95-101471 6'5-- IoIL -7I
1 CITY OF FEDERAL WAY PERMIT NO: BLD95-0506
33530 First Way SouthMECHANICAL PERMIT ISSUED: 06/29/95
I Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 12/26/95
ADDRESS: 31751 8TH AVE S
NO. : 609400-0030
PROJECT DESCRIPTION:HVAC - ADD 100,000 BTU FURNACE
( OWNER == CONTRACTOR = ___= LENDER =_____ _ =
I DON SWANSON NORTHWEST WATER HEATER
31151 8TH AVE S 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023 SEATTLE WA 98199
839-3296 322-8191 419-6473
NORTHWH103R2
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*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
c= c = .-________ = = = = x a
FUEL TYPES.:? ? FANS 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD 0 0-3 HP 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK 0 3-15 HP 0 NEC APPLIANCE FEES.* $ 10.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP 0
! CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP • 0
I
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 $ 30.00
4;111- =
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)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
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PERMITS EXPIRE 180 DAYS AFTER IS E 1 :u: ARTit. RESI, TIAL AND GRAD ' TS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED 4 IIE AND Cl" ECT TO " E .. T, OF Y K/ ND THE APPLICA CITY OF FEDERAL WAY JEQUIREMENTS WILL BE MET.
OWNER OR AGENT Adik ....._... DATE�!�� DATE
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CITY OFEi _mazit_._
�----- • City of Federal Way EFECE!\IED
33530 First Way South
-_-- Federal Way, WA 98003 MN9 1995
WFW 12061661-4000 ,
APPLICATION FOR MECHANICAL PEWG DEPTN DEPTY OF FEDERAL WAY
.
PARCEL # `'1 0 - B W `5 0 5° SIL
C L � 0t73 a - Single Family D Multi-Family0
Commercial 0
SITE LOCATION:
Tenant/Owner: RA 5'lit(AN)SOI� Phone: ‘-'1- — ci
Address/City/State/zip: `�C S T Ai S1. �.i . i/ili' ( ?__-3
Nature of work: ( A\ST/9(1_ 1 l M ISTO -.-2L,\CA`A CC
Project Valuation: S 1,:::).-
•
APPLICANT:
Name: FC ' 1
Address/City/St/Zip:
Contact Person: C� Cl l"F A f2-r�ili 1 ,/) Phone: a-)- - c2t / Fax: -3)-e - "-(,-)-f -+
•
MECHANICAL CONTRACTOR:
NORTHWEST WATER HEATER, INC,
Company Name: 2800 TIIORidDI:'E AVE. WEST
Address/City/St/Zip: SEATTLE, WA 98199 _ �(\cl
Contact Person: (.." Gr) I-- r A e(\)(`) (---I-) Phone: _� � Fax: _)---- .--- I ( f
�-
State L & I Contractor Registration #: v 0 2T i4 tkM( o R
(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 Range Air Handling > 10000cfm
= ,
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
tat f3rttt 6g4....:........_..:.:::.:: :::::
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 saree to save harmless the City of Federal Wayas to anyclaim(includingcosts,ex
incurred in investigation and defense of such claim),which may be made 'a expenses andeattorneys'suh claimfeesa
arts,person,racyof including or the undersigned,supsupplied
thend filed against aut thetCity of Federay Way but only where such arises
out of the reliance of the City,including its officers and employees,upon accuracy the information s
applied to City as a part of this application.
Owner/Agent: ' 41111Wrar ___. ..
`
Date: 'r�