98-104035 cyg-Io Yo3'
CITY OF FEDERAL WAY f , p PERM
..U,�. PERMIT NO: MEC98-0255 •
M �,,,,,,.(',,, �,,... l pp . q.,,,. y q '1 �.,. R M .,•fl.. il ISSUED: 10/22/98
33530 F 1 rS t Way South !„. ,„, I II i�""'� tf�'I{ �G,. ,,,„.�„„,.i .„„» i”'"� !»»,,.�",��,
Federal Way, WA 98003 Mechanical Inspection Requests 253--661-4140 BY: FC
253-661-4000 EXPIRES: 04/19/99
ADDRESS :33412 10TH CT SW
NO. : 926496-0730
PROJECT DESCRIPTION:HVAC - GAS TO GAS FURNACE CHANGEOUT
= OWNER -- --- -,- CONTRACTOR - ____,. LENDER -- -------------- ------
MIKE MASSOTH NORTHWEST WTR HTR INC/DAVIS WH
33412 10TH CT SW ; 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023 SEATTLE WA 98199
874-0553 I (253)984-6404 800-292-4328
NORTHWH103R2
xi* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.25 #*_
I PROJECT VALUATION 1500 T FEES:
! FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
9 GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 42.00
1 FURN<100K..: 1 DUCT WORK 0 3-15 TON • 0
1 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
IRANGE - 0 (:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 62.00
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)
i
1 Inspection Record: Mechanical Rough-in Date Gas Piping Date
IMECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NI IRK IS STARTS!
I CERTIFY THE INFORMATION FURNISHED BY M. S TRUE AND"” ! F ALEDGE AND THE APPLICABLE CITY OF FEDERAL Y REQUIREMENTS MILL BE MET.
OWNER OR AGENT -__ DAA ../- 1.__--
FILE COPY
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CITY oF FEDERAL WAY MEC- HA �� .�. �,�, a��; ��.. �'" �. .�,. PERMIT I"i�UE�UME10/22/98
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33530 First. Way :South
Federal Way, WA 980O3 Mechanical J mi4 L i :m Requests 253 .661-4140 DY: FC
253--661•-4000 EXPIRES: 04/19/99
ADDRESS:33412 10TH CT SW
P10. : '7264.96 U 730
PROJECT DESCR:IPTIO8]:HVAC - GAS TO GAS FURNACE CHANGEOUT
in OWNER ===<,asvaa:agmammmaasa. ana:wwaalma;:mxxa:,..m_.:.;,aas,sawaCONTRACTOR zana :<_w m>, aawn :ti,a:a:a:wwt:
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NORTHWEST RIR HTR ITC/DAVIS NH
33412 1010 CT SW 2800 1HORI'DYKE AVE Y
FEDERAL WAY NA 48023 SEATTLE WF, 93199
I 874-0553 (253)984-6404 800-292-4328
NORTNWH103R2
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*5* ClNllt+AC lvq. PI E SE (tit: 18GAI NN ( L 111' N8L :::108 i i 4C SALES TAX FOR PROJECTS TRIM ENE CITY OF FEDERAL WAY. TAX RALE = 8.25 teat
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PROJECT VALUATION 1500 FEES:
FUEL TYPES GAS FANS U
i', 1LLl .!: Mt° 4'�`��RS NEC PRMI ISSUANCE... $ 20.00
GAS PIPING.: 0 fl` HOOD,.•. 0 3 �t:. . u Mechanical P mitt $ 42.00
FURN'lUUK..: 1 DUCT WORK.. . 0 :1 ISR('....: 4
GAS HWT....: 0 0001 10W. 0 .ta I"„ ..: it
CONY BURNER: 0 FUR 110a. .,:, C '0 is T;,: ..: r
Bet * 0 MISC. , J ":U° 14H. ..,., 0
GAS DRYER..: 0 AIR HAHDI G 0P. IS 1,0E. JIM,: .----
RANGE ' 0 c=10,004 'I'M: 1 Autit c801.46- o
GAS LOGS...: 0 > 10.000 (I:i' t'• ONDERGROUHD.: 0 'OTAL FEES $ 6:'.00
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Does the water supply systei contain a Pressure Pedwfi t+ ./lee or Check ta>Ive? ( ) Yes T ) No (If 'Yes' then water a"pansion tank is required on Hot Water lank)
i
' Inspection Record: Mechanical Rough-in __- ________ Date 3-2-S-V1 WS Piping -3-2S-11 _._ Date
MECHANICAL FINAI ___,,,,,f.w_ Date 3'u _
m:Sa ltr.. M.gm ca.'a.t',a aUZaa:.::..i3•^==Jenna.=.+,6,12,.=O:m M.1...k _.. t.sz r�B/y�YY t,n,awwaa.::. .. ...a asmaamaaaaa.macamnaz atanaiYS,aaamSa:iRaaaa:S,maab.4tlM1T+an,aamanamaananamaamaaawaanaa4a:am¢C,EwaMLt-.m?
PUMIFS MIKE 181 DAYS AlP IS'.1JA110E If K IS START. l
I CERTIFY TME 1NFORMA1lON IURMISNtO MY ; S TRILL 1810„;00 , :-RISI Of MY EDGE AND THE AMICABLE CITY OF FEDERAL REQUIREMENTS WILL 1L NET.
i 22,
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FIELD COPY
City of Federal Way
CITY OF --- 33530 First Way South
• Federal Way, WA 98003 C/3/
u (2061561 4000 '�Z J
VV ntz
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SEP 2 2 APPL/
CA T/ON FOR MECHANICAL PERMIT
PARCEL #•
1460,44),cO (30Single Familyd Multi-Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: /�/�( ` 6SO ( / g�
/�/�� Phone: (55'3
Address/City/State/Zip: 2 l0 C. f V
Nature of work: -------� ��� (5 w,.
Project Valuation: $
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax: 1
MECHANICAL CONTRACTOR:
fir
Company Name: \Q6 ,WC—=S•_( _ N-r- - l r+---t`v „
Address/City/St/Zip: `-c1) O �t (2L\S t7�'��
7 . O
1
Contact Person: c)1___.L t Phone: ��
Fax:
State L & I Contractor Registration II: b h, 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
[urn <100K BTU's I Gas Log Unit Heater Underground
[urn >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 T tii Unit Gdtiii[s>«>
DISCLAIMER: I certify under penalty of perjury that the information(urns . y e is true a .correctbest 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) littler agree to sa mle s- City•f Federal Way es to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may bE made by any pers• ,in ).i#16.the undersi ted,and filed against the City of Federay Way but only where such claim arises
out of the reliance of the City,including its officers end empter ees,upon the acc I. information sup•lied to the City as a part of this application.
Owner/Agent: ______( �_ -
Date: