96-104307 c• I 1Y ft I t 1.4... I. tAlt1 PERMIT HO: MEC96-0268
33530 ri rst Way !;oiii h Mt ir.:, t W4P'4 I I int IA c rt,PI I II ISSULD: 11/26/96
Federal Way. WA 9800 ! Nt(ildinq lms,pection 1oquo'.7.ts 661 4140 BY: FC2
661 -4000 1 -'1)IftES: li /20/91
t4DPREf-.;S:29617 2ND Pt. 4; /01007
NO. : 71.8300-0120
PROJECT DESCRIP r Emi!INA( - GAS To GAS tURNAU REPLACLIENI.
rt OWNER '''4""'"" Sr' '''" M''''''''''''''''''''''''.4.-'''." w.
-- "- " 1 11.
JOYCE HAMAN 0RINWES1 NAJD HEATER
29611 2ND Pt 5 I 8201 DURANGO 51 SW 1 1
FEDERAL WAY WA 99003 I TACOMA WA 98499 1 1
939-4957 I 984-6404 1 , I
I NORTAWN103R2 j , ,, ,
14'—'''''' '''''''''''''' 'tt-f- IITT;AC-T;RS, ;LEA .. ,, _
CA
SE USE LOCATION ; :!' I J TING SKES TAX FOR PROJtth MAIN THE CITY 0.1 fEITI !Al. IAA Raft 7 J. , tlk
1..„..---,,..,-...-„---",..4„.,..,,,,.,,,, ,,,. . , ,..„VV 0 ,,,,,,, _
I PROJECT VALLIAIION 1077 * * . ' ,!; ,g( ,, , , FEES:
I FUEL TYPES.:GAS I ANS ,• 0 BOOR ". ' - ----4.---- NEC PRM1 ISSUANCE... $ 20.00
("(4w
I GAS PIPING.: 0 ft HOOD li,t4 0-3 O......: frtvneM0A-2A1 Mechanical Permit* $ 34.00
r&l0 FORN'1001..: 1 DUO WOW. --....t_ 3-1S HP -: 0111:4641kli.:
_ _ _ _____
GAS H141 • 0 WOOD SINVii:.-.1 il- ,14 $/-1040....: u A ,:!...4i,
t , . :-.,,,,-;::.--1 0 30 'q 11P--: a , -,.....,-, ''''
I CONY BURNER: 0 ,(.. 't.e....
IAN
a . ..stwi4aKAANr ,(,041i46, ' k .
. n , A- "'''" ,\\ ,il"rrn W .
IGAS DRYER..: 0 Al, 1, ,,,,, G ,1 ,A,, \,,NI'', t •41.AWaiiiiiii0?4,
0.' '4( ., , '' ( , (s.„ WN.
I RANGE • 0 .
<- „( o,, , ,er 1 ,,,t ,,, el •
- , .' * , „
GAS LOGS...: 0 ) 10,i , . , 1 . (2 __11... 0 o' I TOTAL FEES $ 54.00
. ..
-;;;';:;:i;; ;;;;T's'Y'si'e'IrcrD'oi'aTI; a "P'F-a;;:re R'e-d-'11ci;;;Ilma;71;::;;711'el'c;""),;;;;;-"67e-S-4 -N-o'''Fixf :;;;*-We'n' 'w'a'i:r-expansion tank is required on Hot Water lank)
Inspection Record Water tine OK Mechanical on aiNotes: .
I F
GAS PIPING OL ()I Da '0 By 44k 4
V
..,...,...,...„.,...,Sta,mt,^C..-11X,•,„,,„,„.„,,, p„p,,, ...„„.„„,,,„„.,,„ . ..
..,..'"'.'
A 0 -11A[ GRADING MONIES tXPIRE 010 TIAN AMA DATE 01- ISSUANCE.
KIWIS "Pilf 1110 YS
111" IS°411CI II Ii° ' IS SIAPII-i A - Y liORILNE AND IRE rtiputt-isl,A0 IttyipvLAIAT,vtovivtvtlici vitt HE ALI.
te)1"..-----
T CERTIFY Mt ITHORNAIION tORNEEFED BY ML ROL MU (01t4-1. IOC NISI Of A
. / (
OWNER OR AGENT / , DA FE 7 ' /1/ (r
f N }. 0,1
dr A
FIELD COPY
CITYFEDERAL WAY y PERMIT NO: MEC96-0268
3 T330 CITY '
i rs t Way So u t:h Piir.`'p,:: I11'-'IN il~�''i 0111„III 'Cc it"``II IL: INPI,r"irrit IP^°*1 1I ISSUED: 11/26/96
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: FC2 `
661-4000 EXPIRES: 11/20/97
ADDRESS: 29617 2ND PL S
NO. : 718300-0120
PROJECT DESCRIPI"ION:HVAC - GAS TO GAS FURNACE REPLACEMENT.
€- OWNER {- CONTRACTOR ----- ---------------------.. ___... LENDER - -
JOYCE BACKMAN k NORTHWEST WATER HEATER
29611 2ND PL S t 8201 DURANGO ST SW
FEDERAL WAY WA 98003 t TACOMA WA 98499
839-4957 f 984-6404 ! w
NORTHWH103R2 ( {
------_--•-_----._--... .. :_ =_i __._ . - -:___-._--.._::---:-::_-:- --- __..__..
i#= CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. FAX RATE = 8.25 "*
PROJECT VALUATION 1077 FEES:
FUEL TYPES.:GAS FANS.......,.,: 0 BOILERS/COMPRESSORS ( MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 Mechanical Permit* $ 34.00
FURN<100K..: 1 DUCT WORK • 0 .3-15 HP - 0
GAS HWT • 0 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 $ 54.00
t
__________________________ _____._______ _ ---... _.----------_._-. ------ ---- - ----, .._..._..._ .__ - --- - ---__:r-_-�
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
t___________________________________...._____ ------------ - ----------------- ..__ _____________.....___-__._..t-----x-_- _____.
PERMIFS EXPIRE 180 DAYS AFTER ISSUANCE IF NO W IS STARTED. «- il- -i GR•IING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME . RUE AND C+i" -s "�T 0 MY K 1 LEDGE AND THE APP B Y FEDE'• of REQUIREMLNIS WILL BL MET.
OWNER OR AGENT -.-....-- - - 400"--. _ __ R1F ----
City of Federal Way
CITY OF r--- 33530 First Way South
�_ I Federal Way, WA 98003
(206)661-4000 Y) E 0(t,- /'} �� talk
�10
V v 2 ��� APPLICATION FOR MECHANICAL PERMIT l/
RAoWAY
r
6Y t7veOE ?•
Adige-VIS 30 c 01 2-0
Single Family � -- Commercial 0
SITE LOCATION: `�
Tenant/Owner: 6n Lk-/1/1 Phone:. I >�9 - LH s T
Address/City/State/Zip: l,act(Q ) - PL._ et.n L-t;-fk`( q.gO03
Nature of work: (2 "C�'1 is 1A Ce, iQ-}4 }(,e- 1 (' `-�
Project Valuation: $ � � -I"
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: /' Phone. Fax:
MECHANICAL CONTRACTOR: .
Company Name: \(\, a WC- ( (gtS7EP---- ,f `--
Address/City/St/Zip: (��5{ZC\S l�`j'�� r I U
Contact Person: ` ( (-1 Phone: - `()CTh Fax:
State L & I Contractor Registration #: ry a Uv t 1 b�7 Exp. Date: ( Z/0
(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 I 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
BBQ's
Wood Stoves
A/C TONS T�tat Untt Cazirit:'%': ':>...........i::_
DISCLAIMER: I certify under penalty of perjury that the information firms• • •y a is true a •correct • 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. rther agree to sa mlei City•f Federal Way as to any claim(including costa,expenses and attorneys'fees
incurred in investigation and defense of such claim),which ma made by any pars• r A.• .-•the undersii red,and filed against the City of Federay Way but only where such claim arises
our of the reliance of the City,including its officer and em• -Feel,upon -•act •-Information sup•lied to the City as a part of this application.
�• r
Owner/Agent:
4411111111.1
Date: