98-104595 • 9g- Ibi 595
CITY OF FEDERAL WAY pp 'I MI 1".
PERMIT NO: MEC98-0311
33530 First Way South M :::.wti4.... H �,;;,� N .1 (.. .f� �i L il,,,,;kN..u.•R1MI .1". ,1". ISSUED: 12/03/98
Federal Way , WA 98003 Mechanical Inspection Requests 253-661--4140 BY: KLC
253-661 -4000 EXPIRES: 05/31/99
ADDRESS : 33213 26TH PL SW
NO. : 894430-0690
PROJECT DESCRIPTION :G/G FURNACE CHANGEOUT
— OWNER -__..._.____-. T CONTRACTOR --• T LENDER
MIKE/KARI CIMMER NORTHWEST WTR HTR INC/DAVIS WH
33213 26TH PL SW I 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023 SEATTLE WA 98199
253/350-7528 (253)984-6404 800-292-4328
NORTHWH103R2
_I._--.
**s CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.25 ***
_ §
PROJECT VALUATION 2000 E FEES:
FUEL TYPES.:GAS ELE FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD 0 0-3 TON • 0 MECH PERMIT FEE $ 52.00
FURN<100K..: 1 DUCT WORK • 0 3-15 TON....: 0 gg
GAS HWT 0 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 $ 72.00
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: Mechanical Rough-in Date Gas Piping Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMMATION FURNISHED BY M IS TRUE AND CORRECT� )TT�O THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
eaOWNER OR AGENT V,`-i A- ,J/W Ct u6GDATE 1 0 • 3 'C e
FILE COPY
73-
4 4,
CITY OF FEDERAL WAY PERMIT NO: MEC96-0311
133530 First Way South MECHANICAL PERMIT 1S1SULO: 12/03/98
Federal Way, WA 98003 Mechanical Inspection Requests 253-661 -4140 BY: KLC
253 -661 -4000 EXPIRES: 05/31/99
ADDRESS:33213 26TH PL SW
NO 894430-0690
" PROJECT DESCRIPTION:G/GFORWICHANGEOUT
fs OWNER alasnan..azorms,mv==....twu.mcuatxmas.,mmummtumw..xmalmgsguanauss.9... CONTRACTOR Lump 14A4U/31.2.06.1AWUWW.W.-.512W.a01,b1MX.AM.....5611W.Vxm......14
MEE/EAR! MINER NORTHWEST RIR HER INC/DAVIS WH
3313 26TH Pt SW 2800 THORNDYEE AVE V
FEDERAL WAY WA 98023 SEATTLE WA 98119
253/350.7528 (253)184-6404 800-292-4328
ROR1140tagt2
LORM,,,IM4M=11..raat. .,OAW=..... ...m.,mg.,,A449.w .imm, q=axv40* .Amiteuruanimo,unamaxaMlassmams.a..asswassu..saigars..acumimmmumwomxaun==salsweasommuscumm......14u..sx,„4w.ux:aawaaxamumaguaausmusa.amaxemotnomAtam
01 CONIRACIOROLEASF IME WINO (00F In, vett trPORTINC SALES FAX FOR PROJECTS VITRO ENE CHI Of FEDERAL RAY. TAX SAFE = 8.25 Flts
. mcs sa ut.ltag ..:ustosomaswest-stausunsaiwacItemanvellais**...-....,:,*s:na.setsrsna.,2a === VAS“..:RAV.01MaaliMUIZSYS 314.310:•,t a.urz ra.:-012C4 ., 9001111%41,1,2:4,
PROJECT VALUATION 7000 I FEES:
FUEL TYPES GAS EU FANS * 0 EA:EEK/COPPPP;s016 NEC PROT ISSUANCE... $ 20.00
GAS PIPING.: 0 fl HOOD 0-3 101 •
Prril PERMIT RE $ S2.00
FURNIOOK..: 1 DUCT WDR I TON n
GAS 11111....: 0 WOOD SIM..., r 5 n . 0
CONY BURNER: 0 FORN)1001(..,..: u Wi1J 11 ! „:
BDO 0 MISC 0 SOi TON G
GAS DRYEr...: 0 AIR HANDLING UNIT', FIJI TAI'RANGE • 0 '710,000 ON: 0 APP!i 1i.08t 0
GAS LOGS...: 0 10,000 0111: 0 OwciN 000 : 0 TOIAT ILLS $ 72.00
,17,.. ....,..,M,.1.===..XS.,71..M=174,A..414.14MS.X.**O=WW=..1=24V.4744A34,M4M=1111..WMICIN.M=.0962=8,12=..1.2=WJK=GMEWWW.49,411.44.4.2.,i..=.44 ..4.-U*...0441.4.1,7=07.2.=.414.==.==.W.00=MAZg.M...
Does the water supply systes contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (It "Yes' then water eypansion tank is required on Not Water Tank)
Inspection Record: Mechanical Rough-in Date Gas Piping Date
MECHANICAL TAAL Datt -2,57 lc\
mut RIO DAYS Mill ISSOANO IF NO MORI IS SIARIED.
CERTIFY THE INFORMATION FURNISKO NY IS TRUE AND CORRECT TO TNN: IESI DI MY KNOWEDGE APP ENE AMAMI CITY OF MOM NOY NOOKAINIS Vitt Lk tJ. -
c-
OWNER OR AGENT ( r1 ff'517(-) 1\ilijC2 mu. pi • •FIELD
-
FIELD COPY
City of Federal Way '
CITY OF G 33530 First Way South
• Federal Way, WA 98003 f
• (206)661-4000 ���VQ��V1 , ~- �EMAIL_
WFM#
APPLICATION FOR MECHANICAL PERMIT
CIL 1 2, LIrf 9
PARCEL #• Single Family-q' Multi-Family 0 Commercial 0
SITE LOCATION: ii
Tenant/Owner: M I,C. k a-eit Ct' vvici 1CA7 ( 3 •0/ S - `1 / L�
Phone:
Address/City/State/Zip: '27 —Q Ptcti\J
Nature of work: —I '��� ��� +,((,-vta.c_c_ Project Valuation: $ ---- 2(2-26;-' D
APPLICANT:
C-- CC-c' • a0 C_U 'e-
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR: /
Company Name: aI� � Cf�7�, ��T ._ —
ZC6Address/City/St/Zip: CO Q`I' 4V(! .
Contact Person: t� Phone: Fax:
•
State L & I Contractor Registration #l: NURTk+W I b k Exp. Date: : ---
(Card
-(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000ofm 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 Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves A/C TONS >`rOtaE> n t� irui"ik:?•?a{ :I:8`::::IS'I:i; 5,I,:,
DISCLAIMER: I certify under penalty of perjury that the information furnie•--••• is is true a .correct • best of my knowledge and further that I am authorized by the owns,of the above '
premises to perform the work for which permit application is made. ther agree to as •,ml..:, -City•f Federal Way as to any claim(including costs,expenses end attorneys'fees
Incurred in investigation and defense of such claim),which ma made by any pers• �' the underal ned,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 a • •yees,upon .h•.information sup'lied to the City as a put of this application.
Age
%111 °11111 2 ,
en :
Owner A
/ g t �� _ ' Date: