98-102117 I
+� Z
q0—/a )J-7 .
CITY OF FEDERAL WAY PERMIT NO: MEC98-0123
33530 First Way South Ill E.:CI VW hu" 1.1 I. ,4w e.".1119y..... �1,.1if . ti 1: " ISSUED: 06/11/98
Federal Way, WA 98003 Mechanical Inspection Requests 253-661-4140 BY: KLC
253-661-4000 EXPIRES: 12/07/98
ADDRESS:28917 20TH AVE S
NO. : 422280-0150
PROJECT DESCRIPTION:HVAC - INSTALLING NEW GAS FIREPLACE AND GAS PIPE.
i= OWNER -- - --T- CONTRACTOR -- ----T- LENDER - 1
LLOHIA PATTERSON I NORTHWEST WTR HTR INC/DAVIS WH
29817 20TH AVE S 2800 THORNDYKE AVE W
FEDERAL WAY WA 98003 SEATTLE WA 98199
(253)984-6404 800-292-4328
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 2000 ------------------._ ,_ FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 20 ft HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 52.00
FURN<100K..: 0 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 72.00
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)
Inspection Record: Mechanical Rough-in Date Gas Piping Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS ..TED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE 'D CORRE -i• ST OF KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ DATE CeZ_VP,
F C;01..
CITY OF FEDERAL WAY PERMIT NO: MEC98-0123
33530 First Way South NEC HANICAL PERMIT ISSUED: 06/11/98
I ede ra I Way, WA 93003 Isloc hani cal I rw.pec t ion Requests 253-661-4140 BY: KLC
253-661 -4000 EXPIRES: 12/07/98
ADDRESS:2891/ 2orvt AVE
NO. : 422280-0150
PROJECT DESCRIP TION:INC - INSTALLING NEW GAS FIREPLACE AND GAS PIPE.
LEONIA PATTERSON NORTHWESI 1111 HIR INC/DAVIS WH
2981/ 20TH AVE S 2800 THORNDYKE AVE N
FEDERAL WAY WA 98003 SEATTLE WA 98199
(253)984-6404 800-292-4328 .
0001000103R2
Sat CONTRACHRS, PLEASE USL 100111011 CI( 1732 WHEW REPORTING SUES TAX IOR PROJECTS 11111W INE CITY 01 FEDERAL WAY. TAX RAIL : 8.25 tst
PROJECT VALUATION 2000 .4
1 Mr.
FUEL TYPES.:GAS ? FANS 0 BOEURSROMpR4fAsivetami *,:0---ozo 914,p mit PI MUHNCE... $ 20.00
GAS PIPING.: 20 ft HOOD . 0 0-3 TON 66r Alef,,,g40* , littitanitak*reitt $ 52.00
4 :4'40'5°-
FURN<100t..: 0 DUCT WORt... ‘.*. 0 3-15 ION....: 0 , gstt tOt
tAttlitAtrpfttttk.tttt .)tt_tt;qtaltv$100*
GAS NWT • 0 W000 3.30 :
CONV BURNER: 0 "16"(****-1'' ' -4-54 "‘"!
BBQ • 0 0 ,
-
GAS DRYER..: 0 AIR HANDL* f04, TANKS-.--------
RANGE • 0 (:10,0004004/ ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 Cr* 0 -4 UNDERGROUND.: 0 TOTAL FEES $ 71-.40
-
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
PERNIIS EXPIRE 180 DAYS AMR ISSUANCE NO WORK IS STAWTED.'-----7 /
I CERTIFY IRE INFURNAIION IURNISNED BY NE IS 11113/1RD CORRE MI 01 Y KNOWLEDU Alt TIE APPLICULE CITY OF FEDERAL NAY REQUIRENENTS RILL WE III.
OWNER t8 AGENT
DATE
FIELD COPY c k CV f)(
w
City of Federal Way
CITY OF G 33530 First Way South
<DAS2 Federal Way, WA 98003 _ 1
� (206)661-4000 n l CC l - DE �'7'
,IM 1 lgg:APPL/CA TION FOR MECHANICAL PERMIT
F AL W AY
PARCEL_•_ < (°aptZ ` '�( Sin le Famil Zl Multi-Family Y o Commercial o
t
•
SITE LOCATION:
Tenant/Owner: 1 t" i. . \ s L. Pf\1liN'., ? f�:. )'C�Lj�" � .) t
fPhone �
Address/City/State/Zip: --1'' f IA- - 2 •\\ - M tf ' -L�.„ \4 (kS('( -1
Nature of work: !- Pi- t1,‘.i�' T 6 P1 .P .-
Project Valuation: $ 106, *
•
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: • Phone: Fax:
MECHANICAL CONTRACTOR::-
Company Name: NQO tit\,��Tiw7— (g(\---rfaQ.„ `V�`_
Address/City/St/Zip: 2� 0 0 (�t (2,�pl'� W.
Contact Person: I--- ? (Q j Phone: "`vim Fax:
State L & I Contractor Registration #: ► Exp. Date: I 2'/D (o
(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 7 / ./F I 'C.;.-
Cony Burner Duct Work A/C TONS Other
BBC1's Wood Stoves A/C
TONS
DISCLAIMER: I certify under penalty of perjury that the information furnis• • •y e is true •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 se ml... -City•f Federal Way as to any claim(including costs,expenses andel attorneys'fees
incurred in investigation and defense of such claim),which ma made by any pen ' •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• •gees,upon ,......,00111111-n- formation sup-lied to the City as a part of this application.
,,,e!"
Owner/Agent:
/.- . ' Date: