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'CITY. OF FEDERAL WAYPERMIT NO: MEC96-0016
33530 First Way South M Et(„:
M A Ir',. Q 1 .ull.•.C. .If,,;' ii,.,.. P '::H.M „,Ii:,,. ISSUED: 01/23/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 01/16/97
ADDRESS :29114 8TH AVE S
NO. : 515280-0150
PROJECT DESCRIPTION:MECH - GAS PIPING 15', FURNACE TO 100K BTU, GAS HWT
r OWNER _.. - -------------- - CONTRACTOR - -.:._---T- LENDER - _ -- —
LINDA HENDRICKSON NORTHWEST WATER HEATER Et-Et.
29114 8TH AVE S 2800 THORNDYKE AVE WEST
FEDERAL WAY WA 98003 SEATTLE WA 98199
1
946-0405
NORTHWH099JZ
}_• _____, ------- __ _____..__-- I .... __.___w_.________.._.................. 1.. __. _-__.._-_-.
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 *1*
{ PROJECT VALUATION 804 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 30.00
{ GAS PIPING.: 15 ft HOOD • 0 0-3 HP • 0 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
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 1 TOTAL FEES $ 50.00
--• _--- -• _ .._.. _ ----- --�. ----- _ _...
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)
1 1
Inspection Record Water Line OK __________ Mechanical Inspection Notes: E
GAS PIPING OK Date _._.. _._ By
s==____. ._-__-. --_ ssasmsssassss••••..__. _.s s ..�
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE NO WORK IS -=°;;PP-'ES DFNTIAL AND . ADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISH : : ME IS '0•-- I ' I THE 'EST OF KNOWLEDGE AND THE APPLICABLE CIT FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT JPDATE
FILE COPY
City of Federal Way
O" (c
CITY Of , 33530 First Way South ,
• _ reE1
Federal Way, WA 98003 a
(2061661-4000
V1FW 10.
APPLICATION FOR MECHANICAL PERMI ECEIVED
PARCEL tt. 6-5-; ,'/ S 1(-) ( /•S CS Single Family./ Multi-Family JAN 2 al'h% ercial o
CITY OF FEDERAL Y
BUILDING DEPT.
SITE LOCATION: C p
Tenant/Owner: 01--/14 i)11 //E/JJ�J1/ ;1 4 - I//Phone: / 1�(D 7-.(2-VO 3---
Address/City/State/Zip: ,;4C1 // n� / 1i
3 : ) j2 JiJ4 7 -'? O3
Nature of work: /ALS 7-A11 16/0`1,1(67-46,°9C6 _ Project Valuation: $ '.5,(-)V----
,
APPLICANT:
Name: _ _
,
Address/City/St/Zip: :3-S0- -- F- /�f-A D I S O( /0 / - S /` }//�
Contact Person: 6€ '1 /-k/ 1O -D Phone: 5 V(1YS 9/)-
Fax: 3 91 .
MECHANICAL CONTRACTOR:
Company Name: CJ •L� ' 2 , ' T1<'i,/4 r
Address/City/St/Zip' 4L-''< <.) ö —1/-1(-f'i`t 0 / )p, ct i`-j
Contact Person: (?iG.0 1 Go Phone:;� C- l -� As-
: r "�
State L & I Contractor Registration #: , it T.T ( l ik I C.' K 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 1 / 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 I Hood Boiler BTU/H. Other
Cony Burner Duct Work A/C TONS Other
...................................................................
...................................................................
...................................................................
BBQ's Wood Stoves A/C .. TONS :>3' to iith lf:C eia ieWi::<::>:«< i*i:i::>:
DISCLAIMER: I certify tinder penalty of perjury that the information furnished me is ^, re o the best of y 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 fur -•r agree,"' r'' •• the City of F.• .1 Way as to any claim(including costs,expenses and attorneys'fees
iii•o
incurred in investigation and defense of such claim),which may be m •e by an`�• • ••the •ersigned, •filed against the City of Federay Way but only where such claim arises
out of the reliance of the City,including its officers and employ.• •on•• T J.informati•.supplied o the City as a part of this application.
Owner/Agent: Date:
/� �