97-104241 CITY OF FEDERAL. WAY ,. UU,,. �,,.,,,. ,, L ^,,. ,.,.�' , PERMIT NO: MEC97-0343
Way �..... H N ,.JI �., H M.: ,. ,,. ". ISSUED: 11/20/97
33 500 F i r�s t W a South u t h ���, II�."II i�°�°� � �,,,..��°"�i P
Federal Way, WA 98003 Mechanical Inspection Requests 253-661-4140 BY: TN
253-661-4000 EXPIRES: 05/18/98
ADDRESS: 840 S 318TH ST
NO. : 609400-0160
PROJECT DESCRIPTION:G/G WATER HEATER CHANGEOUT
F OWNER - ----- . -- _______ , CONTRACTOR ----__-_------_-- ?= LENDER ----- ----
NORMAND LINDERMAN NORTHWEST WATER HEATER )
840 S 318TH ST 2506 104TH ST CT S, SUITE A
FEDERAL WAY WA 98003 TACOMA WA 98444
984-6404
NORTHWH103R2
-
t** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 350 ! FEES:
FUEL TYPES.:GAS GAS FANS • 0 BOILERS/COMPRESSORS 1 Mechanical Permit* $ 22.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0 !
GAS HWT • 1 WOOD STOVES...: 0 15-30 TON • 0 I
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 I
BBQ • 0 MISC • 0 50+ TON • 0 i
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 $ 42.00
1
----._I • ----------.--------- ..
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 STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO B;t IF OWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _--_ / P DATE ((f i / f
FILE COPY of G G y J 7a.0 8
m.
ITY53 OF C E'T�E WayRAL WAY South .. "� ''� " PERMT I NO
)[ i,Ml `� ,i 0343
'133530
33530 f i rsf Way South
f eder;-il Way, WA `4300 1 A1f chanica1 Iry`; or I r,rn T2c:qu, -.,h<.1 ;;t r,.l_ 41 'M L^1`,": 1t4
' ' 253.. 661 _4OOO EXP TICE S: O5/18/913
ADDR.ES `S:340 S ;'x:1.8TH 1
NO. : 60°400-A11(t)
PROJECT i)EStTRIP ! I:(phi:6/6 MATER HEATER CHANGEOUT
r'x .SLR ]a 3.:tT.NfiS::CS.:A 1'a"W CI'Ie 2C`J'TJ::::ilY'.i(6SSs�]:<iG ntaF i2tYR,C..:::z:Y.Cw,ax$' CONTRACTOk Z::R:.R"::Y.A[.O:G f.^9111C b�SSAlSgifGUS:..6t[..�$*u.r 4F.x:-:...:Ln:.::2+nn iY Ji U01)�R R.:'y:tiCiCF:A4`YP}L9X4.S.^CCGY:f_Z:%"AK'rA9..wRS.L.:41:',c".'tK•::rif]f::1AA1?I.SSSi
NORMANG LINDERMAN ` NORTHWEST WATER HEATER
840 S ?18TH STii/E '506 144TH ST CT 5, SUITE A
DERAL WAY kA 98003 TACOMA WA 98444
c84.6404
NA ifttaNa ,-
safetaas,.,NtC-aq:<r:r fl,:.,^a.:S.tfltW.r1 aCflf.:];Ca .$*,I Cgypas'.p,l,.fl Sfll W., iI7117R�Yge'"�LRaa k7lRFPM5t4sk Ri'Y44f m�vm::xymta-mrsrcm-twcasa^'cr.wuY.mc+::rc'.u:-xcaa:.'w.:-x...._....._x......:... auxw:::.sehx,.::u:�rt:xae...Lxr:.::st'srw:�a:wx:aaaL.aax..:....z x.:_�.._asusi_:aex.
U' CONTRACTORS, lM,EASt USE 41C#TION ,r0Of 1717 ITIO11 RI:PORTT G SATES TAY FUR PROJECTS WITHIN TOE CITY Of TERETUU WAY. FAX RATE : 8.2S »f
.:: -:tet:;r aEnRaa a..„:,.dl._:.....«^•:>t?a:c..,-._rzG:::::Cl:,zr W ,.K:Cftaiaa aA}Mi.......a....rL-^n ....,.c” ...s:tC: ._�:Y>'.�.. ...-.::_c,:. ;7._s::.:....n...<":�:s;rnr.e£:„.r.:Icin x;$—,nctI .,.....:: ..zzr..:,...;,.:..._m:::c:....-_....:..;a.:EZ4%Srs:s.,aa_x..;v.Ys,c.:.::x:Y a:x:axiu
I PROJECT VALUATION 350 FEIS,
FUEL TYPES.:GAS GAS FANS....,.... : 0 H»1LE1` lCorlPl:ESSENISy Aechani .al Permit' S 22.00
GAS PIPING.: 0 ft HOOD......,...- 0 0-3 `98 0 Mit PROT ISSUANCE... $ 20.00
FURN(1001(..: 0 DN0riRK:_. • n :,1,.. 10H...,: 0
GAS.NOT....: 1 Doul 'TO'rf ..: f., „.„ 4„, T+'F!,
CONV BURNER: 0 FfW 100-. ''.4
I 0
....<....,. 0 MIS' . . 0 S0� 101i. 1)
GAS DRYER..: 0 AIR HANDLIK OMT" FOP TANKS--
RAN6E O <=10,000) CTM. 0 A VE GRAM A
1 GAS LOGS...: 0 10,000 CIM: UNDERGROUND.: 0 TOTAL FELE. $ 42.00
.R;•<1ttCAiSidlZli}Si'i�..�..Sib:3,TY.SKPYaCa:'..1ClaFiR'isAS?u�3:A:3Y:CCiLYFif«'C3SL9hTQ1Y.:�:%IC:'1tl':t3►CYR.:�„C�F<1 SP19.':1 L"::TkA iOS'bt4^.SSYrC,W.la'i::SL:APCii::CY?t::...--+..u2: L^�:SkC''tfY:.IZ:L:ALSARASiSia aii:itC'..KG':1::L'Ntxa::,:412...,,.::x.R:3wa ZG"4.'.YPS:A.Rfi'lbii
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 Rater Tank)
1 Inspection Record: Mechanical Rough-in ___ . _ __ Date __. .__. Gas Piping _w__ Date _ .......... .,...
IMECHANICAL FINAL _ _ _. Date !?,- tr.--4i7
I::.R:.v'.a*14;'4OltIl U1:.,, 1:t15'�Za55?'r,:6:Cf[ID`F�.:C Y:Putra6:fA::. :-:+9G[*1*.aCn:2P.p'i.`F¢:CY.Y[kl^._iCYGMt YYS^,A"watiAf.£N.,R.#:.Ae S.ans::aCitV,.flWC:*LO.:a.tSV.9is..zf:carsG..t=r:.a;vxY ra...Y�tt12 T.:.[::S T.>GRS^SL59f.a6]6LWP9'83w*1tc:-tfrtt4,,SXp1"x1i0C:9:CTMa*.15L hYCi.LSssu,6f.,.
PERMITS EXPITif 180 OATS ATTER ISSWANC£ IF NO WORK IS STARTED. ,f
I CERIITY TNI. INFURIATION FURNISHED 17 If IS TRUE AND (0104C! 10 :Mt vS NY STIOWLEtlCI. AND IDE APPtlCzaL1J CITY OF TEItTIAt IVY RLOUIREMENIS WILL If $111.,.
c_
,OWNER OR AGENT .. __ .,_._ .__ -- ../ .,.__ f . _.. i DATE U,,
•
FIELD COPY
CITY OF '''' BUILDING DIVISION
• E� C V ' ' 33530 First Way South
N)N) RY Federal Way,WA 98003
NOV 2 0 1997 (253)661-4000
Fax(253)661-4129
WY OF FEDERAL WAY
APPLICATION FOR MECHANICAL PERMIT
MEC -
PARCEL # (( 9.4 000 162 (..•' Single FamilK Multi-Family 0 Commercial 0
SITE LOCATION ��� �
Tenant/Owner k)6"� i " ./ N L (!\ > ,'���7 Phone Ct q `I r l j
Address/City/State/Zip (, ctU S, 9 > ST -) Jv`k V 1_S.0 l2
Nature of Work & —` A j���L l�6cC). .�
{� �� Project Valuation: $
APPLICANT
Name
Address/City/St/Zip /
,
Contact Person Phone Fax
(_ ,,
MECHANICAL CONTRACTOR
Company Name I`l.f-t_J 1. 1 P‘I�. (-ILL?
Address/City/St/Zip 71 L, _ l C 4 T c-r <=,') v L'Atgq-4 _
Contact Person L4A\\ 1 7 I i.V j Phone Z5-Z5 L 1 C,c' Fax
1"`
State L&I Contractor Registration# rv� Z ,�'ti -- ' <_?----- 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
Nun>100KBTU's Fans Boiler BTU/I-I Miscellaneous
Gas Hwt ( Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
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BBQ's Wood Stoves A/C TONS 'Ptit<it'F'fr it 0iii iif'>?:i:>??>::><:<:>::<:::>:»>?>?s>%»?:i:::
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 save harmless the City of Federal Way as to any claim(including costs,expenses,and 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 9 _ sueh-cl..• arises out of the reliance of the city,including its officers and employees,upon the accuracy of the
information supplied to the city as a part of this application.
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26/
Owner/Agent Date (.../7 c ?"-----
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Mectr.APp
Rawsrn 8/26/97