98-100244 E
CITY OF FEDERAL WAY
PERM PERMIT NO: C9 —0
20
33530 First Way South I „... NrN .. .. ; � NNry
ISSUED: 01/27/98
Federal Way, WA 98003 Mechanical Inspection Requests 253--661-4140 BY: KLC
253-661-4000 EXPIRES: 07/25/98
ADDRESS:29607 2ND PL S
NO. : 718000-010
PROJECT DESCRIPTION:HVAC - GAS TO GAS FURNACE CHANGEOUT
q= OWNER ==__== ---- :_ ___._____...__._____ :7= CONTRACTOR =_-_----_ ___.____._ LENDER -:
JIM HALVORSON ( NORTHWEST WTR HTR INC/DAVIS WH
29607 2ND PL S 2800 THORNDYKE AVE W
FEDERAL WAY WA 98003 SEATTLE WA 98199
941-0461 (253)984-6404 800-292-4328
NORTHWH103R2
---------- ------:__.__-. -_-_->._1 - - _ _:__ - _- __ = __�
ts* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
PROJECT VALUATION 1500 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 42.00
FURN<10K..: 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
BB0 • 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 $ 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)
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Inspection Record: Mechanical Rough-in Date Gas Piping Date
► MECHANICAL FINAL Date
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK STA, • 1 er,
I CERTIFY THE INFORMATION FURNISHED BY ME IS T'. ANi O'' 40 BLS OF MY NOWLEDGE AND THE APPLICABLE CITY OF F ERAL W REQUIREMENTS WILL BE MET.
OWNER OR AGENTDATE ir
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CITY OF G ED BUILDING DIVISION .
• EO
V REGE1V 33530 First Way South
Q Federal Way,WA 98003
v v Ry AN 2 1998 (253)661-4000
u Fax(253)661-4129
OF FEpEI:iAL WAY
nayAPPLICATION FOR -ECI �IICAL PERMIT
MEC T_ e, 2 42
PARCEL # t`c `, 000 1 La Single Family' Multi-Family 0 Commercial 0
SITE LOCATION / lI I
Tenant/Owner a 1 M `�'� L\(,' ,10.__,< (-•L 'r Phone ` .(4 1 — 0' i
Address/City/State/Zip t 0 L1- - z_ fL. C), �bP-10,A c'' '-_•. ( -)�
Nature of Work Com; (-%'� (U K( AC'I � ('V(� 1 Project Valuation:$ ( �O
APPLICANT
•
Name _ _. _ '-------..`
Address/City/St/Zip !/ t
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name 1''LL Lti ie 14-ftTE .
Address/City/St/Zip 7---S(_" (..:0 �'4 �T #A 1A COvvv\ 1 gq 4.
I ' I I I
Contact Person 1,k On ���A ,l (---}\ Phone ( 3)9c<`t -(6 '16 4 Fax
State L&I Contractor Registration# JI 0 i. .--1-1 LC k LC-3• ..- -- Exp.Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type(gas/other) K-•••' .
Gas Dryer Air Handling<=10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling>=10,000cfm Above Ground
Fum<100K BTU's 'i 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
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BB(2's Wood Stoves A/C TONS :*T tAliViiite-i i`tit>` ??>:::<::<:=;z>:i:, >::
DISCLAIMER:I certify,under penalty of perjury,that the information furnished by me is true and correct to -.-s o my kn. d f • • . 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 el.. (including,,•r h.•.attorneys' ees 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 w. e such cl. ?.- . .i reliance of the ,including its of5cers and employees,upon the accuracy of the
information supplied to the city as a part of this application. �
�✓ / �7 �y
Owner/Agent Date
g /
MECu.APP
REVISED 8/26/97