96-103799 t f r3 iN 7
(. [TY OF FEDERAL WAY
PfM11 W .... ML(..96- 029
39510 First Way Solith roil r C I. in 11.4 .1 t..,:. VI 1,... 14 r II toll 3' I" I(..i,'...:1 I I):: 10/.1 0/96
redoral Way, wo r/n0cK3 oli ! ding Inspecti-il P,-(11H,..,1 ,7; t,, , L , I -u - - , - --*•11,-, DY:
661 4000
1 : 1 0/04/9?
ADDRESS:/1160 SW 314 III ,, I
NO. : 873199-01 90
PROJECT DFSCR 1 P1 1 011-NECH - FURNACE TO 100K
I ESTHER TRINIDAD I NORTHWEST WATER HEATER
1
I 4160 SW ":1141H ST 1 8201 DURANGO SI SW
1 j
I FEDERAL WAY WA q3023 I 1AC0MA WA 18490
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.1 `./4/9 /ism 1 I
1 661-8170 I et84 6404
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NORTHWH103R?
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''''' ''''''''''''r;;;;;;Ii;-Ciiiiiii; liii0i-'' •ii1117r7Illtre, 116 SALES 1AX FOR FINECfs NWAIN IRE CITY OF FINIAL WAY. TAX RATE : 8.25 ass I
.
PROJECT VALUATION 1500
FUEL TYPES.: ' ' FANS 4** Rn.. . . . , Mechanical Pe rmi tt $ 42.00 I
040,4,
.. ' AKE_ $ 20.00
GAS PIPING.: 0 ft HOOD tv ''-': ',...4 ••- ii-.f-,48-1".'" 'i.j.4..1• • , axis ,,, ..„ I
FORM<100K..: 1 NCI Wt*N.7"71trAi04%.,,zw-A4, - 5 ..,, •• 4, eatukt Ilia i
GAS HAI • 0
WOOIrr003.1'914 .
ICOW/ BURNER: 0 1 . ' -et," "----‘"*. --, '- •' 51i P
I880 • 0 HIS -,, 1-,-,- . - , Z:k f f,.., . ,t- ii... .,..',. tfirr
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GAS DRYER..: 0 AIR II, J
RANGE • 0 ...in,k : .,.. 1 I': 0 tef .„,..'
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GAS LOGS...: 0 10,001 t • ''''''', ,,' DERGROWID.: 0
I TOIPL ILLS $ 02.0u j
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Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes (1 No (It 'Yesn then inter expansion tank is required on Hot Water 1,3141
Inspection Record Water Line OK Mechanical Inspection Notes:
I
GAS PIPNR, Of Date By
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PERIfirS EXPINI 180 DAYS At IER iSsUalkt If NO WORK IS ' 1190.40.!r*.‘-libit Rif\ 0 WAN ' PERMITS EXPIR1 ONE YEAR Id Ilk DAit Of ISSUANCE.
I CERTIFY TMNW
tNMAIION ItIRRISIIED BY NI IS WU 0 € 4 0 TR WEST of $Y i EKE AND 181 oft RADLE, *(fly Of FEDERAL Y KEW, num mitt BE till,.
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CIT1 OF FEDERAL WAY PERMIT NO: MEC96-0239
33530 F.i First Way South ��r��� .'�'::::::. .",f ih'i'li PI.1.
W;„„"i�`'•''N # . AAt,ern,,,. °�r�,i .,, :,. .,�,,,. ISSUED: 10/10/96
Federal Way, WA 98003 Building In .pec Lion kequesLs 661 4140 BY: FC2
661-4000 EXPIRES: 10/04/97
ADDRESS:4160 SW 314TH ST
NO. : 873199-0190
PROJECT DESCRIPTION:MECH - FURNACE TO 100K
F OWNER :._.. ___--___7_ CONTRACTOR ---
T_
ESTHER TRINIDAD f NORTHWEST WATER HEATER ( _
4160 SW 314TH ST 8201 DURANGO ST SW 1
FEDERAL WAY WA 98023 iTACOMA WA 98499
k
661-8170 ( 984-6404 (
i NORTHWH103R2 A
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
F- - -._..:: _.. _:---::........ ___._..__---- ::____ _- -- _-_ ----- ::-----
-I
PROJECT VALUATION 1500
FEES:
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS ! Mechanical Permit* $ 42.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 4 MEC PRMT ISSUANCE... $ 20.00
FURH<100K..: 1 DUCT WORK • 0 3-15 HP • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBO • 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 $ 62.00
-------------------- --- --.__------------------- .____ -- ... _.-_- ---_ --- -- A .. --------- __ - - --- ___=
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes O 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 BYArAle:m-lb
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS . •RTED. -1 wilA
! ND GRADI - PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRU • D C TTHE B . OF Y KNO LEDGE AND THE APPLICABLE TY OF FE Y REQUI NEWTS WILL BE MET.
` (r
OWNER OR AGENT � ______-. DATE / _. ._,r
FILE COPY
City of Federal Way tFCFI' E D
CITY OF 33530 First Way South •
® Federal Way, WA 98003 1 19F (�1 G~
W
(206)661-4000 MEC I � - C-).' � ,
APPLICATION FOR MECHANICAL PERMIT
PARCEL it- -7 , I 0 i 9c Single Family Multi-Family ❑
Commercial ❑
SITE LOCATION:
Tenant/Owner: l Phone:
CD
Address/City/State/Zip: LI I CC, ; _`,1� )Li --0,1,, 9E?n:a,.3
Nature of work: . CA 1 ;�c----1-' r-CP/Acs '^!
�4� Project Valuation: $ 1-57--)V.)t1}
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
•
Company Name: A t'� ,-R k R I
Address/City/St/Zip: - 0 1` 1 4_4:. 1\
• go 0
_ /
Contact Person: �--1�[t'U k1J)� Phone: ?-g.7 - -t q
in n Fax:
State L & I Contractor Registration #: X 0rk_1 H (.'l�`-lt 1,03 R'''. --- 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 Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's k 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
t ... .....BBQ's Wood Stoves A/C TONS ti ��f �nt,,r. .
DISCLAIMER: I certify under penalty of perjury that the information furnishes . me is true :._ • • st of my owledge and further that I am authorized by the owner of the above
premises to perform the work for which permit application is made. I r agree to-. e ha i•':ty of Federal W.y as to anyclaim(including
incurred in investigation and defense of such claim),which mayads byany ra costs,expenses haad attorneys'clam fees
out of the reliance of the City, • p -on dud r.gnedtot fi •against the City of Federay Way but only where such claim arises
including its officers end employ es,upon the eco r y of t .� .n sup•'ed tot -City as a part of this application.
Owner/Agent: Date (0