 351S1 Pt 1 8201 MANGO Si SW I 1
FEDERAL WAY WA 913023 1 TACOMA WA 148499 1 I
1 I 1
661-9855 984-6 .404 ' !
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is: counicillit kik' . ., / 11. '' Ira tout ROaltil* SALES TAX FOR PROJECTS WITRIN IRE CITY OF FERN MAY. TAX RIVE : 8.25 tsit
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1 PROJECT VAtUAllON 5n ' 1---Ai*7 ''''I ''''' FEES: 1
1 FUEL TYPES :os , i;Ir.. .... ,:-.:.,,..:1' tilwtp. : opi, : . ,,.. ,,_ ,, 44..i,,,, ,,, ,, 7,t j _2,:,,,,,:, ,,, _ ,,,s,, _ _ ,., ,. .e.iiiku_iiiii' , ., ,erelitt $ 24.00
1 GAS PIPING.: 0 ft 3 th140.:, - -- ' i ,.- - - ,.,,,a-,,--a.-,-, ',-----,1, ,,-..L. ,,.,,,l, ,*--- ,-::-- , , : , .. 0.00
11111111
441 Amm1 ANCE. $ 2iguT i
1
'I 1URN<100t. : 1 twel RURI.-...: 0, ,Ig%. s157,P:. '),-,,,-..-,,,..,,,,,,,,-,;,41,.i- ;.,,_?..-, ; r,„dr--,f,,.. ,6,0,.."--,,,,,i,
1 CAS HWT.., .: 0 001k SIL : 1,, , .HP. -,; , , 4-4V I
1 (ARV BURNER: 0 114' 1 Ot;. 4t A", 0-°",, IT 4:;:,, ' .
1 BBQ - 41 lint.,,,;4•444,-4.'""i,lik *': ..t"...i'414;,-441::4Y11 0:`,4-1'
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I GAS DRYER..: U MR HAN't i ,i111I'. ‘,‘ '‘i-TANIPTI - ott -Iv I I
1 RANCE......: U :10,000-4 ,,- 0 -,!.,,,; 'BOVE GROUND: 0 ) I
I GAS LOGS...: 0 '• 10,000 (111: U - UNDERGROUND.: 0 i TOTAL f Er, $ 44.00 1
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Doethe Vater supply systett Contain a Pressure Reduction Devi ... or (heck valve? T) Yes (t No (It "fes" then stater expansion tant is required on Hot Water Tank) j
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Inspection Record Water tine et Mechanical 1nspect:on Note : 1
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GAS PIPING Ok
illitit
PERNIIS EXPIAL 1841 LAYS MIER ISSUANCE it NO IS SIAlly4v)04eIHNIMME AND 4 MC PERNIIS EXPIRE On YEAR At TUT Mit Ot ISSUANCE.
I CEIIITY IRI IKIORRAIIIIII FORIII5RID 14 Ill I ' RUE R110 I I IlIt T Of Of tRONLILACI AND IRE OPER 'A (11Y 01- TERM WAY RIO11111111.11IS MILT ID NEI.
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OWNER OP AGERI -....__ ,,--
- ___ _______ . /7--. A I t
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FIELD COPY
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CITY OF' FEDERAL WAY PERMIT NO: MEC96-0118
33530 First Way South VIII i1 ;"•.,+t":;;;,.Ii!ii i"""li 10111.4::::.e0l,•...,. IP.in.indoll 1."It ISSUED: 06/20/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661--4000 EXPIRES: 06/14/97
ADDRESS: 2636 SW 351ST PL.
NO. : 502945-0930
PROJECT DESCRIPTION:MECH - INSTALL fURNACE TO 100K BTU
r= {= CONTRACTOR =--_.------____.._ .______-._. _ ___�- LENDER ===___.._._- ...._..______.._---_--_-- __y
ROBERT WHITNEY ! NORTHWEST WATER HEATER t
2636 SW 351ST PL f 8201 DURANGO ST SW ,
FEDERAL WAY WA 98023 ( TACOMA WA 98499
3
• S
( 661-9855 ( 984-6404
NORTHWH103R2
_;= CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOt PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
PROJECT VALUATION 528 1 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS t Mechanical Permits $ 24.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRM ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 t
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K 0 30-50 HP....: 0
BBO • 0 MISC..,.......• 0 5+ HP • 0 1
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 i TOTAL FEES $ 44.00
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•'----------- ...:_^._..:.._..»__-..____..___.....__.. ___.-::__::-..._.._____ ---.-=
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 WI • IS START , ' 1 HTI'L AND :'DING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. •
I CERTIFY THE INFORMATION FURNISHED BY ME I RUE AND ;y -'1 THE BES OF KNOWLEDGE AND 1HE APPLICAB CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
A---' ' ' a
OWNER OR AGENT I '; - AMIPP
FILE COPY
City of Federal Way M �C`�" Got
�t
CITY OF i.�-- 33530 First Way South
0 Federal Way, WA 98003 RECEIVED
(206)661-4000
WIRY
APPLICATION FOR MECHANICAL PERMIT JON.2 0 1996
�f /�C� _/� LAI Y OF FEUERRAL WAY
PARCEL It.��� q. ` `� ` MOBUILDING mm
Single Family/ Multi-Family 0 Commercial 0
SITE LOCATION: �j V j /�I11
Tenant/Owner: i{\L e--�6 77- v(I /T-ACE Phone: (..,Q l q
Address/City/State/Zip: _( 3(6 5 -,5c 1 - r Pb ,Y%fp-1,t1A \ q guD ,
Nature of work: ` tf Tho r1.14A Project Valuation: $ S7--S
APPLICANT:
Name: PO V C.n1--- V A t'H irk) e '1tillj✓t 1itecnn
Address/City/St/Zip: 2 0 Z `-/ A\Ick D 156 - - I C)
Contact Person: j`D(r A(21f 61.- Phone: q--4C)6 Fax: V-C --(
MECHANICAL CONTRACTOR:
Company Name: Tt' WI\kIl -
Address/City/St/Zip: 0 -ittO'czi D\11c E 51 tu/ `.
Contact Person:n n - �O�IZt� Phone: 21 -�)_ Fax:
State L & I Contractor Registration #: �16149‘7"1-1 /A I ` 1U �� Exp. Date: (2-7 C'
(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 > = 10,000cfm Above Ground
Furn <100K BTU's 1 Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBO's Wood StovesA/C ........
to TONS `C'�fiat{)`.>s� <::>::�> �>�� > > > ><>><<
nt Cutin
DISCLAIMER: I certify under penalty of perjury that the infor•-:ion furnished by mem orrec •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 applicat. is made. I further a• the City of Federal ay as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim) - hich may be made-• .,,6,,, ,,•.•ing the undersigned,a • iled against the City of Federay Way but only where such claim arises
out of the reliance of the City,including its offic.s and employees, •,,#'urac • the informati•n supplied to City as a part of this application.
Owner/Agent: 4 Date: 400°F AO"
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