96-103247 4 4 ,
q(0 /0 -Lirt
CITY OF FEDERAL WAY PERMI1 NO: MEC96-0203
33530 Fir0t Way South FlEi 'llelill X c rat L irn cnirtiHr r v.,SUED: 09/1'2/96.
Fede ra 1 Way, WA 98003 Cul [di nci Inspection Request661. 4140 BY: I'.I,i
661 -4000 I ',,',P IR L S: ()‘-,/106/9 7
ADDRESS: :31 12t., 41111 LN SW On i t « k.
i
NO. : 784301-0290
*
PROJECT DESCR II PT ION:11VAC - ELE 10 GAS FURNACE NW! REPLACEMLN1.
, OWNER .....cmgoaA.,.wNww=nownwro=ammumftnitswww44.11mr.stm=mvWsenv...mn , (ORIRACIOR nmannaftRimen.wwwlimgmm=p0
KARL MARTIN I NORTHWEST WATER HEATER i
31726 47TH 01 SW IC I 0201 DURANCn cr cg
FEDERAL WAY WA 98023 TACOMA 14, I
838-9846 984, ',
HAM
stt CSI : 0 ' • Alb li. IN ONOJECIS IIIIIIIN IN( tiff Of 1li4RAI. MAY. TAX RA11 : 8.25 14*
PROJECT VALUATION 2994 FEES:
FUEL TYPES.:GAS ? FANS. ac PRNI ITANCE... $ 20.00
GAS PIPING.: 41 ft NOOD...,,,. , eristf $ 54.00
FURN<100K..: 1 toefitOPV
GAS NWT • 1 ,491111i IF
CONV BURNER: 0 Fu .' 41 1 . P
880 • 0 tilst. ..,, AWE
. . - , v-, . •
GAS DRYER..: 0
RANGE ' U (10,001 N 1 ,iVE GRI OD: 0 ' I
GAS LOGS,..: 0 ' 10,000 . 0 :‘ UNDERGROUND.: U TOTAL FEES $ 14.00
Does the inter supply systele contain a Pressure Reduction Device or (heck valve? il Yes (1 No (It 'Yes' then Rater expansion tanf is required on Hot Water lanEI
Inspection Record Water tine OK Mechanical Inspection Notes:
GAS PIPING Of Date Dv
' .
P1111115 EXPIRE 100 DAYS Alltlf ISSUANCE II 11014ORK IS - EO. RESIDFANAI AND GRADING PERMS tifIRE ONE YEAR AITER OAIE Of ISSUANCE.
)If
.
I (WILY lOt 114fORAA11011 fUROISNED BY NVES "Mt /MU 10 10C RESI i sl KOMI-0GL AND 1111. A014108E1 (HY 01 fEDERA1 WAY KLOUIALKENIS WILE St NEI
_ -
(
,/,' ) , ,
OWNER OR AGENT / ( , POI. , , ' e, , ,,/ (
. ,.
FIELD COPY
.w .
o
IF
- }
CITY OF FEDERAL WAY PERMIT NO: MEC96-0203
33530 First Way South N�l i7:::u::.; Iril VS PI ;. '"�i 1- Ilin N""":PN.N I ::X:. :"r: ISSUED: 09/12/96
Federal Way , WA 98003 Luilding Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 09/06/97
ADDRESS:31726 47TH LN SW Unit: C
NO. : 784301-0290
PROJECT DESCRIPTION :HVAC - ELE TO GAS FURNACE & HWT REPLACEMENT.
r OWNER •- CONTRACTOR =------ ---1- LENDER -• - -
i KARL MARTIN NORTHWEST WATER HEATER
31726 47TH LN SW #C i 8201 DURANGO ST SW
FEDERAL WAY WA 98023 I TACOMA WA 98499
838-9846 1 984-6404
( NORTHWH103R2
*_= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.25 ***
PROJECT VALUATION 2994 1 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
HBO 0 MISC 0 5+ HP • 0 ii
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 I TOTAL FEES $ 74.00
--- --- -._ 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
/
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF ! URK IS -1j'" DEN RAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY M. IS TRUE : D
DATE
TO TR • ST 4 MY KNOWLEDGE AND THE APPLICA CITY OF FEDERAL WAY REQUIREMENIS WILL BE MET.
I-OWNER OR AGENT _ 7 C-
�r 7 C
._.____ _. ._
FILE COPY
City of Federal Way
CITY OF r-- 33530 First Way South "1, a
• . 1-- . Ei
Federal Way, WA 98003 CoE V 2O 3
(206)661-4000 _ r
\r
APPLICATION FOR MECHANICAL PERMIT
PARCEL #• g ` C-2-76) Single Fami� Multi-Family 0 Commercial 0
SITE LOCATION: •
/ / I � - H tt �� Q rg
Tenant/Owner: /1:-/j17 (.. Phone: �
Address/City/State/Zip: �l' r (�"C3
Nature of work: / ixe.--- i id Project Valuation: $ t_„)
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR: /
Company Name: NIQQILKSC ( \g��t` ---tTeu --__„
7ca) oo (t-tl�i SPYr.,� 4v. hi
Address/City/St/Zip: v
Contact Person: ` R�(" (--\ Phone: 2-2? 4c, Fax:
State L & I Contractor Registration #: NURT W I()----/..t_2.— Exp. Date: ( 2"/c
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) 1.4.7 Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping L/ 5 / 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 *initit t)iftCauiit
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 mad,. 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 pars• y. •the undersi•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 em• •yees‘AggA0k upon - '*-,,,.4'0'-
✓'information sup lied to the City as a part of this application. f
Owner/Agent: / _ ' Date: