98-103578 CITY OF FEDERAL WFrY - 'f PERMIT NO: MEC98-0202
33530 First Way South d'"'� t:'�::#a:.1 .,,:.�A8"' ,::11x: ��:::•.�';;;, i ::::;k tf�::•:Fiji .��,. ,,.u,•. ISSUED: 09/17/98
Federal Way, WA 98003 Mechanical Inspection Requests 253--661--4140 BY : KLC
• 253-661-4000 EXPIRES: 03/15/99
ADDRESS:29844 11TH AVE SW 98 - /D3 5-7a
NO. : 195460-0120
PROJECT DESCRIPTION:HVAC - INSTALLING 1 GAS FURNACE, 1 FPL INSERT, 1 HWT WITH ASSOCIATED GAS PIPE.
= OWNER -___ -.--- --- -_CONTRACTOR =__ ---------------
_ , LENDER --- _ ___-_._ _.
-- ___
1MIKE ._._WEISSMAN 9 NORTHWEST WTR HTR INC/DAVIS WH
29844 11TH AVE SW 2800 THORNDYKE AVE W ! !
FEDERAL WAY WA 98023 , SEATTLE WA 98199
253-941-2384 (253)984-6404 800-292-4328
NORTHWH103R2
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 3100 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS ! MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 25 4t HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 63.00
FURN<100K..: 1 DUCT WORK • 0 3-15 TON • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 TON...: 0
COHV 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 1 TOTAL FEES $ 83.00
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
I
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK . TARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TR • AND COR' TO T �/.' iWLEDGE AND THE APPL LE CITY 0 EDE WAY QUIREMENTS WILL BE MET.
OWNER OR AGENT 00/� DATE 7/
FILE COPY
. _ .
CITY OF FEDERAL WAY PERMIT NO: MEC98-0202
33530 First Way South MECHANICAL PERMI T ,
ISSUED: 09/17/(58
federal W&y,,, WA 98003 Mechanical Inspection Requests 253-661 4140 8Y: KLC
253-661 -4000 EXPIRES: 03/15/99
ADDRESS:29844 11111 AVE f_s,W 9F - ,q) 27S -7
NOW : 195460-0120
PROJECT DESCRIPTION:RAC - INSTALLING 1 GAS FURNACE, 1 FPL INSER1, 1 NWT WITH ASSOCIATED GAS PIPE.
MIKE WEISSMAN NORTHWEST WIR HIR INC/DAVIS NH II
29844 11TH AVE SW 2800 THORNDYKE AVE N
I
FEDERAL WAY WA 98023 SEATTLE WA 98199
253.941-2384 (253)904-6404 800-292-4328 I
NORTHWH103R2
*** CONIRACIORS, PLEASE USE LOCATION CON 1732 IIMUliWIORIINC SALES IAX FOR PROJECTS VIININ INE CITY Of FEDERAL MAY. TAX RATE : 8.25 ts:
44..44A
PROJECT VALUATION 3100 FEES:
FUEL IYPES.:GAS ? FANS • 0 BuILIKICOMPRECSOR NEC PRMI ISSUANCE... $ 20.00
GAS PIPING.: 25 ft HOOD . : 0 0-3 ION ' 0 Mechanical Permits $ 63.00
FURNclOOK..: I DUCT WORK : 0
3-1-' 1°4 *.: 0
GAS HWI 1 WOOD STOV[s.. : 0 15 :0 fuli..„.: 0
CONV BURNER: 0 IURTI)1f10) .... 0 30-W NO. .: u
I .
BBQ • 0 MISE. .... ..; 0 4,0 f ON.. . u
GAS DRYER..: 0 AIR *DEM UV FULL TAO
2 _
RANGE • 0 <7.10-,4100•04, 0 APfiVE (ROUND! 0 1
GAS LOGS...: 1 > 10,0* ri 0 UNERGRouND.. 0
I FOFAL FEES $ 83.00
Does the vater supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ().)Nocilfj'Yes" then patgrAxpanotank is required on Hot Water Tank)
( _
Inspection Record: Mechanical Rough-in _____________ Date Gas Piping .....______ Date
_ .......______
MECHANICAL FINAL _C.-..--. I f -,-).___... Date 1:J - q
PERMITS EXPIKE 1NI DAYS AFTER ISSUANCE If NO Mr e .ilArRIED.
I CERTIFY IRE INFORNAIION IURNISNLO HY NE IS fROt/AND CON 10 I -1113\01 NY II EDGE AND INE APPLICABLE CITY OF FEDERAL MAY REQUIRENENTS WILL la DLL.
- \
X
FIELD COPY
CITY OF G BUILDING DIVISION
• ED 33530 First Way South
Ry Federal Way,WA 98003
(253)661-4000
Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
/q,C4(e-S2
/�j� MEC 98 - 0PARCEL# ?-
OQ ` Single Family❑ Multi-Family 0 Commercial 0
SITE LOCATION /
Tenant/Owner ( Cr� D J�1 V /�w L✓!5 S A^rA A/
Phone Z � q(-6— cs.?'y
Address/City/State/Zip g /0 4
( Z 55-( v JU 5
Nature of Work L34 r C-c-J i 4 //616,&--- 4 r-v-Oe" Project Valuation: $ 25 :i>
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name
Address/City/St/Zip 2$DO r/tyieAjP Y.l� ,fit / `?'l??
Contact Person 7462---/1-' Phone(7CCP� z7(? Fax
State L&I Contractor Registration# ,0'52 LA.--\.4 (O ---- 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
Fum<100K BTU's / Gas Log UnHeater Underground
Furn>100K BTU's Fans Boiler BTU/H Miscellaneous ,l
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
1313(2's Woad Stoves A/C TONS "CofatT?iiifC utl »»`> 's»>3i`» r�EE ?
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 only where such claim 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.
•
Owner/Agent Datc •
McCu.APP
Revises 7/29/98