96-100399 67R, / 00677
,CILYi0F FEDERAL WAY PLW-11i Hu: lit.k.:A-4
33530 F i rst, Way South MECI1ANIC0027AL PERAIT issuLD: 02/13/96
Federal Way, WA 91300-.1 Poi 1(..ii no Inspec tion Requests 661 4140 BY: IC2
661 -4000 EXPIRES: 02/06/97
ADDRESS:29822 11TH AVE SW
NO. : 195460-0130
PROJECT DE SCR 1 PT ION:HVAC - INSTALL FURNACE, NWT AND 33' GAS PIPE.
I WILLIAM GIE(K NORTHWEST WATER NEATER 1
29822 11TH AVE SW 8201 DURANGO ST SW 1
I FEDERAL WAY WA 98023 1 TACOMA WA 98499
1 1
1 922-6977 I 984-6404 1
.
AORTAAH103R2 1
*** CONIRACIA ,
RS ?LEAST USE tOCATION CODE 1732 WILN REPORIING SALES TAX FO PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX KATE : 8.25 *1*
1 PROJECT VALUATION 1698 FEES:
1 FUEL TYPES GAC ? FANS.... . ..,: 0 tAUFV"14144'"g(' Mechanical Permit* $ 46.00 I
IGAS PIPING.: 33 ft HOOP - 11 0: 4p .. I., ,4 „i,4 ..„,4;:a.:7,11,14, 1....:6'g^',43 ‘144A'§ OR - 4,4' ANCE... $ 20.00
FUR11,100K..: 1 OWE WO P
0 ,,:'''' 7.. 1.1",27-4&:f-S•YIT q d 40P ''''Z'r "1 ;..,7e4"1"."P";IT,'7
CONV BURNER: 0 NO'140, — 0 „it i
?BO • 0 MIX— — . n
,,, ' tiP. . - 0 dr
GAS DRYER..: 0 AIR Mho 1111, IND FOP TAN,,S- , er
IRANGE • 0 <:1u,000 'FM: 0 4W:I GROONP. d'.
GAS LOGS...: 0 > 10.000,t1h: I; UNDERGROUND.: 0 TOTAL FEES $ 66.00
Does the water supply system contain a Pressure Reduction Device or Check valve? 0 Yes 0 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 _
S.
,--
,-
PERMIIS EXPIRE 140 DAYS AEU !SMOKE IT NO S START _] I TIRE Ally WADING PERMITS EXPIRE 0141 ItAA MIER DATE 01 IANC[.
CERTIFY CAI IRFORNAIION !RAISIN° DY NE ,' RUE AND : ilr , OHI 'REST Of KNoWithci AND DIE APPLICABLE CITY Of FEDLR WAY 14.001WEMENIS WILL Dl. ACT.
7.-
OWNER OR Will NM
.--
FIELD COPY
.,
r
ITY •OF FEDERAL WRYW''') PL MI_r NO: ME 96
33 530 First Way South M ,.•. t(,;.,.. 1,„ 1,°Ti •'` .,�•,.(.,,. �,,,T .,.,•,
. W''')l',:;,;,.H, w ,
',.. . ,, " ISSUED: 02/13/9 6..
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 02/06/97
ADDRESS: 29822 11TH AVE SW
NO. : 195460-0130
PROJECT DESCRIPTION:HVAC - INSTALL FURNACE, HWT AND 33' GAS PIPE.
s= OWNER ----- ----- -- ----.-...-.. -------. - CONTRACTOR ------ ----------- .----- .- LENDER
WILLIAM GIECK NORTHWEST WATER HEATER
29822 11TH AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 s TACOMA WA 98499
922-6977 984-6404
NORTHWH103R2 C
-_____.�.__. _. . I. _.,- __.___-_-___-____-. 1 }
=i* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 ***
PROJECT VALUATION 1698 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS E Mechanical Permit* $ 46.00
GAS PIPING.: 33 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
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 $ 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: --
SGAS PIPING OK Date ,..._._._ By
t____.. ._
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTEI . RES : -TIAL ANI GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND C'', •• I THE BEST OF Y KNOWLEDGE AND THE APPLICABLE CITY OF FEDE WAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT ,_ All
DATE
----z, 74
14,
FILE COPY
City of Federal Way L i
CITY OF r"-- Federal
First Way South
_ al Way, WA 98003
(206)661-4000 , `� _ v� „., ,
\RY
APPLICATION FOR MECHANICAL PERMIT
PARCEL \,c1: 4 Q 13o, -Single Family j Multi-Family 0 Commercial 0
FEB 13 1996
SITE LOCATION:
EZDERAL
Tenant/Owner: 1 `�U , °V \t 1 _up,” CJ ck L G DEPT. AY Phone: G`� -- CQQ-R
Address/City/State/Zip: :D-CA .-1- ------ --- i / tIt. El CP11
Nature of work: 1N14NJILL ru\nAcI- vur (L e_A ) ALJHProject Valuation: $ 'i 0 -1 ±_
p Lktr i-1 6 /1 I/6 vF
APPLICANT:
Name: ('n,_'\,),- e
---
_ ,
Address/City/St/Zip: '�o` M:e\A�3 N\ (C i ifk 1 ( l '
Contact Person: — e 0Phone: -D � � Fax: -5-Cly
//S
MECHANICAL CONTRACTOR:
Company Name: fill v6 f/�! - _,, , p r cv--e_c
Address/City/St/Zip: aK8OO TIAb A:7--) \ '---)t--A" t6f 1
Contact Person: (=�{r�� ArcA(,,c_t) Phone: -?5"2-NS-((CHS-E4 Fax: . --Cl— 7--7
State L & I Contractor Registration #: I\10AI- 1/O -k \0yl�
�� 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 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
:............................ ...................................
.................................................................
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BBQ's _ Wood Stoves A/C TONS >:'i'btalf:)iiiVerAin <z:<:x:: > :
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and 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. I further agree to"Ave harmless the City of Federal Way as to any claim(including coats,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be made by any persorfind trig the undersigns,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 employees,upon the accuracy•f i • ation supplied,o the City as a part of this application.
Owner/Agent: Date: ( 2 (/)