96-103251 ( IfY OF FEDERAL WAY PERMII NU: MLC96-0204
113530 First Way South M r C 1 lel IN I C rii IL ri IC Pk M I T ISUED: 04/12/96
Federal Way, WA 9800:3 tzuilding 1ncLpeClion Requests 661 - 4140 HY: frlc
661 4000 EXPIRE : 09/06/97
ADDRESS:4718 SW ‘41 / 1H LH Onit: A ilib
110. : 784301-0050
PROJEc_'T DrscRi PT ION:KVA( - Eli 10 GAS FURNACE d NWT REPLACEMENT.
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JAN LINDSAY NORTHWEST WAlER HEATER 1
4/18 SW 317111 IN IA 8201 DURANGO SI JI
FEDERAL WAY WA 98023 IACONA NA 4849q
661-0584 1 984-6404
1112 comAcriti:$4.004tif 1, A i '' ° " ' - A FOR PROJECIS IIIININ INE CIIY 01 ItttfAt WAY. TAX PAIL : 8.25 ***
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PROJECI VALUAIION 2381 V.' TEES:
FUEL tYPES.:GAS ? FANS 0'fr••.*•' ''' 8 '4'
, • ' . ' NCE... $ 20.00
GAS PIPING.: 48 ft HOOD. -* •.-,,-*,, , „004,,,, . , . '.„f 1.P,',1— 411111MF e re i ts $ 54.00
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F1111t1/100X..: 1 '. . - i ,
GAS NWT • 1
CONY BURNER: U
880 • 0
GAS DRYER..: u AIR HA
RANGE • U -.1.0,01$ n. / ,IVE 1.1'0 D: 0
GAS lOGS...: 0 10,000 . . 0 UNDERGROUND.: 0 I rill AL FED) % 14.00
Does the water supply systet contain a Pressure Reduction Device or Check valve? 1) Yes f I No (If "Yes" then water expansion tank is required on Hot Water lank)
Inspection Record Water Line Or Mechanical Inspect ion Notes:
GAS PIPING 01: Date tty
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PIRMIIS EXPIRE 180 DAYS AMR ISSUAREE If xo,voit 1S-STAKIIII. RISIT41141At AND GRADING PERMITS WIRE 0111 YtAR Eli ER DAIL or ISSUANCE.
I CERTIFY THE INIORHATION FURNISHED NY It7At IR AND CORRECI 10 ilk Awsi 01 NY K110111E1%1 AND 1111 APPWAIAL (ITT 01 FLOM WAY RIOUIREANIS WILL It NEI.
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FIELD COPY
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CITY OF FEDERAL WAY PERMIT NO: MEC96.0204
33530 First Way South 14 17:'K::::::!TM 11 .:,::. 4:::: el K,",,. rt ::io.fli l ::;:: .1". ISSUED: 09/12/96
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 09/06/97
ADDRESS : 4718 SW 317TH LN Unit: A
NO. : 784301-0050
PROJECT DESCRIPTION:HVAC - ELE TO GAS FURNACE & HWT REPLACEMENT.
p- OWNER •• .- -•-•_ .- r CONTRACTOR -- -- = LENDER ---------_-.
JAN LINDSAY ! NORTHWEST WATER HEATER
4718 SW 317TH LN #A 8201 DURANGO ST SW
FEDERAL WAY WA 98023 1 TACOMA WA 98499
661-0584 1 984-6404
ii NORTHWH103R2
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 2387 5 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
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 74.00
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Does the water supply system contain a Pressure Reduction Device or Check valve? 0Yes () No (If "Yes" then waterexpansiontank 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 NO I � ;•; ' ) TIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
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I CERTIFY THE INFORMATION FURNISHED BY ME ' ,;" f THE ,EST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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OWNER OR AGENT _•,_ b 16 DATt .! _C_/_._.. 7
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FILE COPY
City of Federal Way ilk
CITY OF 04""""—, 33530 First Way South a
• Federal Way, WA 98 003
t1n ECG (p 0204yEJZAL (206)661-4000
`V ) FTy
APPLICATION FOR MECHANICAL PERMIT
-7- `
PARCEL ii• 7 =50,'/ 6 n O Single Family p Multi-Family 0 Commercial 0
SITE LOCATION: I\Jr.
Tenant/Owner: IA N\ Ll/ `i Phone: ��6 KI
Address/City/State/Zip: l� 7 1: A u) 3 / 7 (1'�)
Nature of work: '—�l �- iri6Ag(e 741/ffaill / Li42 5Y
Project Valuation: S
•
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR: /
r.
Company Name: „,\ai� ��� \ l �� —
Address/City/St/Zip: (a) Oan
ttLS( SD Rte- AV. h/ .
Contact Person: • - I ` " (-1 Phone: `_ `()C Fax:
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State L & I Contractor Registration #: ' b ► Exp. Date: IL I. ('—'
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) C/� Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping (-!T� Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's ` I 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
• 884's Wood Stoves A/C TONS ,Mtif f]nfti*✓iluni
DISCLAIMER: I certify under penalty of perjury that the information furnis• • •y e 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 as mle-. -City•f Federal Way•e to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which ma - made by any pers• • ••the underai•reed,and filed against the City of Federay Way but only where such claim arises
iiiir
out of the reliance of the City,including its officers and em• •yeea,upon 1110(.°'
• act a• information sup.lied to the City as a part of this application.
Y e
Owner/Agent: ! _ ' Date: