98-104327 9 g- l° 34-7
CITY OF FEDERAL WAY pp �� � � P . ��. bb pN p
PERMIT NO: MEC98=0279
33530 First Way South PI !E., duI Hf:,',I! N I �i,M.r�����i !I:;;�.H. 4�u ..IL. ...u,,. ISSUED: 11/10/98
Federal Way, WA 98003 Mechanical Inspection Requests 253-661--4140 BY: KLC
253-661--4000 EXPIRES : 05/08/99
ADDRESS: 21.5 SW 324TH CT
NO . : 926490-1600
PROJECT DESCRIPTION:HVAC - GAS TO GAS FURNACE CHANGEOUT.
I.= OWNER ------ --- - -.- ------ Y CONTRACTOR ...- ------ • T:. LENDER
JANICE BRACKETT 1 NORTHWEST WTR HTR INC/DAVIS WH E
215 SW 324TH CT ) 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023 ! SEATTLE WA 98199 1
€ i
(253)984-6404 800-292-4328
1 NORTHWH103R2
2** 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 r FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON 0 1 Mechanical Permit* $ 42.00
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 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 62.00
i
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
---------.t=__-__PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFO TION,,URNISHED BY ME I TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ I t tt l A` _ikHiti(� DATE ---- 1-1 �(`
FILE COPY
—_ A 9a, id ti 7_, 3 7
CITY OF FEDERAL WAY PERMIT NO: MEC9E3 102Y9.
33530 First Way. South MECHANICAL PERMIT ISSUED: 11/10/98
Federal Way, WA 98003 Mechanical Inspection Requests 253-661 -4140 BY: KLC
253-661-4000 EXPIRES: 05/08/99
ADDRESS:215 SW 324TH C.:I
NO. : 926490-1600
PROJECT DESCRIPIION:HVAC - GAS TO GAS FURNACE CHANGEOUI.
. OWNER maarJ xmascw.wantcxa�R::«::m:*x:m*.s z:a.;mnnd.44.&sx..1.:A:4 ,< CONTRACTOR t.n.M� wAX64MW:.=a=Si �i .s:. x�mz=2.WW6a=4:r. W LENDER WWWW1a6a44,: aansnMa._IW>;xe.:.SSW,AWWW.W.�WWWWWW WWB,_W
JANICE ,'ACKETT NORTHWEST WTR HER INC/DAVIS NH
215 SW 324TH CT 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023 SEATTLE WA 98199
(753)984-6404 800.292-4328
NAIL"Tt
TZ..`:X.S2,W sower F:Za'iS:Caagla=1.:CSX:IiGSSA-.x,sotwx..,.n4Si44,4tx*81.Tn*.pI.F.'._MriSF'-'._2.r2A....a,...3.90C.L.7...^..+AL:t s a tt.CSt:ztle m/mArAmm.roulat:et9iX.5A StS=aavz.....:LY.:..K. .«..0':.1.+.W..':Y,AFWNMWfl&lotW:Ir gx,=aSN:4m."eean':+A 5C3a*�G is.a.taSadaa1aau4.ttS
st* CAMTRACTOt „AEASE aSt1 ITIUII irlot 1'3? LADEN REPORTING SALES TAX FOR PROTECTS M1TMIN IME CITY et FEDERAL. MAY. TAX RAIL = 8.25 ***
,..XS..Z4a.::.5a5 .55 a*-..$SAWS*.^.ab.YGx1mk5*Wm.^.m*nta *aassAIitsa sat1CW.. '•••'••fl isssac:zn,nc952:t IWOWM*....:-,;.s.KIX.-Si. S C=:.2X:F.:m'LSitlW=.WWn"."WMWWWWWWWS90r»$Sia.T.:C:.::.i XS*.W WUW.Sx:3..:mYt-�m':�n•
PROJECT VALUATION 1540 FOES:
FUEL TYPES.:GAS ? FANS : 0 8OILl S/C W EL; OFS MEC PRMT 1S.e CE... S 20.00
GAS PIPING.: 0 ft HOOD....*.....: i, 043 TON M=•:n_3nicak Pr it* $ 42.00
FURN<lOOK..: 1 DUCT WO*. ;, .: "w15 TON... .: C' w
GAS NWT • 0 WOOD 107ff ..: fi 15-30 TIt, t
CONV BURNER: 0 FuRolo'.... : O Su T0...: 0
800 • 0 MISC..... ,..., 0 50+ 100 . 0
GAS DRYER..: 0 AIR HANDLING UNIT FUl`t. TAIL -t_ .
RANGE • 0 <10,000 (II: 0 ABOVE GROUND: 0
IGAS LOGS...: 0 ) 10,000 CFM: 0 UNDERGROUND.:, :. 0 TOTAL. FEES $ 62.00
1.g.at0,,,:'$YJS X.m^-la.$ltiZ*cC.Yiir:RS*C WONSSt.^S:r..-».zC5 CSms WMX/WW:'RR..31 s*a, ;'•=i:i WXN V iC�LitA!CWWW A WW.11%jaSC NM Zs*T1l:SY,Lass:'s'Gm5* S:F.V.SS*SWZA.;W reZ...' 5...:9z5FW1¢WW WA... ::Ra WS::••55*Ya*C:1m,:F..:.W=11StXJ Wu X,WWW�.t*i*s.Si S*C:k:
111 Does the water supply systes contain a Pressure Reduction Device or Check valve'` ( ) Yes ( ) No (It 'Yes* then water expansion tank is required on Hot Water Tank)
Inspection Record: Mechanical Rough-in .._.n Date Gas Piping _._.,_......_...__.___.. Date _____.__
MECHANICAL FINAL _DX-__ vie„___ Date , t(:_..1 0
aie,a,sass;::mmrsaur*tUW.A'dvecsrszrse-tsWX,K.,4sn:.is..W.V✓;l'r_::tsarCmcsxix:mCxasnraWA.WMYswWS:s;utt+miFWa.az ts*n**sCs5 sae„-3l4:MiWW.U.S.Wt WWWAW=ScentSWWWWaWW.Wf'ici"...,49011wc.Zms OWWWa111.W WWWW4sa*SSasx:xasxm
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORE IS STARTED.
I CERTIFY TNT TWT 1IOh,1I*IISNED DY ME I TRUE 4ND CORRECT 10 THE VEST OF NY KWOWELIIGE AND TUE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS MILL It MET.
V ki
OWNER OR AGENT ( ( a but; DATEif- 11 _16''
FIELD COPY
City of Federal Way
CITY OFG 33530 First Way South
• _ Federal Way, WA 98003
. .•.•• . n ElIZFIL_ (206)661-4000
WiFr5' ,
APPLICATION FOR MECHANICAL PERMIT
qPARCELc � y0 ((�, o0
Single Family 0 Multi-Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: 171AAA^� �U G l�`( 1 Phone: 63 S _c--1 3 ip 3
Address/City/State/Zip:
' 3 I C -e-e4 fvJt j. 9 S0g3
Nature of work: ver1a c-evut e--e" Project Valuation: $ I/ VO
APPLICANT:
Name:
1\1 0\Ai .
Address/City/St/Zip:
-Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
r
Company Name: ► a Iili V.(- .1 ► ao'Ll—'_ - Tr4,=
Address/City/St/Zip: CoC��� �`�Wit=
4. Gni.
Contact Person; • •111 i. ..
,���' Phone: `--�� � Fax:
•
State L & I Contractor Registration #: ► .b ► Exp. Date: '_l --
(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 I Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duot Work A/C TONS Other
BBQ's Wood Sieves NC TONS tat t:MtVIG <u i M:va':.:s::;>::.:,i>>;:<
DISCLAIMER: I certify under penalty of perjury that the information furnis•-••• a 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. ther agree to as •ml. City•f Federal Way as to any Naim(including costa,expenses end attorneys'fees
incurred in investigation end defense of such claim),which ma -made by any pore• . •the underai•nod,and tiled against the City of Federay Way but only where such claim arises
441
our of the reliance of the City,Including its Wows end e • yeee,upon .,•-information sup.lied to the City es a pert of this application.
A .
er/ gent /� Date: I
Own