98-104114 98.-...iO f // y
CITY OF FEDERAL WAY !�'" . 1". PERMIT NO: MEC98-0260
33530 First Way South �'� ,,, Cl':ti r'"11 �'I'►;,' Y`,..
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,. "4 , . ISSUED: 10/27/98
Federal Way, WA 98003 Mechanical Inspection Requests 253--661-4140 BY: KLC
253-661 -4000 EXPIRES: 04/24/99
ADDRESS: 30212 5TH AVE S
NO. : 064310-0270
PROJECT DESCRIPTION::HVAC - INSTALLING NEW GAS FURNACE & FIREPLACE INSERT W/ASSOCIATED PIPING.
• CONTRACTOR = .- LENDER --
' RICHARD DELANEY NORTHWEST WTR HTR INC/DAVIS WH
30212 5TH AVE S 2800 THORNDYKE AVE W I
FEDERAL WAY WA 98003 SEATTLE WA 98199
(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 WAY. TAX RATE : 8.25 !It
PROJECT VALUATION 2100 ' FEES:
FUEL TYPES.:GAS ELE FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 25 ft HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 54.00
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
BBO • 0 MISC • 0 50+ TON 0 ,. a
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 TOTAL FEES $ 74.00
-- 1
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 CERTIFY THE INFORMATION FURNISHED BY HE IS TRUE AND CORR ' TO T !,% KNOW DGE AND THE APP CB" W Y QUIREMENTS WILL BE MET.
OWNER OR AGENT D F
/I/ ,
FILE COPY
,.CITY Of FT:DO-CAL WAY PERMIT NO: MEC98-0260
39530 I. i rst Way `,:;outh PIECtiroiNiCONL File: fittli 1 , 1A)1 0: 10/27/9E4
Federal Way, WA 9E3003 Mechani cal Inspec.tion kedlie'31, . ..)'),1 -661-4140 LW: KE C
"f53:-6612-4000 L `,/.1,3TRit$: 04/24/99
rtDbRE'Sl:30212 5TH AVE s
Aro. : 0647310-02/0
PROjECT DESCRI PT ION:WYK - INSTALLING NEW GAS FURNACE I FIREPLACE INSERT WASSOCIATED PIPIK. ,
i
OWNER ow=ma,nastam amoott„.mnmmuctu===,ummamm=0.A ,Itu.....m..1.-AL EoNIRREIORLE
........r...................... = LENDER 4,,x,wn.u.41.71cm,,tm.m..asst....a..ft.mc..alcs=u=.,.m.4.4/
RICHARD DELANEY NORTHWEST WIT AIR I /DAVIS NH
30212 5111 AVE S 2800 flIORNDYKE AVE 4 1
FEDERAL NAY WA 98003 SEATTLE NA 98199 1
1
(253)984-6404 800-292-4328
' #041M404R2 I
**t CONTRACTOKL, PELASI OSL LOCATION CODE 1132 WW1 WIPC*1116 SALES TAX FOR PROJECTS WITHIN THE CITY Of FEDERAL Y. TAX NATE : 8.25 tss
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PROJECT VALUATION 2100 FEES:
FUEL TYPES.:GAS EEE FANS 1 f'0;1,f l',INIPF MORS NEC PRAT ISSUANCE... $ 20.00
GAS PIPINOkt- 25 ft HOOD.........,: U 0-3 ON, .,: u 1 hedtanical Permit* $ 54.00
i
rotwoor...- 1 ,
Dm *If, ;, ? 1 f0,, . 0
1
GAS IOU • 0 WOOD f',19YT"' .,: t-T. .' o
(08V BURNER: 0 1URN)10 • , 'il .')$; 1- . . .: 0 1
B130........: 0 NISC.. .... 0 Of iON ..,.. u i
GAS DRYER::: 0 AIR HANDLIiii, 01411 ruft TANG--
RANGE • 0 <:10,000 CIM: 0 AK?: GROUND: 0
I1
GAS LOGS...: 1 > 10,000 CFM: U 0N
TOTAL FEES $ 74.00 DERGROUND.: 0
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1 Does the water supply system contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If *Yesthen water upansion tank is required on Hot Water Tank) 1
Insvction Record: Nerhanical Rough-in DateGas Piping C46,) _ Dal, /2.--/7--58 I
/ 1
NECHANICAL FINAL ,i.w111-'''?,*-- ..,_ Dat 1, k(5 177
mu=s1m*=4=41w1.aman===.mwm=wenwm.,u4amixr,.==may-,a...==.,..2==mcmascu.w,ma,....a.,a,mmocx,aasmammammamumumaats.n.wwmummmumammt-amau=2r-suummsommatAwn ...mtrm.:0-..2w*.f.tmmsma=mix=r,m..szauxagaz.,m,1
PERMITS EXPIRE 100 NAYS AFTER ISAMU it NO WORK IS STARTED./ . .-'
EXERTIFY ME INFORMATION INANISNED BY tit IS 42401 AND CONlyf TO 1 I - r ICE AND LOUINENENT14,11Itt BE NIL
v fr
OWNER OR AGENT (
7
/ / 7` '`------
,
FIELD COPY
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City of Federal Way r
CITY OF of'---- 33530 First Way South
Federal Way, WA 98003 G �l - 0j
(206)661-4000 �� l V 07j0
l\)._
Al* APPL/CA TION FOR MECHANICAL PERMIT
PARC`Ft gU ,� I U-U 7-% Single Family ❑ Multi-Family 0 Commercial 0
SITE LOCATION: r
Tenant/Owner: (�� t. e_. ----11I v : �j 3 2'np
Phone.
Address/City/State ip:
2- .iS .
Nature of work: OSP'. 1 it/ / # f -f- Project Valuation: $
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: . M C-- A-.i CS:( KT --,�L -- `fie ---..„
Address/City/St/Zip: �� (7�[' •
Contact Person: - • - N. 1 1 Phone: �g `v0 Fax:
State L & I Contractor Registration #: /U1�T � I b K J�/ /
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 •• /ck7 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 fiwt Hood Boiler BTU/H Other /'ti ,(
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves A/C TONS Tiifal f)hit Coant_...
DISCLAIMER: I certify under penalty of perjury that the information IurnisJr!15y tee is true a • correct • •. best of my knowledge end further that I am authorized by the owner of the above
prermses to perform the work for which permit application is made. ffirther agree to sa ml . City.f Federal Way as to any claim(including coats,expenses and attorneys'fees '
incurred in investigation and defense of such claim),which may made by any pers• ,in •the undersi 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••yees,upon acc I information•up•lied to the City as a part of this application.
Owner/Agent: w.---- Date: r ���
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