98-103857 NI 9r- I6 $57
CITY OF FEDERAL WAY NO: MEC98-0231
33 530 First Way South III .:M;,., I„�,ti et 1"'',„1.. M;,., e...t .,
., P ;;»,. "'�,11.,IM,,. ,�,,. ISSUED: 10/08/98
Federal Way, WA 98003 Mechanical Inspection Requests 253--661-4140 BY: KLC
253-661-4000 EXPIRES: 04/05/99
ADDRESS:918 SW 360TH ST
NO. : 440561-0170
PROJECT DESCRIPTION:HVAC - INSTALLING 1 GAS FURNACE W/ASSOCIATED PIPING
r OWNER =--- -------- -___..._,_..__-_-. CONTRACTOR ---- _ ------ -- LENDER -- --- -
--
- JACK KOTCHKOE I NORTHWEST WTR HTR INC/DAVIS WH J
918 SW 360TH ST 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023 1 SEATTLE WA 98199
I (253)984-6404 800-292-4328
NORTHWH103R21
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.25 ***
--- FANS 0 -.- `------_._. ---- __-.___._..____..._-- ---------.- - - __._ ..
PROJECT VALUATION 2000 FEES:
FUEL TYPES.:GAS BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 25 ft HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 52.00
FURN<100K..: 1 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...: 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 I T• D 1 /�
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRU 'ND OR' 0r : 'F MY KNOW DGE AND THE AP's '.LEC Y F�gE RA AY REQUIREMENTS WILL BE MET.
OWNER OR AGENT - --1-/ ' }ATE -- - -
FILE COPY
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CITY OF FEDERAL WAY PERMIT NO: MEC98-0231
33530 First Way South H C C firl N I Cret L P ERNI T ISSUED: 10/08/98
Federal Ways WA 98003 Mechanical Inspection Requests 253-661 4140 13Y: KLC
253-661-4000 EXPIRES: 04/05/99
ADDRESS:91E3 SW 9601 H ST
NO. : 440561-0170
PROJECT DESCRIPTION:11VAC - INSTALLING 1 GAS FURNACE N/ASSOCIATED PIPING
OWNER COHIRAC IOR LENDER
JACK KOICHKOE NORTHWEST CR MIR INC/DAVIS WIT
I 918 SW 360TH ST 2800 INORNDYKE AVE N
FEDERAL WAY WA 98023 SEATTLE WA 98199
I
(253)984-6404 800-292-4328
NORINWN103R2
*** COMilthCiuMS, Mau U51 Lowloirteit 1132 W0tN REPORTING SALES TAX 101 PROJECTS 011010 ENE CITY OF FEDERAL NAY. TAX KATE : 8.25 to
PROJECT VALUATION 2000 I FEES:
FUEL TYPES.:GAS ? [ANS • 0 ,3011(Pc/COMPWS00c NEC PPM ISSUANCE... $ 20.00
GAS PIPING.: 25 ft HOOD .: V ,) 3 ION. . 0 I Mechanical:40*ga* $ 52.00
FURWIOOK..: 1 DUCT WORE : A 1-15 TON...,. u
GAS NW! • 0 WOOD "70',V, ,.• 0 15-:10 TO...: U
COW/ BURNER: 0 FURN IOW, .,, U f0')0 IA. : U
BBQ • 0 NISC,,..,,., : ti `Art ION ",.: 0
GAS DRYER..: 0 AIR HANDLING 01111r !UE1 AN ;----- ---
RANGE • 0 “10,000 IFtl. U NBOVE 1,ROUNI. U
GAS LOGS...: 0 ) 10,000 CFP1. ri UNDERGROUND.: 0 TOTAL FEES $ 12.00
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If 'Yesthen water expansion tank is required on Hot Water Tank)
Inspection Record: Mechanical Rough-in Date Gas Piping _ (304,-- _p..4.,_ Date //,--.5,-./
MECHANICAL FINAL .12 . ?/- Date if.-1.--9/
/ 1 7
PERMITS EXPIRE 180 DAYS AMR ISWANCE IF NO Mkt
I CERTIFY Tilt INTORMAIION FURNISHED IN NE IS NUE- I 1111 NISI et MY KNORLEDGE AND THL1CADI1 WY OF FEMA Y RIOUIRENIN1S Will BE NEI.
i
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NKR OR AGENT ./._,
../ 1 , \
-/ TE 147_4_
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FIELD COPY
City of Federal Way
CITY OF i-- 33530 First Way South
------------S• Federal Way, WA 98003
1- __---13 .r-KFIR,—. (206)661-4000 -
\F�'' )11�eg -b Z� I
APPLICATION FOR MECHANICAL PERMIT
PARCEL u• -1- -' -7 `f-" l C-1I /
Single Family 9- Multi-Family D Commercial D
SITE LOCATION: / J��
GCTenant/Owner: -T- Ff ) (:) Phone:/5-7' ,.- ;
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Address/City/State/Zip: f / Ski( '760 i r-
.
Nature of work: z,, ��Kni-a CELt,' %, , LT
Project Valuation: $ / S7�l I-----
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax: •
MECHANICAL CONTRACTOR:
Company Name: \IQ G 1-fwC- (- Wfr-i-eR.._ '+-1 `s- -______
Address/City/St/Zip: 2 op (t-t��zc�S a��� 4/. Y U •
Contact Person: - NA C)1 L, `T/ Phone: 2,R? . `vim Fax:
State L & I Contractor Registration #: 1C..?R l U4 I b,." Z- (ei
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
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 Tt t 1 t)nit Co jnt ;>;:;;:;:<s:>:;::;;:::
DISCLAIMER: I certify under penalty of perjury that the information furnis Uyme 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 J.ftrther agree to sa mle - re City•f Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which mayb(made by any pers• ,in • he undersi 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 em• •yeas,upon -a-Cc . I. information sup'lied to the City as a part of this application.
j ./..-..-7- r
Owner/Agent: I - - Date:
4111111111V-41111P ,
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