96-103734 - 6 . /O3 175fy
CITY Of- FEDERAL WAY PFRMIT NO: Ht.C96-0236
33530 First Way f.;outh 1011 EC Iriloilli Cell_ PICII.M:11 1' 11ED: 10/08/96
Federal Way , WA 98003 Building Inspection Rogoc,A,-; 6(.1-41.,0 BY: KLC
661 4000 EXPIRES: 10/02/9/
ADDRESS:92532 40TH CI SW
NO. : 73196010()8
PPOJEC I DESCRIPTION:HYAC Ell 10 GAS FURNACE & NWT (NANGE001.
KAREN PETIRSON 1 ORIONIS! WAILNEATER 1
32532 40TH (I SW 1 8201 DURANGO Si SW
I
FEDERAL WAY WA 98023 1 TACOMA WA Q8499
I i
1 I
838-9781 1 984 6404 1 1
NO11110011(01/2 i J
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*II IoNINACIARS, 141fASE WE tgAitiN CON111/324111FAtiffINING :IAUS IA' loF f10.11CIS WITHIN 1St clh 01 ItMERAI NAL lAx RAII 11.',,5 ill;
PROW'! VALUA11011 2161 , . 'EES:
FUEL TYPES.:GS tIE FANS..... ...: 0 rhlur ,/(0t" NEC PRA] 1SSUAN(t... $ 20.00
GAS PIPING.: 0 ft 11000.1,l,m,,,109 „: IF.' P. ' - --,:::, ':,;.,..,- 1--1.,w. w. 'orl 'Mt/ $
TURN<IOOK..: I DIKI--„Ag . a-,44;-.„ 3-i iii. ..„- 6,.
GAS NWT • 1 WOOD StOni,j.„.: „4.1.0.0A--15 )i Ill
CONY BURNER: 0 F k ,
8110........: 0 "1St. ' • ' . ,,1
GAS DRYER..: 0 AIR NA , . Oft. IptrS,,. --
RANGE • 0 '710,11 :J.,. ., :, _AU 10.0110: 0
GAS LOGS...: 0 > 10,000 , x''' 0 ,,,,t;. I. DERGROUND.: 0 TOTAL EELS $ 74.00
Does the water supply system contain a Pressure Reduction Device or Check valve? (1 Yes (1 No (If *Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record Witter Line or Mechanical Inspection Rtes: kg-
f.
='). ..
MIRES tXPIML INN MAYS AMR ISSWITICI IF MP IS S ' if!. liESIDENI At AND GRADIS& PERIM tXPIR1 ONE YEAR At DAIL of ISSUANCE.
I CERTIFY IRE INIORNAHON IURNISAID HY, JAt, IROt .1'r 1 , TO I*I SI Of NY KNOWN} ARO INt APPLIt ABLE CITY Of FEDIRAt NAT ktOOIRIANIS VIII BE NIL
OW oPA4Ni ,- OW t.
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FIELD COPY
III/II '
CITY OF FEDERAL WAY PERMIT NO: MEC96-0236
33530 First Way South PI .0 11,..,Ilett IqL11 C iW`'il 1. Ft E.(NM.,I 1". ISSUED: 10/08/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 10/02/97
ADDRESS: 32.532 40TH CT SW
NO. : 873196-0100
PROJECT DESCRIPTION:HVAC - ELE TO GAS FURNACE & HWT CHANGEOUT.
- OWNER - --._.. a_..--- .
----.__.---1= CONTRACTOR ==
--__=_ ___-__=Y- LENDER ----------
KAREN PETERSON
NORTHWEST WATER HEATER
32532 40TH CT SW 1 8201 DURANGO ST SW
FEDERAL WAY WA 98023 1 TACOMA WA 98499
838-8781 1 984-6404
NORTHWH103R2
xxx CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 =;i
. ..
PROJECT VALUATION 2167 � --FEES::
FUEL TYPES.:GAS ELE FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 Mechanical Permit* $ 54.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0
e v
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 $ 74.00
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:
1 l
GAS PIPING OK Date .._ By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO i'K IS S .1E1).00SIDEN AL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY M S TRU .1(1' II-4 E : SI OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT C (7 ��
44 ._.._.. _,. ... __...._,.----------- - DATE i �. _-
FILE COPY
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City of Federal Way
CITY OF if""" "'' 33530 First Way South
® __ ('(---
Federal Way, WA 98003 s
W
h� (206)661-4000 MEC 14 o IX i
p
APPLICATION FOR MECHANICAL PERMIT
PARCEL 1t qSingle Family/ Multi-Family 0 Commercial ❑
SITE LOCATION:
Tenant/Owner: KA io,e- /•11 P I O /N Phone: 4 , O 1--S
Address/City/State/Zip: 5 z- 4-5-?,-..)- - 0 CT S1'1 I t ) -WA y C' z 3
Nature of work: t-& riUI/,r`}AC._ `i' A/AJC gee(P C.-- Project Valuation: $ 7-1 (Q-1--
APPLICANT:
1 (Q-1--APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: ,&h 1 �A� (' ys
..
Address/City/St/Zip: ? ?(TO "Of OR )4 Y\F---&---.
--T ''
Contact Person: L(AA P•6 LUJ Phone: 2-%7'y TOG Fax:
. State L & I Contractor Registration #: A)6/2..L HAI I C ) I IQ - 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 g�/ 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 j Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBC's Wood Stoves A/C
TONS
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. e harml -- he Cityof Federal Wayas to anyclaim(including
incurred in investigation and defense of such claim),which may be••.. a y a costs,exonly where
attorneys'clam fees
•n go the�'n scapi li edt t filed against the City of p leavy Way but only where such claim arises
out of the reliance of the City,including its officers and emplo a,upon t��j.- .informed•naupplied to the City as a part of this application.
/
Owner/Agent: / Date: (63/GVU�, 2c,,. •