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CITY OF FEDERAL WAY PERMIT NO: MEC97-0320
33530 First Way South ' I�1:', t"601 M;,., wl "t ... C.f";' :;,{ til.1: "0' ISSUED: 10/30/97
Federal Way , WA 98003 Mechanical Inspection Requests 253-661-4140 BY: KLC
253-661--4000 EXPIRES : 04/27/98
ADDRESS: 1013 S 322ND PL
NO. : 150240-0020
PROJECT Dr SCRI PTION :HVAC - GAS TO GAS HWT CHANGEOUT
-- OWNER ---- -- -- __.._. CONTRACTOR ____-- LENDER --
ALISON PARSONS t NORTHWEST WATER HEATER I !
1013 S 322ND PL 2506 104TH ST CT S, SUITE A
FEDERAL WAY WA 98003 TACOMA WA 98444
984-6404 !!,
NORTHWH103R2
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
PROJECT VALUATION 600 T FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 24.00
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 TON...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON..,: 0
BBQ........: 0 MISC • 0 50+ TON • 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 $ 44.00
- .
Does
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: Mechanical Rough-in Date Gas Piping Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS SW I. iilir
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE A. : ORR i�r ST 0 MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS MILL BE MET.
)owOWNER OR AGENT D TEV / ?
FILE COPY
YY56.)a�,$v
I
CRY OF G BUILDING DIVISION
•
1=3 33530 First Way South
W Fl Federal Way,WA 98003
00
"'lkif Fax(253)661-41290
QGT 3 0 '997 APPLICATION FOR MECHANICAL PERMIT
FEDERAL WAY ) -�
GIT 66 LD1NG DEPT. MEC
PARCEL# /5-6)eq(1 CC 0 ,—)C Single Family❑ Multi-Family❑ Commercial 0
SITE LOCATION
ALISn4 7n IR i is M-39 - ���
Tenant/Owner t Phone t C
Address/City/State/Zip
1 G I S- 3 = Pt- yep-tU�4 (
Nature of Work �� C 1 \j ,to c -A 4 Project Valuation:$
APPLICANT •
Name _--
Address/City/St/Zip
r
Contact Person Phone Fax
i
MECHANICAL CONTRACTOR�/
Company Name /1(.f-A) (1 r l7'7I5 ' /L//6-19
Address/City/St/Zip , Q ( ( V ----T CT- J f/�cati- `ZU r 4" T
Contact Person ,f/10'n `! ti(-.1.:C:: A Phone qg 4-U Fax
4 Fax
State L&I Contractor Registration# )6/21 HU-) (4 ,I(t_ 1 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
Fum<100K BTU's Gas Log Unit Heater Underground
Fum>100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
.................................................... ............
...................................................................
.................................................... ............
...................................................................
RRQ's Wood Stoves A/C TONS >Ttif3E>U'itif Ctiltif:':>:>':> »;<:>z::<:<«::"3:<'>::<:
DISCLAIMER:I certify,under penalty of perjury,that the information furnished by me is true and correct to the best of m knowledge:..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 save harmless the City of Federal Way as to an ,. m _ .attorneys'fees incurred in investigation and defense of such claim),which may be
made by any person,including the undersigned,and filed against the City of Federay Way but o •here such tit . of the rel, ce of the city,including its officers and employees,upon the accuracy of the
information supplied to the city as a part of this application.
Owner/Agent /iirPr/ --k____ ,.. Date
i
Mrca.APP
REvm eO 8/26/97