96-102690 . .. ..
- .
...-_ _ .
10 (070
(.1 TY 01 11L WrOt'
33530 E i rt Way Solo-)) tl r C Irl ri Hi 4C1(1 1., P r rt.ti I I
Federal Way, WI) 'y$100 { Buildiwr llv,pi-ction Pv.I.:10o,.1 ‘ . (.4,1 41 ")0
'661 - 4000
ADDP E SS:250 (..,,,W ',',.. IL,I I II 11
N0. ': 720532-01.20
'
PROJEC1 DE'',3(''RI P rpm ,ntoi-GAs piptoti 12 , GAS t011
LENI,LI: ..,,.
1KEITH ttUEGEL HORTNWES1 WAIIP !RATER
1 250 I 8701 DURANGO Si SW i I
SW 218114 51 1 TACOMA WA '18409
i
1 FEDERAL WAY WA 00021 1
11,41-4228 1 ';'84-6404 j
i NORINWHILK3R2 1
' 1 i
'4'or,.- 2- -' • ,- f
'' AI ' ", 1'44 Ailigi' TING SALES TAX rot PROJEC1S VIIII1N INE CIIY ot ttotrat .
NAY fAX RAIL : 0.25 *.1
*re CONTRACItliftltE ,,,,,,, „,,,,,,;,,,,,,..., - . ,-,. ' • __ _ _ _,.,,,,„,,.,..._,..,‘„,„,,,..„. — .--. ,- t- ,-, - ' • ' - a
PROJECT VAL UA 1 I ON 530 „:4„ ''''.'3:.--.-4"' - '''' '' ' j FEES:
FUEL tYPES•:SAS ? FANS , . "'::'i '' , .. , ,, - j n,echar,1!"1,,_.,.°!!$"1,...t1,... : 2204:0000
GAS PIPING.: 17 ft ROOD '"",::::7-L' .,:,- 3 .... '' 'I ' -,,', ' w ,4,-, Pw,,, , :-.-e- -x- 2- '- - ,-,,, ' ' -- ,- iji4/41't
FUR11(100K..: 0 OKI ' ' -4---,' r.,t'_,- 1-- . ..i. 1 '' P. ''• I „ IN -
GAS HI ' 1 .. , --. • li ,-,
1011V DORMER: 0
BRO........: 0 • ,
GAS DRYER..: 0 AIR ' I '‘ S ,,,,,, 1
RANGE • 0 <10, I , ,,,, • I. 1ND: I
GAS LOGS...: U ' 10,01 h 0 , DER(ROOND.: 0 -
Ns)--" I TOTAL I LE!, $ 44.00
-\
----.)
1111.., , ,--,- --r..... P , .P.....Y..II,6 IT,...”'-',....,, • T.', • •".. u 7'r, ",
1es the eater supply sysle* contain a Pressure Reduction Device or check viivi , ) 4s ) No I then eater expans on ank is required on Not Water lank)
Inspection Record Water Line OK Mechanical Inspection Notes: - R \A ‘‘W 1
GAS PIPING OK CO, /-- ck. NIA
"y .„....,
^- - - , larrlm-,-Lm,..‘r -..
SUA
PERAI1S URINE Itto DAYS AMR ISSUANcl, t AO *)I( IW i . 41,stotittt ago bRUDIFI6 PERIODS EXPIRE OAR M 01 ISNCENE Y1
IER OAR .
1 CERTIFY la INIORNAIION IMNISTIF-D.V 111 1 1 i aIRREL.1 10 I!. BE/ I OE fl' KNOWLEDGE alb 1111 APP1104111 EIIVIIIIEDLIEJ91AY IttUIRlINtRIS Will HE AEI.
OWNER OR A6tlit
/
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..../ \
DAIL (-_,A / , ..---'''' (' --- ..--'
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FIELD COPY
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CITY OF FEDERAL WAY PERMIT NO: MEC96-0159
'33530 First Way South 41' 4„::11-111 ri IFiN IA::,',,,.;.IIS !i Vii..,,,,. ii14. "'i h' 11.1[ 1. ISSUED: 08/13/96
Federal Way, WA 98003 Building Inspection Requests 661 4140 BY: FC2
661-4000 EXPIRES: 08/07/97
ADDRESS:250 SW 298TH PL
NO. : 720532-0120
PROJECT DESCRIPTION:MECH-GAS PIPING 17', GAS HWT
rx OWNER =_---•--••--_ - -_ .--T- CONTRACTOR =------ __- LENDER =_--•--.
KEITH FLUEGEL ( NORTHWEST WATER HEATER
250 I 8201 DURANGO ST SW
SW 298TH ST I TACOMA WA 98499
FEDERAL WAY WA 98023 I,
941-4248 , 984-6404 1
NORTHWH103R2
----1--------=------------.-------- _ _.__
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 ***
PROJECT VALUATION 530 I FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS 1 Mechanical Permit* $ 24.00
GAS PIPING.: 17 ft HOOD • 0 0-3 HP • 0 I MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 1
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 I
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS I
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 !
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 I TOTAL FEES $ 44.00
zxIIzx_________-____. -===-_--ox.•....___
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 ISSUANC F NO WORK I " •��T ' SIDENTI. AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED ; ME IS T' . i. CT TO t, OF MY KNOWLEDGE AND THE APDL E CITY FERE Y RE IREMENTS WILL BE NET.
OWNER OR AGENT
/ __
_, DATE __ .. ____ -t17--
City of Federal Way
CITY OF r-• 33530 First Way South
--'--- --_—•=----- Federal Way, WA 98003 I
wi (206)661-4000 MEC l L ` o r S
��
APPLICATION FOR MECHANICAL PERMIT
1 Z ° i z 0 RECEIVED
PARCEL i•• Single Family Multi-Family ❑Aly, 4 Golgge-cial 0
SITE LOCATION: GIfY OF FEDERAL WAY
_�� BUILDING DEPT.
Tenant/OwnerK:-• (� �p----
'"(�-' (� Phone /( " ,-Z- 1-u{I
Address/City/State/Zip:
2-5�> ; Cil/ -`, PL_
Nature of work: -` -1--C (-! if[ (ALT Project Valuation: $ J l
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax: 1
•
MECHANICAL CONTRACTOR:
- t
Company Name: Aieu /``' L 11/7--
[ /--
Address/City/St/Zip: 1--YC- ( h L I fr._ :Q( lib, j(• ,4._
Contact Person: 2--- ./C1 Phone: ' ax:
State L & I Contractor Registration #: L 4/ 7ff Lu I , Ll l ' Z- Exp. Date: / 6%
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) ,6-74'S Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping 177 ' 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 1 Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's
Wood Stoves
A/C
TONS `7otaf:(;)_fit::�istii;^it'>::.>:.>:.»:.>:.»:.>:.>::«.>::>>:
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 Cityyof 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 person,includin4,tfie undersigned,and 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,upon the accuracy of Vaal ipforTation su jplied to the City as a part of this application.
f / L.i, i t , / —)/ ; '
Owner/Agent: Date: