98-103088 9E-163 Dgg-
CITY, OF FEDERAL WAYPERMIT NO: MEC98-0172
33530 First Way South M t.::. WC;: ,.,i el N..i,,. M:,, et L Pf., ,,,k.th .,,if. "I' ISSUE D. 08/13/98
Federal Way , WA 98003 Mechanical Inspection Requests 253-661-4140 BY: FN
253-661-4000 EXPIRES: 02/08/99
ADDRESS: 4250 SW 337TH PL.
NO. : 921152-0050
PROJECT DESCRIPTION:G/G WATER HEATER CHANGEOUT
- OWNER --- _ - T CONTRACTOR =__-._ ---._-__.-,___ . . LENDER ____,_-____.__..____. _-..--__::_._ -.�
MIKE MOORE NORTHWEST WTR HTR INC/DAVIS WH -
4250 SW 337TH PL 2800 THORNDYKE AVE W 1
FEDERAL WAY WA 98023 SEATTLE WA 98199
F
838-8188 (253)984-6404 800-292-4328 si
NORTHWH103R2
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 750 ! FEES:
f FUEL TYPES.:GAS GAS FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 28.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 MEC PRMT ISSUANCE... $ 20.00
FURH<100K..: 0 DUCT WORK • 0 3-15 TON • 0
GAS HWT • 1 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 $ 48.00
1 � �
i __... ---
Does
-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 IS STARTED. i
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRE TO THE B i' . "i LE1•E 'ND THE APPLIC C F FE WA R RESENTS WILL BE MET.
OWNER OR AGENT
FILE COPY
C:$
I I Y (Jr I,E.-DERAL WAY PERM11 NO: MEC98 -0172 1
33530 F i t-st Way South fal C C.lief 1•4 I ir.,:,.es IL P CR 11 1: T ISSUE!): 08/13/98
f ederal Way, WA (1 8 0 0 3 Mechanical Inspect ion Requests 253-661-4140 - BY: 1N
253-661 -4000 EXPIRES: 02/08/99
gDDRESS:4250 SW 337TH PL
921152O050
t•T R 0 3 IC T DES('R I P I I ON:G/G WATER HLATIR CHANGEOUI
/ 4
OWNER t:c CONTRACTOR LENDER
NIKE MOORE NORTHWEST RIR HIR Itk/DAVIS WN
I 4250 SW 337TH Pt I 2800 THORNDYKE AVE W
IFEDERAL WAY WA (N802! SEATTLE WA 98199
838 8188 (253)984-6404 800-292-4328
NORINW11103R2
"* CORTRACTOts. PULL lest IN clIoN Coft ..ti,' WIEN 111011ING SALES TAX FOR PROJECTS KIRIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 *1*
PROJECT VALUATION 150 ..
FEES:
FUEL TYPES GAS GAS FANS 0 'irl ER'„/COMPRI r t OPS Mechanical Permit* $ 28.00
GAS PIPING.: 0 ft HOOD . 0
FURN:100r..: 0
GAS NI • 1 0-3 ION' ': ° $ 20.00
' - MK.ETVg.- ANCI....
DUCT OW 0 1-15 TON. ..: 0
WOOD STOVEr, I! 15 30 1011. ..: U
AIR meow van t 0E1 IA14 4
CONY
D RB UY RE RN E.R. 000
RANGE.,,,,.: 0
FU44)1041,.....: 0 '0-50 I0N . 0
MISC.. * 0 :.,134 TON .., - 0
*•',ill'•• _
::10,00 CNT:* 4 AwOL ia R GUN b
GAS LOGS,..: 0 ) 10,000 GMS 13 „ UNDERGROUND.: 0 TOTAL FEES $ 48.00
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)
IInspection Record: Mechanical Rough-in DateGas Piping Date
I MECHANICAL F IMRE OR__ 4_2 Dat, q— z_z_.---,-)g
PIXIITS EXPIPt. Ide DAYS ATTER ISSUANCE If 110 WE IS STARTED. ,
i CERTIFY THE INIORNA11011 tUttNISVED DY NE IS TRUE AND CORREC TO IR - or
09. THE APPLI(AILE Ctif-0 FEIX AY/RLQUIRTITIHIS ITIT!
f .,- , ' .. /- \ \
FIELD COPY
City of Federal Way
CITY OF M 33530 First Way South
- JI G Federal Way, WA 98003
"" ��y� (206)661-4000
`11�' V
APPLICATION/ON FOR MECHANICAL PERMIT
PARCEL i• 9�1/, ,9 °C CO Single Family 0 Multi-Family 0
YCommercial 0
SITE LOCATION: �
Tenant/Owner: I/ \ 1, lG� 1'1 fl(, Phone:( ) ' 3 S' l it›cA
Address/City/State/Zip: y ZSR )Cts 3 - k. -(c.—c-dm y (KG ,-__1
Nature of work: C---'t---& V'A 1 /j Rs -- &l aid-7, (l-vroject Valuation: $ -- -7.- -)
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: M a k Tkf./›-F-' XetTae— `\---
• Address/City/St/Zip: Z� 0 0 (� S( ��� /• hi.
Contact Person: - L`' 1 v El Phone: �--�/ `vim Fax:
•
State L & I Contractor Registration #: b ► - Exp. Date: l -2'0
(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 1` tai Lfntt, ri' :» ............. :::: i.
DISCLAIMER: I certify under penalty of perjury that the information furnis. • •y e 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. rther agree to is mle City•f Federal Way es to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which ma . made by any pen• ,inrrwir the undersi red,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• •gees,upon al• information sup died to the City as a part of this application.
Owner/Agent: / ' Date: