95-102899 .i
95—io a X49
CITY OF FEDERAL WAYPERMIT NO: BLD95--0870
33530 First Way South 1'1 t:C2: .'W Uhl N It (11',' ',;., „.. f'',.'� Ma: ''' ,M., ',. .,.,"" ISSUED: 10/26/95
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 04/23/96
ADDRESS:29604 18TH AVE S
NO. : 367440-0106
PROJECT DESCRIPTION:HVAC - INSTALL FURNACE AND 8' GAS PIPE. ALSO, STUB OUT HWT.
= OWNER ---- --- - CONTRACTOR - -- r LENDER -- •• -_
1 PAUL RICE 1 NORTHWEST WATER HEATER
29604 18TH AVE S 8201 DURANGO ST SW
1 FEDERAL WAY WA 98003 TACOMA WA 98499
839-6378 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 ***
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 8 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 19.50
i GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 .._ I
BBQ • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE 0 <=10,000 CFM: 0 ABOVE GROUND: 0 1
, GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $
39.50
lill° .
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 1 1.1 IS START 1 TIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY - S TRUE ANS j!' 1 : ST OF MY KNOWLEDGE AND THE APPLICABLE CITY OFFFFEDERAL W5JEWIREMENTS WILL BE MET.
OWNER OR AGENT _,.._.. G%'�
DATE____.__
42(i
FILE COPY
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.t:CITY OF FEDERAL WAY PERMIT NO: BLD95-QE 70
33530 F i. r'ss t. Way South MECHANICAL PefktelIT ISSUED: 10/26/95
Federal Way, WA 9800,1 i3uU ldinq Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 04/23/96
ADDRESS:29604 181H AVE S
NO. : 367440•-0106
PROJECT DESCR:(PT ION:HVAC - INSTALL FURNACE AND 8 GAS PIPE. ALSO, STUB OUT HWT.
OWNER ,rat,:�":x,cun"mc..,,.,..": .,x.:,atA��: w�a, •s-�.a:a a.x��;xt:.a:.>. CONTRACTOk w4 x:-.� Mx max., " ::nW��R:.��xmn -mraa,r::.rx w LENDER _ �xt�r �x"xx"m�x,: n:a= "xv ,_,Marn.�a><=R=.xxnx max
PAUL RICE NORTHWEST WATER NEATER `
29604 18TH AYE S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA WA 98499
I
839-6378 984-6404 I
NOR I IIWH103R 2 I
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rtir c0NIRtr10tS, PION USE IOCATIOW (OK 1739 FHFN RIMMING SALES TAX FOR PROJECTS WITHIN THE CITY Of FEDERAL MAY. TAX RATE : 8.25 US
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FUEL TYPES.:GAS ? FANS • 0 Olt INSit.0NPRESSORSs 'A,14 . FEES:
GAS PIPING.: 8 ft. HOOD : fi t' HP . L+ , , " DANCE... 20.00
FURIP1O01(..: 1 DUCT WORk ., o 3 ' Ill, M) 'E FEES.' $ 19.50 •
GAS NWT • 1 � .,_: O I. tO l'! .... O ,e:
CONY BURNER: 0 E it 3 'iu lir r y -
RN> V 1.
"
BBQ • 0 Mtt4 ... ., O `+t c4P :. 0
t�1
GAS DRYER..: 0 AIR IHAttt,f ltk. `TNIH FULL TA'I, - ,0--
RANGE • O <d l'' ' UNU n8( 't '.iI " 1
GAS LOGS., 0 > 10,t�1'0 ' ": l'taht`f?O1)ND.: U
TOTAL FEES S 39.50
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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 Ot : yy,C(rfif/✓rate3If- ,o Byrn
-;..�..a:.z:nv_:se.-s-sav nis-:ia-aa::n:�•::msr.:e«�.unra:sxa:.mac.. ..._.•.,- /, max••.�..,-...�.,.•... .z...x•ran^.ax;:,.ara-:a�a:•u:eau:xc-:::�:o••.:-.t•..r•::zan.:staaamm�sntrr.•�;mu:-a:•:T:::srs xeeris-wu°u..::a.u•::a_^.'a.:ae:a x:�:amazan_ez:anu:u:a,::•...as_z:>c....._..._..v.ax•s....u..:ixn+.s a^tr�
PENNIES EXPIRE. 180 DAYS MIEN IS F iO4I .a. ART . 1EST1i}$FUAL AND GRADING PENNIES EXPIRE OWL YEAR AMR DAIL of ISSUANCE.
I CERTIFY liltINFO NAtION FURNI IITTI 0 1',•1IE 'ESi Of NY KNOWLEDGE AND FW APPIICADLE)CIFY 1/FERAL, ii+1Y R 1RLNENFS CU DE NET.
VIER OR AGENT / 27/
DATE /
V IA
,141`k Is
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FIELD COPY VM
CITY OFilb City of Federal Way t '
i--- 33530 First Way South
-_ •- 1E-1:1ErzFiL__ Federal Way, WA 98003 �q _ � �WRY
(206)661-4000 f � � V
APPLICATION FOR MECHANICAL PERMIT
PARCEL it. ' q -4/ On /6
Single Family D Multi-Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner: Pick) /, KI( 6 R"9 .�6?
/ / ,Phone: n _I `u J
Address/City/State/Zip: ,c'74 l00`t - /8--- '4
Nature of work: r f Al _ / . 2G�Ydl �lti/. 1
Project Valuation: $ / -c-)0
APPLICANT:
TAddrName: /44i/ `-X0/ /7--
Address/City/St/Zip:, ,
ess/City/St/Zip: • ,- /,& 'A, , J
Contact Person: C`-' f •/�,I,�1'� n ?M:71(;/', -.T -
(m— ;� /�
Phone: ,? / `�Fax: -2)--9 �>`, �
MECHANICAL CONTRACTOR:
Company Name: NORTHWEST WATER HEATER, 1Ni.:.
2800 THCRNMKt Alit. wtST
Address/City/St/Zip: :f4TTl F. WA 98199 -23)- -' F0C'
Contact Person: 6 /-- 1,/,..1,_L.do Phone:< 5-:1 - c //-F �-7
Fax:.
State L & I Contractor Registration #: NI`;�T ref !tirT/Q3J'(�-- Ex Date:
(Card must be presented) P•
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 r',Wnyl / Hood Boiler BTU/H Other
Cony Burner Duct Work A/C
TONS Other
BBQ's Wood Stoves A/C ` ::: ::ss::<:
TONS Tatat t nht exiiif:,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• ,on, cludingl undersigned 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 t ccurac
Y o .`Jf!anon s - o the City as•part of this application.
Owner/Agent:
i� ADate: � U