95-102217 CITY OF FiDERAL WAYPERMIT NO: BLD95--O708
353C? First WaY South M C HI 1!,,,,,t IF"�� 1”... AMM fl L.. P R .I T ISSUED: 08/31/95
federal Way , WA 98003 Building Inspection Requests 661-4140 BY: FC
661--4000 EXPIRES: 02/27/96
ADDRESS: 3071.4 4TH AVE SW 95 10DrI
NO. : 178890--0750
PROJECT DESCRIPTION:HVAC - INSTALL ONE FIREPLACE INSERT AND 45' GAS PIPE.
r OWNER =-- CONTRACTOR = . -- --- = LENDER =___ •• _ _=__�
i LISA ENGER NORTHWEST WATER HEATER
30714 4TH AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499
946-6556 984-6404
• NORTHWH103R2
_ ,_ 1 .. .. .---- ________==
_ *** CONTRACTORS, PLEASE USE LOCATION CODE 1732 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.: 45 ft HOOD 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
I FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 9.50
1 GAS HE • 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 <710,000 CFM: 0 ABOVE GROUND: 0
I GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 29.50
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i 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)
nspection Record Water Line OK410
Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF RK IS S Id1IM/'E IAL A D GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED IS TRUE ..,6111731"1 NE BEST NY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NA EMENTS WILL BE MET.
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CITY OF G • City of Federal Way 0 ♦ '..
33530 First Way South
• -=4 Federal Way, WA 98003 ,
\ ��y- (206)661 4000 bcipq` - o-les o, j
APPLICATION FOR MECHANICAL PERMIT '
—7_ �
RECEIVED
PARCEL "[ Q L� (1 ,
keit 9§ gle Famil yAd Multi-Family 0 Commercial 0
SITE LOCATION: CITY OF FEDERAL WAY •
BUILDING DEPT. (�,f / -
Tenant/Owner: Li SA C,,/t�/--)C Phone: "--19: �p " tLS-(/'
�.I-10----
r`1— ' I
Address/City/State/Zip: `JCS �-1� f Ad ��i f--�I� .-��t\.'( 9g0
Nature of work: .11/ :<1A- / Fr .A.-ce L e-e-- t PIPE Project Valuation: $ q`(CO-(c2S`
APPLICANT:
\
Name: N,6 Ocieni ( .-F
Address/City/St/Zip: Z((j ' in PI 1D 13CA) ( IC( SE/ 9g/I
Contact Person: 6)rip 7--C- 44Qz- - Phone 5-1 a/ 1/4S— Fax: ,
- " (-;�,TY-i-
3
MECHANICAL CONTRACTOR:
NORTHWEST WATER HEATER, INC
Company Name: 2800 TR DF :J4. E WEST
Address/City/St/Zip: SEATTLE, WA )d199 ,s _.-- co-oc)
Contact Person: �Cr,t 4/,/1;c)L_4), Phone:�'1 469 CE-icl 'Its—
Fax: 3- -� -(1--)=-4-
State L & I Contractor Registration #: f 0 el- t* 1.,\' K 1a3 Ce--- -
(Card must be presented) EXp. Date:
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer
Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping q,,---- 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 "(1Z iidel / ( - I
Conv Burner Duct Work A/C vY
TONS Other
BBQ's Wood Stoves A/C . TONS TONS TTtst'Zifi of t aurid`:::>»g
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. 1 further agr-. - ave h
incurred in investigation and defense of such claim(,which maybethe City of Federal Way as to any claim(including costs,expenses and attorneys'fees
made by y person, • •the •- igned,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,upon -accurst • info
•plied to the City as•part of this application.
Owner/Agent: Dat /