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CITY f1JF FEDERAL.. WAY PERMIT NO: MEC96-0288
33530 First st Way South '"' ';:::`'�. , IN �r°"�I p'' FtFr.rt tcf.,f 1. ISSUED: 12/19/96
Federal Way , WA 98003 l3uildinq inspection Requests 661-4140 BY : KLC
661-4000 EXPIRES: 12/13/97
ADDRESS : 3283:1. 17TH AVE SW
NO . : 010455-0600
PROJECT DESCRIPTION:HVAC - GAS TO GAS FIREPLACE INSERT CHANGEOUT.
v- OWNER _ ... -..._,__...__..:_:._..-r- CONTRACTOR _ _-- - LENDER =_== - - ___. __.:-____:_--==:-q
JAKE DYKEMAN t NORTHWEST WATER HEATER
I 32831 17TH AVE SW N 8201 DURANGO SI SW
FEDERAL WAY WA 98023 S TACOMA WA 98499
925-0951 I
, 984-6404
HORTHWH103R2
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.25 ***
PROJECT VALUATION 1520 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* $ 44.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • U
CONY BURNER: 0 FURN>100K.....: 0 30-50 HP • U
BBO • 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 64.00
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:
GAS PIPING OK .__.._..........._ Date By
�e -:=x.. ..____. «..._....._.._._c:-rr.:r.:_aa=-:=-::�cr.=...---------• _-.. «__,..__.. ......_.._......rc-e ._ ..
..S
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED, R i iffI"0 . 'DI 1. PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORREC 0T,f; . OW EDGE AND IHE APPLICABLE CITY OF FEDER Y REQUIREMENTS WILL BE MEL.
%
/4-4 - : 0 =)
OWNER OR AGENT __. _ DATE (/// (_..
FILE COPY
City of Federal Way •
CITY OF• 1-&71:3 --r"<FIX—
r'' 33530 First Way South
_ Federal Way, WA 98003
(206)661-4000 `
WifM:199F APPL/CAT qIONi eq (0 ` o2g
FOR MECHAN/CAL PERM/
PARCEL i C t1-5- () (s2( ) 0 Single Family Multi Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: 1-11146--_-_ p\i. _ -NIA N( Phone: L Q
c _ 09 3 I
Address/City/State/Zip: , - i
Nature of work: (--='( ( -1 FKPL I Y' T CPQ e
Project Valuation: $ f ;- -C)
APPLICANT: ✓'"
Name:
Address/City/St/Zip: z `
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR: -
Company Name: Q 1*(JC.-r- Mr '1-71 \--F1{;;---__�
2Address/City/St/Zip: d (f"t��`(2�S l�Y�, 4j,
Contact Person: - - 1.___ ` v (-1 Phone: 27 q (c)c- s Fax:
State L & I Contractor Registration #: b \- Exp. Date: 12-3 G-'
(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 Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other 1 -I1pc, igr, — (
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves A/C TONS Tataf f3ittt Cabnt
DISCLAIMER: I certify under penalty of perjury that the information furnis• • •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. ther agree tosa rule-. -City•f Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which ma - made by any pars• • •the underai-ned,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 em• •gees,upon atm information sup-lied to the City as a part of this application.
Aip
t
Owner/A ant:
9 �. . ' Date: