96-103211 •. - . , .
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OWNER ,,,,-,x ,mmammnAx.rwr.A.,..n,m,vr,,,,,,.,..mmto. ,pt.xmr, 71.nrA1t commit nx=avitomm,.wammimrm71-4,triv...vramox,ft.,mmtcrxr=na LE , -4.n,s- -"mrs,r,,w-Av,- rrp,.,,,a,m,,t n,w
) ARNOLD ISAACSON NORTHWEST WATER MUTER I
I
1 4724 SW 3111H IN 8201 DURANGO SI SO
I FEDERAL WAY WA 98023 1 TAOMA NA 98491
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1 874-5582 1 '
I I
OF FFOINAt MAY. TAX NAIL 8.25 sss
PROJECT VANAIION 207
FUEL TYPES.:GAS 1ANS I OP_ ri itt d ,.4 . i
GAS PIPING.: 18 tt HOOP „..,„ant, 1 P I
FURN<100Y...: I pt.
, I
GAS HOT • 1 „ I
CONY BORNIP: 0 --- 1
i
GAS DRYER..: 0 i'l i
RAM • 0 40.011r. 0 1 I
GAS LOGS...: 0 „, du..Lv,GROUND,: 0 i TOTAL t fir.-.. 1 f',.00 I
1 I 4
Does the water supply systei contain a Pressure Reduction Device or check valve? () Yes (I No (If "Yesthen water expansion tank is required on Hot Water lank) I
Inspection Record Water Line Ok Mechanical inspection Notes: I
)
GAS MING Of Date BY I
,,..---.. /
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FIELD COPY
e1 AillliFF,
CITY OF FEDERAL WAY PERMIT NO: MEC96-0198
33530 First Way South Ittl r':y.."" riliel 111.w0..y;;'';lei R.w Pr, .""it' p,t 9
;,�;. "'ll.,, ISSUED: 09/12/ 6
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 09/06/97
ADDRESS: 4730 SW 317TH LN Unit : A
NO. : 784300-0050
PROJECT DESCRIPTION:HVAC - ELE TO GAS FURNACE & HWT REPLACEMENT.
f- OWNER =----= ---_. ---x_ CONTRACTOR ..___. ___.^__-.___..._._ T- LENDER _. -
ARNOLD ISAACSON I NORTHWEST WATER HEATER (
4724 SW 317TH LN 8201 DURANGO ST SW I
FEDERAL WAY WA 98023 TACOMA WA 98499
1
874-5582 984-6404 1
NORTHWH103R2
E
nit CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES FAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 *X*
-
PROJECT VALUATION 2677 i FEES:
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 48 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
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 � r
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 74.00
t•••--------- ------ I .^.^__ . __.._.__ _:,-_ _---- ... 1
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
--- ------ -- ._ = .__F_=-==....._=------_ __ ___ ..__._._......-- ....
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS REED 1 ENTIAL A.) GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TR NDCI,'� THE BE 1 NY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT , , 41t*110_._.. DA 62 'V./ /
a
FILE COPY
City of Federal Way a
CITY OF (` 33530 First Way South 1
•
_ Federal Way, WA 98003-——--- FL—--.E 3 i a r
(206)661-4000 q �- tqb
wiFf - .
APPLICATION FOR MECHANICAL PERMIT
--i'24 30o-- 0050
PARCEL it; • ) Single Family Multi-Family ❑ Commercial 0
SITE LOCATION: I A
r.
Tenant/Owner: I /NLO D. �TCg r C ��� Phone: q J 5 . ,
•
Address/City/State/Zip: 4-1-4/4--- `�� 51,\I 3•T t Li
Nature of work: Y C.:51 �u16,((AC 1 AA H L SCE Project Valuation: $.-2-(1)-7
5fl-1D -L-\ YPe (aye-A0 5
APPLICANT:
Name:
Address/City/St/Zip: _.-
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: \Qa( -Cffll,.lt ( WP�7t _ l � --�.
Address/City/St/Zip: 2C2
CD (k-tL�`( S lD r--,� Alf. V U .
Contact Person: - ( " E\ Phone: 2-27 44Fax:
•
State L & I Contractor Registration #: NUT INfI(1 .KZ- Exp. Date: 1 2,1c)
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) / Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
�C/ i
Length of gas piping /`STV 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
Cony Burner Duct Work A/C TONS Other
• BBQ's _ Wood Stoves A/C TONS Tritat.Unft.t aunt ....
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 mads. rther agree to as 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 undersi-red,and filed against the City of Federay Way but only where such claim arises
or
out of the reliance of the City,including its officers and em• •yeea,upon - acc -• information sup•lied to the City es•a part of this application.
111
101.1"1";""
ior
Owner/Agent: /_ Date: 1/4
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