98-102241 r p ib
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CITY OF FEDERAL WAY MIL::::::.
r" .., ,, PERMIT NO:7C9 —0133
�� UU pp !!,, � p y. IME
33530 First Way South M!I' ...IC• u""'Ng""1 ' 1 L "° L. P ET Rt. ..,8.. $ ISSUED: 06/18/98
Federal Way, WA 98003 Mechanical Inspection Requests 253- 661-4140 BY: KLC
253-661-4000 EXPIRES: 12/14/98
ADDRESS :30906 5TH WAY S
NO. : 241330-1060
PROJECT DESCRIPTION:HVAC - GAS TO GAS FURNACE CHANGEOUT
f= OWNER -- r CONTRACTOR ----------------- LENDER --- 3
GREGORY PETERS : NORTHWEST WTR HTR INC/DAVIS WH
30906 5TH WAY S 2800 THORNDYKE AVE W
FEDERAL WAY WA 98003 SEATTLE WA 98199
(253)984-6404 800-292-4328
____. i NORTHWH103R2 2 Z
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t** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 ***
PROJECT VALUATION 1500 I FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS I MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 1 Mechanical Permit* $ 42.00
FURN<100K..: 1 DUCT WORK • 0 3-15 TON • 0 I
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 1 TOTAL FEES $ 62.00
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 STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND COR' T TO T 1 NOW DGE AND THE APPLICE CIT F F DERAL Y QUIREMENTS WILL BE MET.
OWNER OR AGENT 410,T4,0<-1
111 DATE
FILE COPY
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CITY OF FEDERAL WAY .. NO: MEC911-0133
r,33530 first Way South MECIAANICA1 PERMI 'I t•, wit): 06/13/r43
rode ra 1 Way, WA 9E3003 Plech,Ani cal Irv7pe( ti or le.•?que...;Es 253-661 4 Lit) IJV: KLC
25'3-661 4000 I `-l' IPLE;: 12/14/98
0
ADDRLSS::J0906 '. I H WAY ')
NO. : 24130 4060
PROJECT DLSCR IP I ION:HVAC - GAS TO GAS FURNACE CHANGEOUT
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OWNER MaStall4....0010...20010.411ATUAM,54CairkialtSIIKIIIIISSIII911111114=Z4-44..41.30ZaZ.,22.r......=., .. (004100K txy.mammx.mummaimataammaa.a=mmetwxn.ximax....4a.aimu. e., law MAMMA-1M.=*M=Willa...4M,L44tiAMAsni*.WSRMILMON.K.A=411.1.V..,
GREGORY PETERS
WAY S 51
06 14
FEDERAL WAY WA 9801)3 NORTHWEST WIN HER INC/DAVIS WH
309
2800 THORHDYKt AVE N
UATHE WA 98199
(253)984-6404 800 292-4328
00ROMIO3R2
in COANACIOR-4, PHAA. OA 10CAtittll Colt 1712 INES REPORIING SAIFS TAX FOR M(('5 WITHIN EMI CITY 01 TINENAL Y. TAX NATI : 8.25 siii
. 4.,44x1104.41.tai47.14;.2111441/1241.3=1.......4k00........,4211.4%.110VCIAL*11.42..444“11,pi.4r0.16 . aa..44=4.74=WMa*XAOIX=OOMMA.01.-agX.R.4.464=X4=Waa W114...A=XM.S.Mp.mn...V.M44,4c,tio..ta4=WWW47..1.20.1.,.,...4WW....11M-r...=.=m= .
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PROJECT VALUATION 1500
FEES:
FUEL TYPES.:GAS ? IRKS.. . . .*. 0
... , . .; , 1!! LE' . ..,'„oI.4
. !
MU PRAT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOODIAP . 0
Nochmtkol persit* $ 42.00
I FURW100t..: 1 DUCT WORk.. * 1' 1.. 1-o , : 0
GAS NWT • 0 WOOD STOW: .- ' 0 1
" 'o I. o •
COW/ BURNER: 0 EURtr>100Y._ .: ' " L.,11 I .!, ! U
BEV • 0 MISC.......... 0 '):1 II, .. .. U
GAS DRYER..: 0 AIR HANDLING IFNI, I OH *A,:
RANGE . ...: 0 <:10,000 CHI: 0 eiBP " tAUND: U
GAS LOG', • 0 s, 10,000 CHI: 0 liql 1,ROUND.: 0 10141 FELS $ 62.00
Does the water supply systea contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If "Yes" then water expansion task is required on Not Water lank)
Inspection Record: Mechanical Rough-in Dte _ ____ Gas Piping Date
1 MECHANICAL FINAL Ok.-- Nz.L... pat, 7-2-0 - $
Le.....A.4,414.......COX,,,..W.-1, ,O,.==-Xlm..Cnx.,GX.m .MWIt.....MW....44.,:44.MCW.M4.*A.W.....4 .4,...*WUMM4W=WM=Mvia=x1WV=Ms..MUz4=15.7MaZISOUntAnMUMA=XMX=2ROMpt.,=.125=51XWaSOIMM....a.,-4,..X...4.1.U.I.M.V.C=.A..--1,111,..
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REMITS EXPir 180 NAYS AIM ISSUANCE II NO Wool IS SIANIEO. _.,,,,.--
I CLAIM INt INIORNAII4 FORMIC) 1Y NE IS IMUI ttHD C 10 SI/OrlY i IGE Ali INF APPLK1111 CITY OE 1111RAI WAY REQUIRLNINTS VIII It Kt.
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1 FIELD COPY
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CITY OF G BUILDING DIVISION
• F11--1 33530 First Way South
` `` Federal Way,WA 98003 '
v v AY (253)661-4000
o E i Ni Fax(253)661-4129
JUN 1819!' APPLICATION FOR MECHANICAL PERMIT
CITY Carr'jE�A�1ViAY MEG -C 33
BUILDIN '
PARCEL# r LI/ T =-; '-'\2 /() (c() Single Family' Multi-Family D Commercial❑
SITE LOCATION �r�- ^ /
Tenant/Owner 6A26/<E--e ��/ ) � Phone (22-3) ?7/
Address/City/State/Zip ?6:-1f0 6 r �"��� Y �� /
Nature of Work (-1- (-2 / 27 %C e 0L,�/'ut j �r Project Valuation: $ (C:('
C
APPLICANT •
Name
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR ,
Company Name 0 • �C
7 0a `7I A/1JYi 54„,-- / 077Address/City/St/ZipContact Person 1 1 rJI 1-Y Phone (ZZ6) Z ?Z 4 6'C Fax
State L&I Contractor Registration# 4 v 0 4 G i)1-1 t O' D-- 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 Range Air Handling>=10,000cfm Above Ground
Furn<100K BTU's I Gas Log Unit Heater Underground
Fum>100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
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RBA's Wood Stoves A/C TONS »'I`i af:{fi i'E L'tiu ii::=>:=>: :>:>:>`?>`3>:'>'::>::p<::<::::>::
DISCLAIMER:I certify,under penalty of perjury,that the information furnished by me is tnr.: d correctkro dge d further that I am authorized by the owner of the above premises to perform the work
for which permit application is made.I further agree to save harmless the City of Federal .y as to any r 1 costs . .- -,and attorneys'fees incurred in investigation and defense of such claim),which may be
made by any person,including the undersigned,and filed against the City of Federay ,:y but only l,, -out of th•reliance of the city,including its officers and employees,upon the accuracy of the
information supplied to the city as a part of this application.
' 41111
D /P
Owner/Agent
Mecrt.Aer \912\ / 1.17
Reviser,8/26/97