98-104515 CITY OF FEDERAL WAY PERMIT NO: MEC98-0302
33530 First Way South il tfw,,,, to et ifr"l 1': it::e' i..... P E: '�;p,�a
, lI T ISSUED: 11/24/98
Federal Way, WA 98003 Mechanical Inspection Requests 253-661-4140 BY: KLC
253-661-4000 EXPIRES: 05/22/99
ADDRESS: 32623 3RD PL S
NO. : 701681-0070
PROJECT DESCRIPTION:HVAC - INSTALLING 1 GAS FURNACE, HWT AND ASSOC. GAS PIPING.
. OWNER -.--_ _ -_- ...._ . .
_._______._____.__.T_ CONTRACTOR _-------_. ..____..___------__-..
ROY BETTESWORTH � F LENDER - - ---- ------ �
NORTHWEST WTR HTR INC/DAVIS WH
32623 3RD PL S $ 2800 THORNDYKE AVE W
•DERAL WAY WA 98003 SEATTLE WA 98199
(253)984-6404 800-292-4328
NORTHNH103R2
*z* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 #*_
--------------------- ._.. ._e:=_:_=x:�_�.:=:�a__=_�_...::.._.__..,_;_ .-----"----- - T
PROJECT VALUATION 2200 4 FEES:
FUEL TYPES.:GAS ELE FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 35 ft HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 54.00
FURN<100K..: 1 DUCT WORK • 0 3-15 TON • 0
GAS HWT 1 WOOD STOVES... 0 15-30 TON...: 0
CONY 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 $ 74.00
r�_ ___.-- __.__ ----------- - -_._ _--- .-.______ __ 1
¢ 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 WO;K IS STARTED.
I CERTIFY THE INFO ION F NISHED BY ME IS TA ND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
- r1 r'
OWNER OR AGENT _ 0,I DATE 11 -7M°.
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FILE COPY
ii _ __ )?• /01/—;-/L..-
CITY OF FEDERAL WAY PERMIT NO: MEC9O-0302
33530 Eirnt Way South MEw'C tietNICONL P EftMI T IsSuED: 1,1/24/93
Federal Way, WA 98003 Mechanical Inspect ion _Requests 25:3- 66i - 414r J - BY: KLC
253-661-4000 EXPIRES: 05/22/99
ADI)RESta:32623 3RD PL `.:y
NO. : 701.681--0070
PROJECT DESCRIPTION:HVAC - INSTALLING 1 GAS FURNACE, HWT AND ASSOC. GAS PIPING.
ONNER :. CONTRACTOR �< ... xrz:: u .�,.:. .a.,.� ate•-. � LENDEP i•,: a.��,As•:_mac. ..a..� ra.e�:a*as. ,
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ROY Bf'FUROR IP NORTHNEST HTR HIP INC/DAV1S Wit
3?623 3RD PL S 2800 IHORNDYK£ AVE N
•DERAL HAY WA 9800: SEATTLE WA 98199
(253)984-6404 800-292-4328
NOR t lHNiAU31t2
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ut CONIRALIORS, MUSE USE LOCATION (Ott 1712 IWNFN RTI'APITI% SALES TAX fOR $RO.TECIS VITEN IHI. CITY Of FEDERAL NAY. LAX RATE 825 t*I
r aa..:,ms:next+...:::.:.:.u.:....a;aL...a,.:.x...-CL t__:.c. nr+*rct,-.r,.na::-.._:._......y�sa._. :r. _..;�.�.:_._ .,__...». ..a.:_Yaxa•.;azs.::ix�.:x..ax.:a__x.ast..::.sit... .e c:x•.. .n:.Sac:::^r_u.:soarit.s .xxz.a aa...;a::s:am ic..x..-.::..:....a.:_.:,..-:..,ra:_rs...uxa.�acxr.::.xrs„.a::x.�
PPOJE(T VALUATION 2200 FEES:
FUEL TYPES.:GAS ELE FANS... : 0 IflI1EfnfCO0PRESSORS NLC PNMT ISSUANCE... $ 20.00
GAS PIPING.: 35 ft H00D.........� : 0 OA M. .: 9echaairal Permit* $ 54.00
FURN<1OO1..: 1 D(C1 INIRit.... . 0. 1'15 IOt! ...:
GAS NWT • 1 WOOD:ST(la5:.,.: 0 !S-10 Th. , n
CONY BURNER: 0 FURWOO ,...: J JO 5U Tt v.__: 0
BBQ • 0 NISC..........: 0 504 IOW ..,.. U
GAS DRYER..: 0 AIR HANDLING UNI% FUEL Tt?t1►;y-
RANGE......: 0 <40,00u1 CFM. 0 WV( 1+-041!•t1!: 0
GAS IAS...: 0 ) 10,000 CFM[: 0 tJNDERGt0U"l1).: 0 TOtAL FEES $ 74.00
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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: Mechanical Rough ir. _�_ pit- V104/ Gas Piping _ /1 _____ Dat,. 3j�T/9�
IMECHANICAL FINAL % Dat- Y/1/91
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PfWN11S EXPIRE 180 DAYS AT1ER ISSUANCE IT NO IS STARTLE
I CERTIFY TIlE ITN' TOO I1N(NISNED NY NE IS 1 , C(RREC1 IU T1lE BEST Of NY LHOWLEBGE AND THE AMLICANL.E CITY Of FEDERAL. MAY REQUITtLNI$TS NILE BE HLT.
ONHER ON AGENT f' f.,�„_-�. _ _ F _a,.l c rvic__ ____d__ .. ____.____._____.._r DATE ._._u��24`_
FIELD COPY
City of Federal Way
. CITY OF G 33530 First Way South i\
C q
• Federal Way, WA 98003 'V, 1 0 - fl 30 a ,
_
I EID (206)661-4000
' )./VFIr45' .,
APPL/CA.T/ON FOR MECHANICAL PERMIT
PARCEL it• f 1 C, l cl ' 1 Uo7 Single Family Zr Multi-Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: Phone:
Address/City/State/Zip: 3 3-2--0 1.---
. his Is e �' ` 1 ���'` r
Nature of work: ���"'���� r`� ��� 1 Pro' ct alu tion: $ ( `"
APPLICANT:
Name: ea',Uk--C" •
Address/City/St/Zip:
Contact Person: Phone: Fax:
•
MECHANICAL CONTRACTOR:
Company Name: NQ O«fiLkf 7` (jj 71a_ \ ( -t�TE-{F---.-_
'� °C, V-M O`['R,� lu .
Address/City/St/Zip:
Contact Person: •- - [\.1.041--. Phone: 2.g2_4.40C) _ Fax:
•
State L & I Contractor Registration #: - ES1) TLb � - Exp. Date: 7L -.-
(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
BBO's Wood Stoves A/C TONS ertilsE fjriitaeii �a?{ : a:`•::>: E:»;>;
DISCLAIMER: I certify under penalty of perjury that the information furnis•-••• a is true a •.correct • 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. rther agree to es •ml. City•1 Federal Way as to any claim(including costa,expanses and attorneys'fees
incurred in investigation end defense of such claim),which ma •-made by any pore• Anithe undersi ned,and filed against the City of Feferey Way but only where such claim arises
01,
out of the reliance of the City.including its officers and a • •yes.,upon .n•-information sup•lied to the City as a part of this application.
CAner/Agent: / j Date:
IIIIIP
• • •