98-103472 CI1Y OF"' FEDERAL WAY PERMIT NO: M C98-OT.95
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33530 First Way South C 9;';;;,. ..,". II°hi N .Ji.. f,.....101 ti ii°"�k !I;".;.. .,,li... If ISSUED: 09/10/98
Federal Way, WA 98003 Mechanical Inspection Requests 253--661-4140 BY : TN
253-661-4000 EXPIRES: 03/08/99
ADDRESS: 4033 SW 321ST ST 9 8-163(7,7°1
NO, : 873190-2290
PROJECT DESCRIPTION:GAS FIREPLACE AND PIPING
F= OWNER -_ -. .._.. T CONTRACTOR -. .-__:_-_-._--7- LENDER -- — - ------
1
FRANCIS DOLE 1 NORTHWEST WTR HTR INC/DAVIS WH
4033 SW 321ST ST f 2800 THORNDYKE AVE W
! SEATTLE WA 98199
(253)984-6404 800-292-4328
NORTHWH103R2
-- _ -- ----...._. _ _ _-__ __ ____._____ ;_ - -- -. -___===.
us CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FUR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 fix
PROJECT VALUATION 1000 FEES:
FUEL TYPES.:GAS GAS FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 32.00
GAS PIPING.: 20 ft HOOD • 0 0-3 TON • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0
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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 52.00
__
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 WOR STARTED.. �,
I CERTIFY THE INFORMATION FURNISHED BY ME IS 'IE AND CO" -0-TO ,:'�i1 OF KNOWLEDGE AND THE APPLIC CITY FE WA IREMENTS MILL BE MET.
OWNER OR AGENT - DATE
4.
FILE COPY
( 11 Y OF F f-T)ERIAt 1,4()Y PERMIT NO: MEC98-0195
33530 First Way Soutli MECHANICAL PERMIT ISSUED: 09/10,498
Federal Way, WA 9800:3 Mechanical inspection Requests 253 661 4140 BY: .tN
253-661 4000 EXPIRES: 03/08/99
ADDRESS:4033 `,2,W :121S1 ST
,-
NO. : 873190-2290
PROJECTf DESCR I P T ION:GAS FIREPLACE AND PIPING
I FRANCIS DOLE NORTHWESI W111 HTR INC/DAVIS NH
I 4033 SW 321ST ST 2800 THORNDYKE AVE N
i SEATTLE WA 98199
l
I (253)984-6404 800-292-4328
NORTHWH1031±2
us CONTRACTORS, PLEASE USE LOCATION COE 1732 11111131NITIING SALES TAX FOR PROJECTS 11111111 IRE CITY OF fEafilAL MAY. TAX RATE : 8.2 tt3
PROJECT VALUATION 1000 FEES:
FUEL TYPES.:GAS GAS TANS * 0 110ItERS/CONPRESSORS Mechanical Permit* $ 32.00
GAS PIPING.: 20 ft HOOD • 0 0-3 TON * 0 MEC PRAT ISSUANCE... $ 20.00
FURN<IOOK..: 0 DUCT WORK : 0 3-15 TON....: 0 •-' .''0..%•:°‘P'v , '. !°;',:°„;
GAS HAT • g WOOD STOVES...; 0 15-30 TON...; 4 ,
,
COltV BURNER: 0 tiFURisc/1.>100K..„. ...:" 0t, 5no;5,oToNION...! 0
BBQ 0
0
•
GAS DRYER..: 0 AIR ANDEL% MELTS RILE TAINS---------
RANGE • 0 (:111,LATO CM: 0 ABOVE t.,„, , t 4 '
GAS LOGS...: 1
10.000 CFM: U UltOtRGROOOD.: 0
TOTAL FEES $ 52.00
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes f ) 1 (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record: Mechanical Rough-in Date
MECHANICAL FINA ____ Date
Gas
--PiPin' ... __ ____ gate
, ..'•
PERNITS EXPIRE 190 DAYS AFTER ISSUANCE If NO IS START .- __,,,_-"'
I CERTIFY lilt INfORFIATION FURNISHED ITT Nt TRUE AND .,r-C1 ' THE ItS1 Of NY KNOWLEDGE AND IHL CiPPLICIIILE CI Of FEDERAI Y REQUIRENENIS WILL fl'? 4'I (/
_„-
(INNER OR AGENT ..,„ DATE (GIL 7 ..„,
FIELD COPY
CRj )EEFrCF1l_
G BUELDING DIVISION r
Federal Way,WA 98003
(253)661-4000 "l
Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
MEC 98 -
PARCEL /t '7 'CI D. ' Single Family/El Multi-Family❑ Commercial❑
SITE LOCATION X`r
Tenant/Owner . 3 L 1 D6L_� Phone ��� l y (,`(,()ceS
Address/City/State/Zip , ,�� �, +
Nature of Work r.rn L ( <Y` 7 1 " P Project Valuation: $ I06 Cl
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name A/i.i77 < /-(Z4
Address/City/St/Zip Z goo // 1 tV/GL
Contact Person Mo LI I Phone( si 2•s1J lOO Fax
State L&I Contractor Registration# � �L-U�, t I C_' 3 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 / K" Range Air Handling>=10,000cfm Above Ground
Fum<100K BTU's Gas Log Unit Heater Underground
Furn>100KBTU's Fans Boiler BTU/H Miscellaneous /
Gas Hwt Hood Boiler BTU/H Other r;�G !u1J xTZ `l
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves A/C TONS �
DISCLAIMER:I certify,under penalty of perjury,that the information furnished by is tau 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 F eral Way as to • If eluding costs,expenses,and attomeys'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 F y Way but.•. • .05 claim • -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.
2'; 4
Owner/Agent 4 . — Date � I-
MrCRRAPP
Revrsm 7/29/98