96-100573 i
6-0040
CITY OF
Way South "Ee' h t' .. PERM las�l Issu D: 02/29 96
Federal Way, WA 98U0; Building i,ng Inspec.t:i.on Requests 661- 4140 BY: EC2
661 - 4000 EXPIRES: 02/22/97
ADDRE:SS:33736 ::17TH Pt_ SW
NO. : 9211.51--0010
PROJECT DESCR I PT ION:HVAC - INSTALL ONE FURNACE AND 16' GAS PIPE. 1
I- OWNER -amx,Dlen''::w:17•-_"'"'trfl-1:'"'"'""'"'"'"''''M"""'''"'''
"r.raetnaarra..:,.''M"r �n'.'..r. x.a. ION I-RACTOR _ E a-:::: a w e;5p.�x t• .n=:��� r� a t rra u�a r LENDER • _: , x�, xr a2xa nm��Wle .71 r;p��::xiw ��:
JAMES MASK ~ NORTHNESI WATER HEATER 1
33736 3/TN PL SW I 8201 MANGO Si SW I
FEDERAL WAY WA 99023 I IACOMA WA 98499
874-6042 I 964-6404
r;6�..;1....rnrr:aasszuur.r..saa`..curcxen..l..exr.:.a:,cyrs _ -D_ei 7.axp.' a" am TI- t17 -vr m. mexcbr-errm�C.�ra r^:.cmrsesmcres+aaa;aCIUSsa':7i,rTCat,e
to C�TRAC PL E . `� r IN6 SALES TAX FOR PROJECTS NITNIN INE CITY 01 FE6EItAL NAY. I TA! NATE = N.2S ::
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I PROJECT VALUATION 1049 �a�� FEES:
I FUEL TYPES.:GAS ? FANS ��°� B ER ar., OMP 'emit* $ 34.00
I GAS PIPING.: 16 ft HOOD.. ...: 0 - 3 . T'k UANCE $ 20,00
I FURN<100K..: 1 fit 15° '.
1 GF;S NWT • "0 . T : , 3 S NP.... � r :M "
CONN BURNER: 0 FUI Ct , t 31 HPC � a
880 1 S ;1 ,
GAS DRYER..: 0 AIR HA ' � �AN S - ; '
RANGE • 0 10 d0 " !� AVE GROUND: 0 n
GAS LOGS...: 0 > 10,000 . 0 " UNDERGROUND.: 0 TOTAL IELS $ 54.00
-x....i n_.: .Y3axrsw:- C: :An.:.._sa:v_ c:a... Pr:,...r�..e i.:...w a s,17.-a^_-s;a-.m:.:::.-nr .::,.•s,.-r._...:c ..x,.e.a+tee-;x x::r..v wa:.�artnw.s,ay._17 ra.;;.xar_+n:r.C i:'C a-... avc:uat;TIIr1. .....:xuc.1.7:eras:.:1 e.,.aerzs:,.r.-aacsar.:taxa-^rxer_ca•:eaissrrca.ectirr:xxx3o.r a...x.
Does the eater supply system contain a Pressure Reduction Device or Check valve? (} Yes f1 No (If "Yes" then eater expansion tank is required on Hot Water Tank)
Inspection Record Water line OK Mechaniral Inspection Notes: I
GAS PIPING OK Date _ By ---'"r"-`• . ...
^:'iS--.+.':.aal.arT Y•3 T_araaCAT.Tr.'it'..:C"]ncar:.:C::xiaa..S h:nt�:u-t:.:e... .&G.0.:t;s"`:MJ c.::: ca T::xa:::�r`t. «=H Y.:-xa¢iCRc: Y,. p: sx:i 0:........ ....T;t.r-I III YC 117W.16G51. rrt;WIC17r,:le 0leXI:.tt:'.>«::T.F-f:..-:•tx5:..E..,..x:..l:fll ....r:.IL._.t.-W..a.Y.:.:.YY_.C1.rS.,
PERNITS EXPIRI 180 DAYS ATTER ISSUA EF IF 114OfteIS MTAOTED .. !DENIAL AND GRAD PERMITS EXPIRE ONE 1FAR A}IER DATE Of ISSUANCE.
I CERTIFY 1NF. INIOP14ATION IURNISNED BY NE 1 /fTtUE AND COR'‘ It IRE HEST (II MY K FOCI €#P IRE APPLICABLE CITY OF FEDERAL WAY RIQUINEMLLRIS 8..111 Rt Ntf.
OWNER OP AGENT // NATEG ,„/- f�
FIELD COPY
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CITY OF FEDERAL WAY „„ PERMIT NO : MEC96-0040
33530 First Way South M °„�. °;.; i,.., !�;.!r 'N ".‘1.: (:,..:1.(:,...• r,N....., ..,.,a l.,,,,. '�'�,.'''�' :°, .: ...�,,, ISSUED: 02/29/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY : FC2
661-4000 EXPIRES: 02/22/97
ADDRESS: 33736 37TH PL SW
NO. : 921151-0010
PROJECT DESCRIPTION:HVAC - INSTALL ONE FURNACE AND 16' GAS PIPE.
r= OWNER == CONTRACTOR - - _--- -•---=_y LENDER -
JAMES MASK p NORTHWEST WATER HEATER J ---133736 37TH PL SW 1 8201 DURANGO ST SW -
FEDERAL WAY WA 98023 1 TACOMA WA 98499 1
874-6042 I 984-6404
NORTHWH103R2 1
*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 1049 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 34.00
GAS PIPING.: 16 ft HOOD • 0 0-3 HP • 0 MEC PRMI 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
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1 TOTAL FEES $ 54.00
_= _____________________ -- . _--.. . _
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 IF NO WG' IS STARTEDA�O�T'' 0 IAL AN GRAD C PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY NE IS 'UE AND COR' i'-' E BEST OF M K.IWLEDGE AND THE APPLICABLE CITY OF FEDE WAY REQUIREMENTS WILL BE MET.
��, 2 )
OWNER OR AGENT _-__-- _
/ _ _. ..___. _..__... ..._ DATE � , :7
FILE COPY
City of Federal Way
CITY OF G 33530 First Way South rn
0_- FE—OEIZF Federal Way, WA 98003 ���i� I U —ONO ,
(206)661-4000
W
B 9199 APPLICATION FOR MECHANICAL PERMIT
WAY
PARCEL ff. ?U 7 DC (c Single Family Multi-Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: rv'L n S 1 V\AW--.---- Phone: �-i ( 6 1
/(4—
Address/City/State/Zip: Z _ �1 6 'E0 Jt,\JA. .t. c-& '
Nature of work: )Wi' L- 6"e-t\ C- T j Y" a' It'6 d Project Valuation: $ lO
Liq ;—
APPLICANT:
Name: vd &inn 1. 1
Address/City/St/Zip: 7—g6) Met-> 1 S11!l `DI- (6 ( SCS IiiiMF 9, t/).—
Contact Person: 6 t C) -i- /6{2(il c Lip Phone: 2(-C-/(0 /c 14`/}Fax: ,�> `--47Z---1• --
MECHANICAL
7Z7MECHANICAL CONTRACTOR: ' 1
Company Name: A1W � �-t�l� T
Address/City/St/Zip: D-Y\(((--) 61;;L 1) 1 e--- Q:-)ei - K (9
2StatContact Person: (......--- -„of---- n f—I 4 GL-p Phone: ? /(i7 q,Cek 7' Fax: lioZ9 V2-77---
State
e L & I Contractor Registration #: `R -/tf/�hi M/ 3 f)_ 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 /(per Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's r 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
BBQ's Wood Stoves
A/C
TONS
atsl fJnt•f Qoxfisi.................................
DISCLAIMER: I certify under penalty of perjury that the information furnished by s true a . o , 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 furl ree to say i, .- the Ci of Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be m y a. perso.4,,,,,4ig the und-signed,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 on t--ac /•P- information_upplied to the City as a part of this application. �p
Owner/Agent: .die' . ��
I
Date: