96-100131 (-7(2 )60/3 (
r
CITY OF FEDERAL WAY PLIWLT NO: MCC96-0009
33530 First Way South il 1[7" C tirli H I CAL PERMIT
... ...... ES',AJED: 01/11/96
Federal Way, WA 98003 nui Idinq I wipe( t ion Requests 66 -4140 BY: IC2
6614000 EXPIRES: 01/04/97
ADDRESS:1004 SW 307 IN T
NO. : 178830-0035
PROJECT DESCRIPTION:MECH - GAS NT
tr OWNER CONTRACTOR LENDER r. nggirnt
LINDA CODDINGTON NORTHWEST WATER HEATER ELEC.
1004 SW 307TH ST 2800 THORNDYLE AVE WEST
FEDERAL WAY WA 98023 SEATTLE WA 98199
1 1
941-3820 I • I
% !_ %., i
Its comacrefts, Riau 1 g t! ,,c'oll i ,; I 1 N SALES FAX FOR PROJECIS WITHIN THE CITY OF FEDERAL WAY. IAX RATE : 8.25 *Is
1 PROJECT VALUATION 350ve,.
A4:-- '3,, FEES:
1 FUEL TYPES.:GAS ? FANS ,-•: .:•-2Ti. ' ,1111OMP: ,'''',-,,,-y,,, 4y-,';i1 ,,'" ,, ,,k7. -_,,, “?,,74,g .,,,AZ-Arii12.- 4,„ak- ,,, :!I414VereitT $ 22.00
..„.? 1.,e, 1,.., .-,.:,-. ,UANCL $ 20.00
1 GAS PIPING.: 0 ft HOOD.AN,Y:41,, -, • 0-3 ,..,...' *..---,2..- - 1111111 ' Y ''^4 it .1,;,:,,, —
1 FURNclOOK„: 0 DYri v ' ', 8.15
CAS HO. • 1 W4411 5T4Yrs*.,' -10 ‘A I -3 HP ' I
TONV BURNER: 0 , ,,_
11.11*144 34, lw li" :10,40#-HP4. '21f . , ,.
BBQ • 0 misc.4::‘,0tiAt.1)0p, , .ike,410. —
•cot\ •..-, '4 1
GAS DRYER..: 0 AIR HA11-We 4-,•-•. 0 '5-1All'T: , iti
“ -....
RANGE • 0 r:10,1 ) ,, 0 •..f, :OVE GROUND: 0 1
GAS LOGS...: 0 ' 10,000 : 0 -- UNDERGROUND.: 0 TOTAL FEES $ 42.00 I
scra—m.nr,77.ammv,,,4=czwelannw.7at-dor..ww4w.watmearm,.14.4.0.,mn.,,,cs.uummn=wm.mul,m.x.mitem.wroommv,tram=utmmat.uucatnvaa.mw,,mw=m,.1.,ot .maraum4s4c*PArte.r.m.nmwmwm,A,Itapmc.=pm.,:nwww.,=mr.m.tmtrm.===.ta
Does the water supply system contain A Pressure Reduction Device or Check valve? () Yes () No (If "Yesthen water expansion tank is required on Hot Mater Tank)
iInspection Record Water line OK Mechanical Inspection Notes: I
1 I
1 GAS PIPING OK Date By
1 I
,... ,
MANS EXPIRE 180 DAYS Al ER ISSUANCE IF Nu MORI JAR . ' . 4 Arifiti AND CIAD PERMITS EXPIRE ONE YEAR MIER DAIL OF ISSUANCE.
I CERTIFY Int INFORMANON FURNISHED BY ME IS t .- , ORRE( t HE BESI OF NY IWNtEI1G1 AND IRE APPLICAME CITY OF FEDERAL WAY REOUIRBIENIS WILL. RE KT.
OWNER OP AGENI (77 .9(
DALE ( 7
.
__,/,--' -- -,,r-----?().
,,.
FIELD COPY
•
A
CITY OF FEDERAL WAY PERMIT' NO: MEC96-0009
33530 First Way South ill �:, ny. l... A It"• .,,�.".. (,,.j1,,:!�.., H,,,,,.. ,14 �' ,.,�,,Il���h , .11 'T.. ISSUED: 01/11/96
Federal Way, WA 98003 Building Inspection Requests 661--4140 BY: FC2
661--4000 EXPIRES: 01/04/97
ADDRESS: 1004 SW 307TH ST
NO . : 178830-0035
PROJECT DESCRIPTION:MECH - GAS HWT
r= OWNER =._ __ - . ---- --v- CONTRACTOR - -- _.---.- -------------- - ---.- - LENDER -- ..__ _-______.. ------------�
LINDA CODDINGTON 1 NORTHWEST WATER HEATER ELEC.
1004 SW 307TH ST 1 2800 THORNDYKE AVE WEST d
FEDERAL WAY WA 98023 1 SEATTLE WA 98199
941-3820 1
ii 1 NORTHWH099Ji c)!
4.. _._ "—^^-:-a:e=:ecce=:.==Asac___._ .____ .._.'__.__._. .._.._A_..... _- _ 4_ -• ...._........_._..,.........�
_xx CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES LAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
- -- ----- ._ --_-_--_----__ - -.--
1 PROJECT VALUATION 350 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS i Mechanical Permit* $ 22.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 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 $ 42.00
- -----
Does-- _.. .. ___.--- ____ _-------_....: ___- _._-_ _._.__._.________.- ____._ -._ ___ --
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 NO WORK . TAR , ' . ! ,;, AND GRAD G PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS ', A,, , IRREC + T OF MY 1 LEDGE AND THE APPLICABLLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENTeliqtrik DATE
RILE COPY
(K/C-c. T(_,---ao O 7' .
City of Federal Way
CITY OF u 33530 First Way South
• Federal Way, WA 98003
WRY
reirp (206)661-4000 RECEIVED
APPLICATION FOR PERMIT
ERM/T JA X 1 1 1996
PARCEL ($� 1 CITY OF FEDERAL WAY
' Single Family Multi-Family O BUILtMEial ❑
SITE LOCATION: ) AD \Tenant/Owner: ( ` Co p 0 \ V '-I-0Phone: 0 ' I�`t 21. j )--e
Address/City/State/Zip: �C& ��� ��' <1 0 .,t'J�Y (gf�� t
�' �n /-1 -S-C�
Nature of work: �-1 -�' L4��� /�r/ " LAC�n�:�i,/� Project Valuation: $
APPLICANT: /�
Name: /\f/ LA) PIS re::(---' .)/n 1 T-
Address/City/St/Zip: Xf` "�- n���� is Crif I 0 c_I .`1 l) —__
..--..---
Contact
Person: (1---"e7.-:()"Ci/7-7— Vis- /,).c s -1 �(i� ,� 112 `1Phgne• � Fax:
MECHANICAL CONTRACTOR:
Company Name: A ' ' " (A�.. a
Address/City/St/Zip: '---)-(S CO _`i0(:11 0 't ' C-,-••1 Ci( 1 c) Ci
Contact Person: F1' C l -"--'"--7-7"-- 'Phone: - ' Fax: 7�:( (1:1.7 7
? .s5 .,. l '`(s if ,-(is-- G7
State L & I Contractor Registration #: �Ib (— j'` V) 10..7 r;-------)--- Exp. Date: l ! /
. (Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping 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 >f>:> .<: :>:> >> > z >
`T�s1#3ntf(�n�
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 ant authorized by the owner of the above
premises to perform the work for which permit application Is -. ur •ree to save harmlessi City of Federal Way a to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),whic• ay be made by any person,induct• �"'"r�^.\rsi••-• .filed against the City ofFederay Way but only where such claim arises
out of the reliance of the City,including its officers a •employees,upon the accuracy•• • ••• he Cit as a art of this
/// YP application.
Owner/Agent: Date. ( / �(10