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CITY OF FEDERAL WAY PERMIT NO: MEC96-0225
33530 First Way South M C.w::::Fil ih+`'9i pp',A I k":el R,. rt F4.;,I:,. ,.II,,. ISSUED: 09/26/96
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 09/20/97
ADDRESS: 30205 11TH PL S
NO. : 515390-0370
PROJECT DESCRIPTION:MECN - GAS PIPE, FURNACE TO 100K, GAS HWT
r- OWNER ___ ... _.. = CONTRACTORx LENDER .. ._ q
KENDALL KORSMOE --
NORTHWEST WATER HEATER
30205 11TH PL S 8201 DURANGO ST SW
FEDERAL WAY WA 98023 r TACOMA WA 98499
839-8961 f 984-6404
NORTHWH103R2
*** CONTRACTORS. PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 1250 1 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 38.00
GAS PIPING.: 42 ft HOOD • 0 0-3 HP • 0 I MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 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 i
BBQ • 0 MISC • 0 5+ HP • 0 1
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 $ 58.00
----- --- ---_: --- {
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 1
- f_� . -_ _____________.--___ ...---_ -------
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS START , alt : �' TIAL . .D GRACING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSIANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS IRKAND C1y,. ,&HE BEST OF K 1 LEDGE AND THE APPLICABLE CITY ' A - E MENTS WILL BE MET.
( i
OWNER OR AGENT11 DATE ✓/ _ k/-
FILE
FILE COPY
City of Federal Way
CITY OF ,-- 33530 First Way South ('aFederal Way, WA 98003 S C7Z( OZL S-J
W
(206)661-4000FF:1;
APPLICATION FOR MECHANICAL PERMITii-IEC E f V E D
1
PARCEL C L - Single Family/1-
amily Multi Family ❑ EPC7prrn ) 0
CITY OF WAY
BUILDING DEPT.
SITE LOCATION: ,/�
Tenant/Owner: 1<r--_�\\1 - �C�, I' LC1 1 _ S (i--, Q Phone: Cl1 - 61 CQ
Address/City/State/Zip: � 36--25-- ` e( , A'16: •,-k; A_ `( 9.3 C()3
i
Nature of work:
) ( lk/144< ACr- �]"1C-
-6P1--il W Project Valuation: $ t X43
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR: -�
Company Name: S Q �VJ (g/t-T-(79e- t-�
��
`� 0D C rt tz .s D'I'r_c 4i cif.
Address/City/St/Zip: � `� �
Contact Person: - - - ` f("l hPhone: `—'i Th Fax:
State L & I Contractor Registration #: ► Exp. Date: • 2 /�
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping 4----[:,t,
, Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's 1 Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt f Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
...................................................................
....................................................................
................................ ..............................
• BBC's Wood Stoves A/C TONS Tot4.:t iiit>LiSurif `%::>:<> <:;::;;;<:;;;;:;;:;;.<;;;
DISCLAIMER: I certify under penalty of perjury that the information(urnis • •y a is true a correct • •. 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. rther agree to sa � mle-. City•f Federal Way as to any claim(including coats,expenses and attorneys'fees
incurred in investigation and defense of such claim),which ma made by any pers• •the undersi.ned,and filed against the City of Federay Way but only where such claim arises
iiilout of the reliance of the City,including its officers and em• •yees,upon ••acc •-information sup•lied to the City as a part of this application.
Owner/Agent: d- ' Date: 4