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CITY OF FEDERAL WAY pp,.. pp ;.,,,� yy PERMIT NO: C98-0262
33530 First Way South �, . Ii' � i �"� �; �' ISSUED: 10/29/98
Federal Way, WA 98003 Mechanical Inspection Requests 253-661-4140 BY: TN
253-661--4000 EXPIRES: 04/26/99
ADDRESS: 30402 S FH AVE SW
NO . : 178870-0330
PROJECT DESCRIPTION:G/G FURNACE CHANGEOUT
t= OWNER --------------- -- -- -- T CONTRACTOR .---- , LENDER =-
1 CYNTHIA PIERCE NORTHWEST WTR HTR INC/DAVIS WH
30402 8TH AVE SW '` 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023 SEATTLE WA 98199 # j
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(253)984-6404 800-292-4328
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*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
P _ -- - - .. .. _. _ .. __ ---- ----
PROJECT VALUATION 1900 FEES:
FUEL TYPES.:GAS GAS FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 50.00
GAS PIPING.: 0 ft HOOD 0 0-3 TON • 0 MEC PRMT ISSUANCE... $ 20.00
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
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 70.00
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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 NOR IS STA:
I CERTIFY THE INFORMATION FURNISHED BY ME IS T' E AND 1" HE BES ! MY K 'LEDGE AND THE APPLICABLE CITY OF FEDERAL WAY RE REMENTS WILL BE MET.
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OWNER OR AGENT DATE
FILE COPY
CITY OF FEDERAL WAY VIA
$ w PERMIT NO: MEC98-0262
13530 First Way South C IA� I CAL P M.I r Vii : tiE.ta: 10/29/98
Federal Way, WA 98003 Mechanical 1 nspec { ion Reque t s 253...661 . 4140 Ire : IN
253- 661 -4000 E_XPIHE S: O4/26/99
.' .' '1D1'SRESS:304132 8tH AVE SW
MO. : 17B370--0330
iPROJIACT DESCRIPTION:GIG FURNACE CHAHGEOUT
rr OWkER .:.m$s .awa=.*5.matmM;m;cyan°,.m=b:mm$almwmmzm,»=UWMa,l,muyCONTRACTOR Wa*46x::zxc..W!5Ux•45=mma,=....1:: Rap=-..1146.:1.....r.X...% LENDC!' M 5,w.m=_:mb..°.: tiMma.5x2=,+1*.Ataa==4ka;:xy.A.Mm,:z.x ,:
CYNTHIA PIERCE 1 NORTHWEST WIR HIP INC/DAVIS MH
30402 8TH AVE SW 2800 THORNDYKE AVE V
FEDERAL WAY WA 98023 SEATTLE WA 98199
1
I i (253)984-6404 800-292-4328
Ti4T103R2.
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ILI CDNIRACtu , PLEA'sE HSL 10CA110W CODE 1712 ANER NE19P1ING SALES TAX FOR PROJECTS ATTAIN TIE CITY 01 FERMI RAY. TAX RATE = 8.25 'fl
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PROJCCT !VALUATION 1900 FEES:
FUEL TYPES.:GAS GAS FANS....... . 0 ROTEERS,(6MPRE,S 1R i fecpaaical Permit* $ 50.00
GAS PIPING.: (1 ft N�)OD.........;; G OBD T� ....: .0 _ HEC PRttT ISSUANCE.. , $ 20.00
FURN<100K..: 1 DUCT"WO*Y ...,. 0 3-15 T i....1 4`
GAS NWT • 0 WOOD.STOflS' .: C 35-30 TON...
COHV WRITER: 0 IUPN YOOY. .. : �; 30-SO TCN..'„ -
8BQ • 0 NISC.. ...• 0 50, 10H...,,., 4, T:
GAS DRYEP..: 0 AIR !MAKING ANTIS run ?i NY,S-
RANGE • 0 :10,000 (Fl1 0 r1R07L GROUND: 0
GAS LOGS...: 0 ) 10.000 (Ft." 0 UNDLk1POUND.: 0 TOTAL FEES $ 70.00
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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 lank)
Inspection Record: Mechanical Rough-in ____________ Date ___._._ ___ Gas Piping Date
MECHANICAL FINAL _a __ 1,1-___._ Dat= ►L.-(5 'S$
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MAWS EXPIRE IMO DAYS AF LIR ISSUANCE IF NO SST:; esyc,,c77
CERTIFY TOE INFORNf�lull FUPNISIILD DY At IS T AND v , E r BEST if NY EINVIEDGI AND THE APPLI CITY OF FEDERAL NAY RLWJIR IIENIS Witt_ DI. Mil.
o RCP OP AGENT \\. `,; DATE C `',1 P- •
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FIELD COPY
City of Federal Way
CITY OFG 33530 First Way South
- a-.J Federal Way, WA 98003
``````-`` i G (206)661-4000
, VV F1 -
APPLICATION FOR MECHANICAL PERMIT
PARCEL it. f.R-F 7-27c, Single Famil Multi-Family 0 Commercial 0
SITE LOCATION:
�cl77ft/kiE7c_ - --.---')Tenant/Owner: Phone: t-
` F "A 5 Gam'
Address/City/State/Zip: *' L'
Nature of work: �� 'L r-ric=), c Project Valuation: $ ( S�....
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
•
MECHANICAL CONTRACTOR: ,,�
N(.
Company Name: �
Address/City/St/Zip: Z 00 OY�G 4J. ((i
Contact Person: •- . - M,O L Phone: 2.g2_4:4()0 Fax:
State L & I Contractor Registration #: ► d Exp. Date: 714-7: ---
(Card
-(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 X71'eta'Ez:-..y,�},^,.::zf> �w.�:� .�:<.: .
DISCLAIMER; I certify under penalty of perjury that the information furnis•--••• to 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. thor agree to ae ,ml -City.f Federal Way es to any claim(including coats,expenses and attorneys'fees
incurred in investigation and defense of such claim),which ma made by any pars• ' the undersi rad,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 a • •yeee,upon •-acc .r•.information sup lied to the City es a part of this application.
N.
Owner/Agent: Date: