96-103209 (..ITY OF FEDERAL WAY PERMIT NO: MEC96—0196
39530 First Way South fIti in C 1"Nei ik4 i C.::ei L.— PI C rt PI i 'I' ISSUED: 09/12/96
Federal Way, WA `480(1..! itili i di nel I rictrAe( t i01) Pegi1o.-.1e-, 6( i + 1 01 13'1` : K L.C
661 -4000 I.,-,,,,PLRES -. 09/06/9/
ADDRESS:32108 141H AVE, SW
NO. : 01045(1-.0020
PROJECT OE SCR IP1 ION:HVA( - GAS 10 GAS FREESTANDING STOVE. 401.
MONICA SYRON NORTHWEST WATER NEATER
I i
32108 14TH AVE SW 8201 DURANGO ST SW
I _
FEDERAL WAY WA 98023 I FACOMA WA 98499
874-4435 I
1 qr140-169414°114'fi:P.' 1
1st ,:,: i CIS WII NE C111 01 fEDERA1. NAT. 1AX KAU : 8.25 ***
PRO.JECT VALUAlION 382 FEES:
FURN'100K..: 0 P0C1411fr ,
GAS HE • 0 10 . \ . —A ' : '.6:,11",':'-'-NA°
CONY MIER: 0 1 HI '4 4:.. 1:.
880 • 0 rilSi. '..'.,.•.--. .
, .
GAS PRYER..: 0 AIR HAN*Ill.'
RARGE......: 0 --10,000f$* ' A ull. UND: u
.., -
GAS LOGS...: 0 10,000 1 . , U1 lUND.: 0 18TA1 f11(,,, i 42 00
Does the inter supply systes contain a Pressure Reduction Device or Check valve? (,) Yes () No (If "Yes* then viler expansion tank is required on Hot Nate( lank)
Inspection Record Water line OK Mechanical Inspection Notes:
GAS PIPING OK Date Hy
,_--...... ,
PINITIIS EXPIRE 180 OATS Mitt ISMFAHU IF 140 HORI/JS"SION4;"07SIIIENIIAL A1N1 GRAN* PERMITS IXPIRI ONE 11A? AMR Mk 01. ISSUANCE.
I CERTIFY INE INORRA11011 FURNISHED RI RE IS 1141A11Y(1] •' 1 10 TR IIESIef131011111Ait APD tin APPIKAINI (11Y 01 FEDERAL VAY RE0111kEMERIS Will RI NI.
, .
IMO 4 i-AA NI t // tui I I
' / e' "--e.".."" (
FIELD COPY
•• . 4 - *
CITY OF FEDERAL WAY PERMIT NO: MEC96-0196
33530 First Way South toll tr N;,;;; ,,,,$ `'''1i VII M';„;;;.lei N.,,,.,. req, :n of I .,!,... ISSUED: 09/12/96
Federal Way, WA 98003 Building Inspection Requests 661.4140 BY: KLC
661--4000 EXPIRES: 09/06/97
ADDRESS :32108 14TH AVE SW
NO. : 010450-0020
PROJECT DESCRIPTION:HVAC - GAS TO GAS FREESTANDING STOVE.
e- OWNER ---------------- :.._._ -T_ CONTRACTOR --..--- -_-_-- ----- i LENDER ---- ------
MONICA SYRON i NORTHWEST WATER HEATER
32108 14TH AVE SW I 8201 DURANGO ST SW
FEDERAL WAY WA 98023 I TACOMA WA 98499
I
874-4435 I 984-6404
INORTHWH103R2 1
__.. __.____.-____________________. __-r :___ __._ _._i______ .__-.____.______________
ss: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.25 ***
......_ _.. __._.__ _ . --------- . --... ._ ........ .... ---_.- ----
PROJECT
..--PROJECT VALUATION 382 FEES:
FUEL
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRM1 ISSUANCE... $ 20.00
GAS PIPING.: 15 ft HOOD • 0 0-3 HP • 0 Mechanical Permit* $ 22.00
FURN<100K,.: 0 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
BBO • 0 MISC • 1 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 $ 42.00
- .. ....•-- .. --- A pp
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 9
GAS PIPING OK Date By
,
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK ' ST 0+ 1717- TIAL AND GRAM PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRU" � 1, .•. 1 THE BEST .t_KN1 LEDGE AND THE APP E CITY OF FEDERAL WAY REQUIREMENTS MILL BE MET.
I'
OWNER OR AGENT
DATE
FILE COPY
City of Federal Way
CITY OF jr—'-- 33530 First Way South •
• Federal Way, 98003
G��F (206)661-4-4 000
\ ,
�
APPLICATION FOR MECHANICAL PERMIT
PARCEL (,-\-)I �1 �� 60o ap, Single Family Multi-Family 0 Commercial 0
SITE LOCATION: ((�� (�
Tenant/Owner: �` ' �� _. Phone: �'t ✓*-I �) 1
•
Address/City/State/Zip: 3 S - t \! '"" �' -U. ,A 'q t'sZ:�
Nature of work: ('' `5 CV--46 $1A4911N7) 51 e Project Valuation: $ 33 156)
•
APPLICANT:
Name: •
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:-rtetiW
Company Name: ` V d�--" ( VI\--TEP----. �-N��-"
Address/City/St/Zip: Z CC) (tt `I'�� AL ► V •
Contact Person: , L±-` ' " (I Phone: 27 4 `c)c, Fax:
State L & I Contractor Registration #: 1 U. Tk t t+ 11.:) ,2t_2.-- Exp. Date: I ?-1
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) (45 Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping 1 c-=)' 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 YjG'c:5 [_ 7)1.-SA)
Cony Burner Duct Work A/C TONS Other
. BBO's Wood Stoves A/C TONS TofsE 13niti✓ourt! ....
DISCLAIMER: I certify under penalty of perjury that the information furni • • •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 ,mle 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 para• ••. •the urdersi.red,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 a • 'poet upon ,I..information sup•lied to the City as a part of this application.
I/ f
Owner/Agent: Date I ,
4011P .
I