96-103216 it ..• • ,
6,(0 /030-1(a
CITY Of IEDERAL WAY PERMIT NO: MEC96-0200
33530 First Way south Pi 1 trei Pi I C ei L P IC'I,PI I T i1L1): CH/12/46
Federal Way, WA 980113 viri I ii t i q Inspe.( tion P.equo,-;1—.-: e,e)I 4140 BY: IL(
661 -4000 EXPIRES: 09/06/9/
ADWESS:471 7 !,..;W 317 III LIE tin i t: C
NO. : 7E14301 -0030
PROJECT DESCP I PT I ON:HVAC - ELE 10 GAS PERNAU & Hifi CNANCU1.
1 DEBRA MAITINGLEY NORTHWEST WATER HEATER I
I 4117 SW 317TH LH, I( 8201 DIJRANGO Si SW
I FEDERAL WAY WA 98023 TACOMA WA 98499 I
I
1 ,
i , I
1 838-2043 I
eke CONINACANK: etEASE isillkADON f SALES FOP tl 'l IN let CITY 01 IFOIRAI WAY. (AX RAlt = 8.25 ssi
I PROJECT VALUATION 2994 ,,ihr FEES:
I FUEL TYPES.:GAS ? FAN` 0 . ----- -
0, ',,y, Ve'i '- ."' -
$ 54.00
I fOR11100k..: 1 ,
1 GAS HOE • 1 14c, ' , -— 2-h.- ::-• 4' ,.' • ,, , -...,.' ,,,,' -
I 080 • 0 MI I
GAS DOYER.,: 0 AlR 1, I
RANGE • 0 ABENE ',Roam. 0 I
GAS LOGS...: 0 io,u u "I' UNDERGROUND.. 0 , IOTAL FEES $ 74.00 I
Does the water supply system contain a Pressure Reduction Device or fheck valve? () Yes () No (li "Yes" then water cApansion tank is required on Hot at lank) II
I
Inspection Record Water fine OP Mechanical Inspection Notes: 1
I
GAS PPM Of Rate By I
I
PIRNIIS EXPIRE IRO DAYS AIIIR ISSUAN(t It NO WORK IS WRI9e'IttSIONf1At AbliANK PEgAM EXPIRE 911( MR 10101 OA1L 01 ISSOANCI.
I CERTIFY INt INIVRMA11014 IURIEBNIR NY M IS !kW AND (004(1 10 let NES14 NY MONO AND INE APPIICAbl CllY Of ftetPkt NAY ItlefffetAiNIS KILL et Nt(.
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MEP OP HIANI , , VAR ,,,-',, e- ,,.::----"1 , -
...,
FIELD COPY
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CITY OF FEDERAL WAY PERMIT NO: MEC96-0200
33530 First Way South P" ;;..: :�„� rlelIi''M .nr �: el I._ II'fir'„:rum .,I. .,. ... ISSUED: 09/12/96
Federal Way, WA 98003 l ua .ding inspection Reques Ls 661-4140 BY: KLC
661-4000 EXPIRES: 09/06/97
ADDRESS:4717 SW 317TH LN Unit : C
NO. : 784301-0030
PROJECT DESCRIPTION:HVAC - ELE TO GAS FURNACE & HWT CHANGEOUT.
;= OWNER • .. .__. .__.
---..;._ CONTRACTOR =-: --- ... __ _: LENDER -�_ - -- - --_� ___--_T
DEBRA MATTINGLEY ' NORTHWEST WATER NEATER
4717 SW 317TH LN, #C 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499
838-2043 984-6404
NORTHWH103R2
I:_.... -- -. ..c_._•- .-,._ ------------------- •• - _....___- .. _..___c_•ce�
lit CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 ***
PROJECT VALUATION 2994 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 43 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
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES • $ 74.00
----- --------- ---- ---------•- -.--- ---------- ----------- - ------- - ----- __.. ------------•---------- ............
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
:.._... -----• -- .--- _. ---SS-----_TTCC----._-OSx____•-...---___- -- -- .-.... F----'_...._._I
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTEI. RESIATIAL • 4, NG P,'MITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME 1S TRUE AND CO! ' CT TO THEA"i , NOWLE'E AND THE APPLI E CITY OF FEDERAL MAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
______._.._ DATE _ -._.__
il'
( (./%'
FILE COPY
City of Federal Way , •
CITY OF !—, 33530 First WaySouth �� /�
0 Federal Way, WA 98003 r�-1 1(0r 0 7(W
(206)661-4000
WFTY
APPLICATION FOR MECHANICAL PERMIT
PARCEL ft•ys- L7 ., ••---)--- 6 / G C" 3 - , Single Family Multi-Family 0 Commercial 0
SITE LOCATION: �, �/ / l� � Q (/
Tenant/Owner: D� fi i 77 / 7 67 C 6( Phone: >r�%� ��C
4410 C S 19 E.n- c _ �
Address/City/State/Zip: �'t� 1411 "f�WI! eg 2-5
Nature of work: Al"' r? ,,Ace flair► ) LRcc Project Valuation: $ 7( l )
j1 yl o teeth-LA- fo l 0 s
APPLICANT:
Name: ,
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: ‘k\O`-" {JWP J1�- --. -N—S--
Address/City/St/Zip: 2 O0 D`['�� 4f. v .
Contact Person: . ` ' " (---\ Phone: 2_,g`-_4 qCC Fax:
•
State L & I Contractor Registration #: KURT t\f I b�Jk•2--- Exp. Date: ( 1/c::)
(Card must be presented)
MECHANICAL UNIT COUNT:OU
Fuel Type (gas/other) % 15- Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping I-1) Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's l Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt j Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
•....... ............................................ ....
. BBC's Wood Stoves A/C TONS 7otai.f3rift:Odunt
DISCLAIMER: I certify under penalty of perlury that the information turns• • .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 a ml•• -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 pens. � •the utdersi•ned,and tiled against the City of Federay Way but only where such claim arises 1
out of the reliance of the City,including its officers and em• .yees,upon - acc al.information sup•lied to the City as a part of this application.
iiir
Owner/Agent: ! . ' Date: