96-104097 q6 io*o97 ...„ .
( I Pe of I: t)Lrid w ‘, PERMIT NO: MEC96—0253
T-4530 FirriA 0Jv '.:01,ilh Fi t:. P.: t 1 1104 VII .i it..".: et L. 0 C.11.1K1 I iE.1.): 11/05/96
Federal WAY, W0 'WOW; Pui1,1ing inweefitm PogilLe..ts 6(.1 4110 BY: Kt (
661 -4000 1XPIRES: 10/30/9/
ADDRESS:3103t •' 11 o\il 'AA,1
NO. : 555770 0.1. M
PROJic I' DE:SCRIPT JON :HVAC GAS TO GAS ItERNAtE REPLACEMENI.
EBERT TO VALDEZ NORTHWESI WATER HEATER 1
31030 7TH AVE 'A 8201 DURANGO Si SW I i
FEDERAL WAY WA 48023 1 IWONA WA 98499 il
i
1 1
839-1042 1984-6404 I
NORTNI01104P2
I
g** CONTRACTORS, Pita USE kOCATIIWOMiD(j1 ' 1i ,_ ;k“IIII6 SALES FAX TOR PROJECTS WITHIN INE CITY Of FEMUR NAY. TAX RATE - 8.25 ***
PROJECT VALUATION ;44 P ,7,-',--...4 -- ,-
,... i FEES:
FUEL TYPES,:GAS ? fANS0 qltrpft0TIOPic:Afg. . ..... ..1,-,-„-,, NEC PI011 ISSUANCE...
GAS PIPING.: 0 It ROOD - 0 11-. 11P — I. INA ---1 ---, , rw, J.. .:,,_ ereit) $ 24.00
FURR:100K..: 1 DUO WORK... . 0
GAS NW! - 0 WOOD 9°0YES.. 0 15-30 P' . .
....—...
CONY BURNER: 0 /001 1 -.‘**. 0 , 4-50 11,
BBQ - 0 tilt .".:t.' :\% 6.41N ''.:4'N WI .....o 0
to 000
GAS DRYER..: 0 AU:ito : Viits, ''''''''',N' 7404 ...,"KIP,;"7,,,„ ,..4.0rAtio- - ,--
RANGE • 0
GAS LOGS ..: 0
, , • ' -
\ 10,11r, :*0 ','„-,- _,:INIDLI0,P00Rb.: 0
liwr .
TOTAL FEES 41 c6p
— -, i
Does the nater supply system contain a Pressure Reduction Device or Check valveT1 Yes fl It (If *Yos' then water expansion tank is requirtIon-Hot ElAer lank)
1 r
-1
1 Inspection Record Wafer tine OK Mechanical Inspection Notes: Lit— \ )\\-2,--b-- q,
—. ____
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I GAS PIPING OK pate By
PERKINS EXPIRE 180 DAYS AMR ISSUANCE If AO WOR WRI ,. RSI8OIIM AND ' APING PERAIIS EXPIRE ORE TIDO AFTER DATE Of ISSUANCE,
I CERTIFY TNt INIORNAIION FURNISHED BY HI IS AND 0 c 0 TM ItS1 Of TROVIIDU AND TNT_ ) APPIICAIttiCITY OI !TIARA!. WAY RLOOTRININIC WIII Ni NIT
(— V 2 ----
,,--- ......
0WNER OR AGENT DA t /7 }y" ---;• ---(--/....)
-.. c 4/
• /
FIELD COPY
CITY OF FEDERAL WAY PERMIT NO: MEC96—Cf253 ,.
33530 First Way South Pr4 i:' .'Ili::::::0°INil04II I'q:::::::'lel !@.,,.. 111'1,r;:II11;IN'IAN I , 1P. ISSUED: 11/05/96
Federal Way, WA 98003 i u;i.l.d;in'l Inspection Requests 661...-41.40 BY: KLC
661-4000 EXPIRES: 10/30/97
ADDRESS: 31030 7TH AVE SW
NO . : 555770-0120
PROJECT DESCRIPTION:HVAC - GAS TO GAS FURNACE REPLACEMENT.
¢- i- CONTRACTOR .._ ...______..._ :'..._.._.____.._......__......__
=4- LENDER -...-..-.. -- .--...-_1
1 EMERITO VALDEZ ' NORTHWEST WATER HEATER
1 31030 7TH AVE SW 8201 DURANGO ST SW t j
I FEDERAL WAY WA 98023 ( TACOMA WA 98499
1 839-1042 I 984-6404 t 1
�y ]NORTHWH103R2
**t CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
r.....r..._..._. ._-_ .. ..._s_..___._......_.r_---.--._-'--. _. .. .__ ...__..... ..__.._s_..._.......n
PROJECT VALUATION 544 1 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS i MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 t Mechanical Permit* $ 24.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP.....: 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 1
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 1
BB0 • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 i
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 44.00
fDoes 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 WORK IS START -iE I. AND •ADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CQR.I , , ,1 J OF KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT DATE / j .
FILE COPY
City of Federal Way
CITY OF �- 33530 First Way South a .Si
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Federal Way, WA 98003
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(206)661-4000 MEC
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APPL/CAT/ON FOR MECHANICAL PERMIT
4 0
PARCEL 1t e�P
•
Single Family Multi-Family ❑ Commercial 0
7)k GO
SITE LOCATION:
Tenant/Owner: C:lv1. ,/, To \I A(,pPhone: rl31— tLl7 - --
Address/City/State/Zip: t (� — _ j ) � � F.F.:,..p-1vl�y.�\f �,�Q ji;
Nature of work: 6 --(-1, ___
I f, ` A(' KtRAce �/��1Project Valuation: $ T
_____
APPLICANT:
Name:
Address/City/St/Zip:
Contac arson: ,a
Phone: Fax:
MECHANICAL CONTRACTOR:
r
Company Name: 1\J1\ }Q...,fla P
Address/City/St/Zip: r 1 ` 1 �� A "
Contact Person: �\Nii, o uki., Phone: O-3 --(11 Fax:
State L & I Contractor Registration #: l \C)/ 0( t /&) ' 101 3 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 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 Stoves A/C
TONS
stat Unff t;ount...........................:•:::::
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correc • a. best of 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 to save harakiri;the.City•: neral 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,including urder-'•ned,a •F-: :gai . 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 ttH�r atii•• supplied . City as a•art of this application.
�' /7'- f'. /'
Owner/Agent: Date: