95-101788 CITY OF FEDERAL WAY PERMIT NO: BLD95-0592
33530 First Way South MECHANICAL. PERMIT
ISSUED: 08/01/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 01/28/96
ADDRESS:29514 4TH AVE S
NO. : 186270-0060
PROJECT DESCRIPTTON:MECH - GAS PIPING 80' 6 GAS L0G
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CHARLES TWINING NORTHWEST WATER HEATER
29514 4TH AVE S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA WA 98499
941-6939 984-6404
NORTHWH103R2
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sts CONTRACTORS, PLEASE MSE LOCATION CODE 1732 MMEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.25 *Is
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FUEL TYPES.:GAS ? FANS - 0 ROILERS/COMPRESSORS FEES:
GAS PIPING.: 80 ft HOOD ..: 0 0-3 HP. • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK..:..: 0 3 15 HP • 0 MEC APPLIANCE FEES.* $ 9.50
GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURH>1O0K • 0 30-50 HP • G
BBQ • 0 MISC.... - 0 5+ HP.......: 0
GAS DRYER..: 0 AIR HAHDLIHa UNITS FUEL TANKS
RANGE • 0 <:10,000 (FM: P ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFM: 0 KUNDERGROUND.: 0
TOTAL FEES $ 29.50
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Does the water supply system contain a Pressure Reduction Device or Cheek 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
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PERMITS EXPIRE 180 DAYS ER ISSUANCE` 1 'i'K IS ART RESIDENTI• 1 GRA S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATI' FURM Tf UE CI CT T .. NE 1E - /OF NY,e, EDGE AND THE APPL @RILE CITY Of r FE(yp/yRAnL MAY REQ REMEMTS MILL BE NET.
OWNER OR AGENT 4�
FIELD COPY
CITY 'QF FEDERAL WAY PERMIT NO: BLD95-0592
.
33530 First Way South t HA N.I. d,„„,.A ,„. P ,,n I ”... _I ISSUED: 08/01/9.5
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 01/28/96
ADDRESS:29514 4TH AVE S
NO. : 186270-0060
PROJECT DESCRIPTION:MECH - GAS PIPING 80' & GAS LOG
OWNER r- CONTRACTOR LENDER
CHARLES TWINING NORTHWEST WATER HEATER
29514 4TH AVE S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA WA 98499
/11p41-6939 984-6404
NORTHWH103R2
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 80 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 9.50
GAS HNT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 29.50
I = =...
oes 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)
IInspection Record Water Line OK Mechanical Inspection Notes: -
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS •' ER ISS ' I `'IRK IS ''TED: RESIDENTIAL • D GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
110
I CERTIFY THE INFORNATI1 FURN . P 4' TRUE A CI CT TO NE BE OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT / / � _ ___ _ ! __'
C-- DATE
FILE COPY
•
• itCity of Federal Way
CITY OF 33530 First Way South
•
• Federal Way, WA 98003
_______-----_______ [`\`\ ETD r K FR 12061661-4000
V V FW
APPLICATION FOR MECHANICAL PERMIT -� , � f'
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PARCEL #•I
�?&U:q—U U G(c 0 Single Family,D Multi-Family 0 Commercial 0
SITE LOCATION:
I,{ A ` l l Cf
Tenant/Owner: .C--Li uT a 1 L�1 ! Al v1��1 (') Phone:Ct , - �'9
Address/City/State/Zip: �� /"--1 Lt
1
`--14- 6 1,1 , v:1-21> - 116 /• RCGar
Nature of work:
(I PV�c 1-°&s Project Valuation: $ q (4 ____
APPLICANT:
Name: C/om'N/1 ( =� Ca' C 1.1Uf l,At r1; G
Address/City/St/Zip: -.-c-i �s) 14 r` " Ad Q , � -- bi R`( CL, ,O6
C<)6- 0Fr �1�-A161-t� Phone: ; / i, / �7C1 Fax: 3-�—( —ya73-
Contact Person: r
MECHANICAL CONTRP WATER HEATER, INC.
Company Name: 0+THL3R:sfIKF , VF WEST
SEATTLE, WA 93199
Address/City/St/Zip: /�� r�
/� _ � /(-7(-(t5--T`t Fax: � � '7"r �z�
Contact Person: ` ') Dr 1- 71r�[�C)( '\ Phone:
State L & I Contractor Registration #: A16.-• ��6U / - -- d:-- Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping c1,Q Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log II 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 :7otai Unff,Oaran
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the 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. I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be made by any p• • ,including the yndersig .,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 employees - curse of.....j,; '• ••mation a ••ied to the City as a part of this application.
.� Date:
Owner/Agent: ---(