96-100257 (,, j00Q.57
. C rTY -(.S'F F E DER Al WAY01...RI'1 L I MO: ME:C96 -0018
33530 F rpt Way South ►h� :: .., IS'.;t>I.II_ D: 01/25/96
Federal Way, WA 98003 Building Inspection Requests 661. 4140 BY: 1C2
661-4000 L:XPI_Rhc;: 01/18/97
ADDRESS:11.14 SW 296TH ST
NO. : 1.1.9600---4790
PROJECT DE SCR I PT ION:MECH - GAS PIPING, FURNACE, FIRE INSERT
I:x OWNtR a:T.Ta.'_: QibilOxitt90adAt6aSR1TGRFtarn.YAAR:az:Y_..tt :'x«iattL'•'wt'S. t�:a CONTRACTt1R ::- Y::_:r:� re=u�y .: >:..rx,nt nn�>.:.4s&:>„o_• � nrn LEtIDER r�R u#.va�'a�� a�r=� > [ �_aa� : ae .��: ,x,�n::,r•:.�
EVELYN KONIK I NORTHWESI WATER HEATER
1 1114 SW 296TH ST 8201 DURANGO Si SW
FEDERAL WAY WA 98023 I TACOMA WA 98499
I 839-8784 1 984-6404
I NORTHWH103R2
SSA CONIP4t:I0R5, PLkAsi WA. TOCATI1 I 1732 OWN titolpic SALES TAX FOR PROJECTS WITMIN Tlif iIIY Of FEDERAL VAT. TAX RATE : 8.25 sts
f.„ .fl.......... _z.r-a:fl.. ; a.._....r,xa;: a....#_.._22..,,........:.'-._c..:.. 45.-..v:......::.:.-.......-
I PROJECT VALUATION 16681 FEES: 1
1 FUEL TYPES.:GAS ? FANS 0 oitEF'SJC IPRE zo Mechanical Permit* $ 46.00
1 GAS PIPING.: 51 ft HOOD P ET'! HF . tl 'MANCE... $ 20.00 !
1 FURN<100K..: 1 DUCE 04W..,. O 3-t% RI' 0 ,, '
1 GAS NWT • 0 T0V1 .: O (5 30 tf I' U
CONY BURNER: 0 F1 11' - - : 5 Nr 0 m �__
BBU • 0 ,,,
MIK, ">`;. ., 6 5! WP.., . - 0 1
I GAS DRYER..: 0 AIR 'L IJP FUIa €AWL ,.,><_.4----
RANGE • 0 (-1G ,a A80'I GR Mtt- u .�,
GAS LOGS...: 1 ‘ 10,0411,1:'"0 ---,--:_ IltlN I riF,''NP.: 0 I TOTAL FEES $ 66.00
:`Y.... ,5:«.. :.1 ma l:',-[YR.:[-.R:1 -.. x; :�;l..t :.:.......',«Y.. �.+.r ":. »•jtt.SaSS.".Po al..%nrL 15t_^.R i::�MiY1=.Gk"4.d:i:l.:Pv�t,.:TE:'ilY.SCW':CAVSkCSY s..CJWYE,.:"..I.v«t a...T:[;Lta._l';3'- .•{..::1:•...7... JOY....'P:.^CiRCFIiiI:3RFSYa+%tD➢SCYSY::I2YC%fA1QY.CGY TAN:
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 Mater Tank)
1
1 Inspect on Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date ._.__ BYE,, _
'.'r."..'1fi:.S(e�#A::r T.x'a3;a}u Q'Wq>t Y41 T- T6�r.'C':F4.YYR"S':^.Y It R?Y:iYMiR".P'CFs' .tlL.^!64$4D:'11l:�0.nll^FRDG:$A":bR�W'CGX,., :: .S!!ax Y.`Lt LlSut)PYt. ..........,Y4.at.'..t9 R:ti'�W3 WxxDY«vtRiK:Y.INIIV,M".«1R'LY'Jh�t%�CFC1":[: tlGCrwk:4GlxAC:i':ls`iBRTSA:CT.6Y2�ttlY ^Y/'!='t2RL'Ri'Jt'SAa::tiffi3YlCfi^.";.Y6L
PENNIIS EXPIRE 180 DAYS AFIER ISSUANCE RORK ' ED SIDENIIHE AND GRADE PERNITS EXPIRE ONE YIAR AFTER DATE OF ISSUANCE_
I CERTIFY lilt: IMFORNAIION t-I*NISNED NE IS .AND C CT TO IRE REST Of MY I EED1E. AND INE APPLI(fI E CITYTYOff FFIDERALYAY REOUIREMENIS MILL DE NFL.
OWNER OR AGENT a .. DATE
FIELD COPY
CfITY"OF FEDERAL WAY NO: MEC96-0018
...d3530 F i rs t Way South it L CH Ai NI.IC: ,,,,r N.,,," P N:;,,;. RM I „N,,, ISSUED: 01/25/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 01/18/97
ADDRESS : 1114 SW 296TH ST
NO. : 119600-4790
PROJECT DESCRIPTION:MECH - GAS PIPING, FURNACE, FIRE INSERT
F. OWNER -------- -- ---- •-- ---T- CONTRACTOR ::-• _ .... ___.:�� T
LENDERT .T
EVELYN KONIK NORTHWEST WATER HEATER I
1114 SW 296TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499
839-8784 984-6404 4
_ NORTHWH103R2 1
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 1668 1 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS COMPRESSORS
/ � Mechanical Permit* $ 46.00
( GAS PIPING.: 51 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0
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 I
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND,: 0 1 TOTAL FEES $ 66.00
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
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE NO WORK E' T D/,i 'tI• AND GRADI PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED . ME IS '1 . 1 CO .,--.-++� 0 THE REST 4 MY K ;,'LEDGE AND THE APPLICAB E CITY OF FEDE WAY REQUIREMENTS WILL 1#. MET.
OWNER OR AGENT isilli. _._. __ _-_ __....___.__._..._- DATE /
8401, i
FILE COPY
City of Federal Way (Y1 5'c Go - 0(1Q'
CITY 0f , , 33530 First Way Southfa
/ QQ
C� Federal Way, WA 98003
(206)661-4000
V)1Fr) `=CEIVED of
APPL/CATION FOR MECHANICAL PERMIT
CC � �� JAN 2 5 1996
PARCEL it• ) \ Single Family/ Multi-Family oal 1=1
BUILDING BUILDINOF GDEPTT.. d
SITE LOCATION:elk.!
, J
Tenant/Owner: elk.I 1'�1 A `` Th Phone: ?)-2.)C1-�,C1 — -4--�
1 14 wJ La 1
Address/City/State/Zip: S( i)-v� - 9 ' /o 3
k
Nature of work: I lib-l---A LL "LiI--Atf CE P i fit if,( Project Valuation: $ /
fK it. i/,l 3 r
APPLICANT:
Name: (�, 'k\ -C6C--N\ 1l--
Address/City/St/Zip: gC. . MAD\SLA\ - i IO ( E-- - cl. II ED
Contact Person: ca- c.) t.---- - e N t u) Phone:-)'%`") - ( UjCt ha�x: ).)-(1-V 7- 7-
MECHANICAL CONTRACTOR: / /
Company Name: /A) illi,4�V ic/ CA-/ � •
Address/City/St/Zip- (. .-AnC\ T(---i- 4 A.9 1 C',, c `TC. - ` `ci 1
Contact Person: (9 '-E-- ---- 44/,10,Li) Phone: , g1(SCI 91( Y/Cax: „S4nf t<- I
State L & I Contractor Registration #: 1\)01rq H IA \4 W-3 R ___ Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:l
Fuel Type (gas/other) �T S Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping(2r) 1 / Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's I Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other - IC.1L l NI >L,
Cony Burner Duct Work A/C TONS Other
T Crit ri t:Cir#itis>;:i*K>>a< >::
BBO's Wood Stoves A/C TONS #.J f
DISCLAIMER: I certify under penalty of perjury that the information fu • by me is true a •re o t 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 m . . I further agree to d- the C'y of Federal Way as to any claim(including coats,expenses and attorneys'fees
incurred in investigation and defense of such claim),which• ay be madart in••
e by n, •' the • reigned,end filed against the City of Federay Way but only where such claim arises
out of the reliance of the City,including its officers a • -mployees,upon uracy•• +�nf• atio• supplied to the City as a part of this application.
�✓� /( _sem
Owner/Agent: Date: 7
6