98-104211 9$-10 Y,2 11 .
CITY OF FEDERAL WAY UU ...pp,.. uu, qq 'I PERMIT NO: C9 —0270
E H Il''„,' "I' .."I .A L, P E"::::IF:;;!:.M.JL. ,.�.,, I ME 8
33530 First Way South � � !„�.��,.,.,. I,' i� '� � �.."„ � � �" � I �� ISSUED: 11/03/98
Federal Way , WA 98003 Mechanical Inspection Requests 253--661--4140 BY: KLC •
253-661-4000 EXPIRES: 05/01/99
ADDRESS:33603 26TH CT SW
NO. : 255700-0870
PROJECT DESCRIPTION:HVAC - INSTALLING NEW GAS FURNACE & INSERT WITH ASSOCIATED GAS PIPE.
= OWNER ..__._ .___ CONTRACTOR ---- T LENDER --- - -
LEROY SKODINSKI 1 NORTHWEST WTR HTR INC/DAVIS WH i
33603 26TH CT SW I 2800 THORNDYKE AVE W t
FEDERAL WAY WA 98023 1 SEATTLE WA 98199
(253)984-6404 800-292-4328
NORTHWH103R2
uxs CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 tx:
---_.__._____._... __.....__.___.-.___. - • --- V ._
PROJECT VALUATION 1900 ` FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS I MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 30 ft HOOD - 0 0-3 TON • 0 1 Mechanical Permit* $ 50.00
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 1 111`
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 $ 70.00
- 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)
3 I
Inspection Record: Mechanical Rough-in Date Gas Piping Date
3 j
MECHANICAL FINAL Date
- -_------___.-_- -._-_----._._-__..-_._.__-_ -._--.-_.----------.____.-._ ._ .-_._.- -
-- ----- --- ------ __
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS •RTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE .. I CORRECTNOWLED6' AND THE APPLICABLE C Y FEDERAL N QUIREMENTS LL BE MET.
OWNER OR AGENT4‘111° r DATE _„
FILE COPY
-
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c)E
CITY OF FEDERAL WAY PERMIT NO: MIC98-0270
33530 First Way South MECHANICAL PERMI r R01.11: 11/03/W3
Fede r1 Way, WA 98003 Mechanical Inspection Requests 253-661-4140 }3Y: KIX
:253-661. 4000 EXPIRES: 11`)/(114`200
APDRESS:33603 26111
NO. : 255700-0870
PRO3Lc LA SCRIPT ToN:HVAC - IKTAUING NEW GAS FURNACE & INSERT WITH ASSOCIATED GAS PIPE.
=
OWNER **M=ftWwx*WW*—..*****************Q***0*.***4.10*40UM.4miltt couleA(Tgit 4,1*****,..*,***M********.i0s,VW,a,**.***r.mmama = Li.tIDE K
LEROY SKODINSkl NORTHWEST NIP Allt INC/DAVIS NH
33603 2610 C1 SW 2800 THORADYKE AVE N
FEDERAL WAY WA 98023 SEMI( NA 98199
1
(251)984-6404 800-292-4328 1
NORIA
* **ms**.**taMal.c**,, m=*.siwv..w.mwaaarramocua.114=4...arsummIN-xes. .===,,..2*-4.****************.malm**=41A=4,*==.4.:**=4.g.,
CONTRAC1016,,PRAUSE NOT 001/32 111111ODIONITIC SAILS TAX FOR PROJECTS RUSIN 1111. CITY 01 MEM NAY. TAX RAIL .
_ 25 set
Ovx=v4m, 1tm,***w******Was4.4 4.-arL*,,%*****T=0**4***.a, amailitft010,50******Aftertettettamteemmassm,=anax.c.mwtansumustaxww,maamm.....tms mamAmm,aammuz=ass,mau...L.,.m,4, ==„.*mmaltmArAmsum.143. wt....41^9
PROJECT VALUATION 1900 FEES:
FUEL TYPES GAS ? FANS : 0 SolliPs/(omPREssoAS , PRAT ISSUANCE. . $ 20.00
GAS PIPING.: 30 tt HOOD : 0 0-3 (011.....: 0 Mechanical Permit* $ 50.00
FURN1001%.: 1 DOC1 00Pf....,: 0 3-15 1011 0
GAS NWT • 0 WOOD SIOVES...: 0 15-30 TON...: 0 1
CONV BURNER: 0 FURN)10"..,..: 0 4-50 TOIL" 0
00{) • 0 MIS(..........: 0 $04
GAS DRYER..: 0 AIR HANDLING MOTs FOR TAHtS
RANGE..... 0 :10,000 Cfh: 0 AWE ‘ROUND: 0
CAS LOGS...: 1 lu,000 CrA: 0 UNDERGROUND.: 0 TOTAL FEES $ /0,00
1m..**:***.0*** mweil SI **.**.***.*-m....11*,==4.**4*****u*ftm********,**4*.00-****.
Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) NP (If 'Yes' then water expansion tank is required on Hot Water Tank)
Inspection Record: Mechanical Rough-in DaL Gas Piping ee--. P,' /=- g-9y•
MECHANICAL FINAL Dat,
-a=m,m4m4assavr .--u4o.x.aw.,=...ramts—,c — ;weTv- •44.7cIIS4actn
PERMITS EXPIRE 180 SAYS Al II ISSUANCE If NO NOIR IS 54IED. „mope-
I MIDI IRE IRIOPNAlION IUROISNED AV Ni IS TRUE CORRECT NE ' NY 9011106 Mb IDE APPLICABLE TY/It USUAL 70111RENENISVIEt It NET.
OWNLR OR AGENT
,/ •
DATE
FIELD COPY
City of Federal Way
CITY OF relEMBIKFR--
G 33530 First Way South
•------------ Federal Way, WA 98003 -"" (206)661-4000 (fir C...C.fl0V``1�V ' r
APPLICATION FOR MECHANICAL PERMIT
PARCEL it• �� J /`% J � Single Famil Multi-Family0
Commercial 0
SITE LOCATION:
Tenant/Owner: CL/ c—e-d-7) 1A1- - /�
- • ~
/ Phone:
Address/City/State/Zip: (� 2-(0 I S
Nature of work: r( � - - JI` �` 1.czzi_4
f Project Valuation: $
•
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
I'1Company Name: ...\a�Z1 fiil.1Cs� Jpc--I't-p � \ N"•\-- �
Address/City/St/Zip: Z E 00 C�'t'LS t\D`t', — 4j. Gid,
Contact Person: ��0 Phone: 7 4 o
. Fax:
State L & I Contractor Registration #: N_IyRT&+lf ' I b 7 _ Exp. Date: . �Jr
(Card must be presented)
MECHANICAL UNIT COUNT:
•
Fuel Type (gas/other) �� Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping C' 1 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 ` /V> � t \.
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves A/C TONS :":, ;:..:;l:,;iv:€.r,.iii.:.:s:;:s%>Y
knritO Arril:fehi 6:vN,'YS:%i$:m Vii/;•.....
DISCLAIMER: I certify under penalty of periury that the information furni-•--•• e is true -correct • beat of my knowledge and further that I am authorized by the owner of the above
premises to perform the work for which permit application la made. rther agree to as trite.: -City•f Federal Way as to any claim(including costa,expenses and attorneys'fees
Incurred In investigation and defense of ouch claim),which ma made by any pore• the under-el•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• •yeea,upon information sup•lied to the City as a part of this application.
�� / rJ f
Owner/Agent: / —, _ Date: _( /. /:�