95-102459 q5 tg457
CITY Of FEDERAL. WAY PERMIT' NO: 3L_D95 -U 770
33530 First Way South ME (.'"": HA N I. CAL PERMIT rSSIJFLD: 09/21/95
Federal Way, WA 98003 Building Inspection Requests 661.,-41401 BY: FC
6.61-4O0O EXPIRES: 0'3/19/96
ADDRESS::298 74 1.1111 AVE SW
NO. : 195460-0106
PROJECT DESCRIPTION:NEW FURNACE < 100,000 81115 GAS TO GAS
NORTHWEST WAINER HEATER NORTHWEST WATER HEATER
2800 1HORNDYKE AVE WEST 8201 DURANGO SI SW
SEATTLE WA 98199 TACOMA WA 98499
984-6404
11011fikllitV
Itel 4M-Mtt..t:'A':'1bCi`m.
*1* CONIRACIuRS. PtkA':t ;# Tf►CAIII4. tOOE titVITEN HOHNIINti SALES TAR FON P OJEIIS N1ININ NI CITY OF FEA(KAL TMT,. MX NAtt k :1', * 3
t
FUEL TYPES. GASKi: ? FANS , •. u t;OI+iRSI Un tISS S FEES:
GAS PIPING.: 0 ft HOOD 4101 3F.. Kok. $ 20.00
FURN(100K..: 1 DUCT.WORK„,-,10,,4.7 *1 P. I 'CE FEES.* S 10.00
GAS NWT . G woo r r{tv* . A tc-10 t1P � r �
:OHV BURNER: 0 TNY 0 Y « 4. Ai
BED + .
0 n ..w�,K. t� OP fi .' 0
GAS DRYER..: 0 AIR ItAN!'t(ft �UHITS 1*L N r---"
RANGE • 0 ��i 1' r.F$ O AWEHD: 0
GAS LOGS...: 0 > 1l+ O ¢4,t•P- 0 .• ' 'kDERGPOUND.: 0
TOTAL FEES S 30.0u
9t:KL%P�K41SIIt::.Ri43St,ld^.[A':'p.rGir aC nts t'NRdlL9,9Z4Ai?L.HICYCI.'IEW:Sn1:tCFkll's^:.TL:Ct,an 1QS:Gb'.AS:WflW AIF.::?J1 tt a::cfClxaaasrc$Z* *$r0.9oteuTrcCset L:r,L::�rJ,'w..u:r:g:r.•;aK'4na.zt:unn,Ruvee xtsr.::azzsnr..mx'�0ruc:fnCC T:an:zsr,Ize AUu�:1:-»U::: NlRpsz:exaY:smta#u:1aKr•r it�l'.r:zcL".r r`
Does the water supply systee contain a Pressure Reduction Devictito(PCheck valve? 1) Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK n MechanicakWspe t' Notes:
GAS PIPING OK ��. Date . By
I..:i 1...._.:t'. .. ':..:':4::; ._Y l.:_:.. ;[PR-...:L C:-...A..:y.F::A:41Y 011 CLSl.SG::L::«GTIeILSR^::}'"i?SS'S'R•JC ClRt;1PY .. :'.::::.Yl..-.C':'.S:Y!{:^:CA^:L'%'l••t. 33+'1'.CRA:GSJY 6MGC:�4' t[c Y,YKi.':36.li Y19 W'l'•FLfi:d...:"::14.'.....'....4..: ...MKa.'i"i^3Y.eCO.t'�:✓:'i64U.:Fx.....t.....Y.:.WX 'n."C:"'2"7
PERMITS EXPIRE 1HO DAYS AFTER ISSUANCE. I RORK IS SIAM. .. DEMIJAt. ARO t? INC PERMITS WIRE ONE YEAR AFTER BATE Of ISSUANCE.
CERTIFY INE 990RMATTON FORMULA IS TRUE AMR Co :rTO TNF OL41 Of MY LIKE MD THE APP(LICCAARI UTY OF F�RALpIREENTS illLt NEI
uNNEP OR AGENT DATE— i ( ly
FIELD COPY
CITY OF FEDERAL WAY '° PERMIT NO: BLD95--0770-
33530 First Way South M N:;";,.'C.,. hl r,�,"�U N .�,.. ',,,.. ; N„„". PI E. 'u i .I "I" ISSUED: 09/21/95
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC
661-4000 EXPIRES: 03/19/96
ADDRESS: 29874 11TH AVE SW
NO. : 195460-0106
PROJECT DESCRIPTION:NEW FURNACE < 100,000 BUT'S GAS TO GAS
r= OWNER = ---- -- CONTRACTOR = = LENDER --- ---
i NORTHWEST WATHER HEATER 1 NORTHWEST WATER HEATER
2800 THORNDYKE AVE WEST 1 8201 DURANGO ST SW
SEATTLE WA 98199 1 TACOMA WA 98499
984-6404
NORTHWH103R2
=___._...- ____.. .__ ___.__.______.. ._-=-.---.----------. 1 ..___.- ._ - _ =
an CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 ***
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS I 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 MEC 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
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
===__==_= r. _ _"••----- _ =- ^== .. ..--_--.. --
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
_...._:.___...-._.._________ =----..= __= __________ =A
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IORK IS STARTED. ItDENTIAL AND ING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED :i E IS TRUE AND CI” +rTO THNBEST OF MY LEDGE AND THE APPLICABLE CITY OF FE ALWAX-REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ __-__...__ DATre ``
Pi
4.
FILE COPY
City of Federal Way 0 °7
CITY OF ,! 33530 First Way South .,- i
• _ Federal Way, WA 98003 �n7
(206)661-4000
>4A)1F:r1T:5
APPLICATION FOR MECHANICAL PERMIT
PARCEL I. 1,7‘) /a27o /D Single Family.0 Multi-Family ❑ Commercial E
SITE LOCATION:
Tenant/Owner: rJ
�� �,1�d � Phone:
` T/ /`3-D--
T
Address/City/State/Zip: qr ^7/ f
/ "/J:.9I` 98g.,)-?
Nature of work: /�STftz fiedc-4- Project Valuation: $ (�'6(
APPLICANT:
Name: •
A, 7C-‘/1 /
� i29am7
Address/City/St/Zip: - 0CJ �AD/ ) 64..// `/7_ /o� ��i//
GContact Person: tAhLD
Phone:7) C16..95-Ct' k -Fax: ' 7L-?- -.-7
MECHANICAL CONTRACTOR:
Company Name: 'NORTHWEST WATER NEATER, Itit
Z8C0 T' 07 AC..;F ,VL. WEST
Address/City/St/Zip: swill, v'vA 98 i 99 -7
Contact Person: ��� �t N0��7 Phone `�� �l?c E� �/ Fax: /-77 T
State L & I Contractor Registration #: �U,� �����j/iG,-) k 7... . Exp. Date: G C(1
(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
`k' E i » >;BBQs Wood Stoves A/C TONS �ti>Uriit>✓r�ir� < > »» »
DISCLAIMER: I certify under penalty of perjury that the information furni • . by me is tr - , •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. urther agree to armless t . • y of ederal Way as to any claim(including coats,expenses and attorneys'fees
incurred in investigation and defense of such claim),which ma •e made by any p , ncludi • undersig d,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 e •oyees,upon t - -10,.of t• information sup• ed to the City as a part of this application.
^/
Owner/Agent: OP
Date. -7(7. /7__