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CITY OF FEDERAL WAY NO: MEC98-0139
33530 ""�I'.530 First Way South � ";..'G',.,. het i N 1.. M,,._,.Y"" Vim,... :,w r,.�:��.ft 0'"' I. ..,�,. ISSUED: 06/23/98
Federal Way, WA 98003 Mechanical Inspection Requests 253-..661 ..4140 BY: KLC
253-661-4000 EXPIRES: 12/19/98
ADDRESS: 28111 28TH AVE S
NO. : 231240-0040
PROJECT DESCRIPTION:HVAC - GAS TO GAS WATER HEATER CHANGEOUT.
r= OWNER = T CONTRACTOR =____= LENDER
JOE SORENSON I NORTHWEST WTR HTR INC/DAVIS WH
28111 28TH AVE S I 2800 THORNDYKE AVE W
FEDERAL WAY WA 98003 SEATTLE WA 98199
(253)984-6404 800-292-4328
NORTHWH103R2
... .-.
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
PROJECT VALUATION 600 I FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 24.00
FURN<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 $ 44.00
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 STA; D.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND 'IRRECT ; .« ! KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ��/ DA E f 23
FILE COPY
CITY OF FEDERAL WAY PERMIT NO- MIC18 -0139
3.1530 First, Way South ti EC tietH X CIA L P E ft. I T 1.":`1JL.1a: 06/23/9E
Federal Way, WA 93001 Mechanical Inspc.,c tion Requests 253 .661 41 40 13Y: KLC
253-661 -4000 t .,.:t`TRE0: 111/19/98
ADDRESS:28111 f 2TH AVE S ? ',
NO. : 231240-V0040
PROJECT DESCRIPTION:HVAC GAS TO GAS WATER HEATER CHANGEOUT.
ra° OWNER ArJta Y'W225.ws.,sr s arc a vtaaas�x.,t,�nz�� i xawR xr ��x CONTRACTOR to anwi'�`aaantsaw2�awwrtwwwQaawwaa'azas. alsww TENDER s=�2._Yffi�>.�:._�,R�rAip= , ,ASA�_.w�A mow.: . x gR s���
JOE SORENSON NORTHWEST VTR HIP INC!DAVIS NN
1£111 28TH AVE S 2800 THORHDYKE AVE W
Fr1EPAt RA" WA gR003 SEATTLE WA 98199
(Q53)31- (0 73- (253)984 6404 800-292-4323
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**I CONtRALIONS, PILAU USE LOCATION LURE 17;2 UUI X;.Put'titrG SAIL; MX TOR PROJECTS WITHIN TIE CITY Of FEOENAL WAY. TAX RATE : 8.25 ns
pada:,9 a,L. :IASL 3'Cli:C »R s9 o14a a«..^ sMLa'.xwi a..ka,rawca:2Y2 a•2 SCZlaawwa2L.i LZSSC sfl Wia tT w::; lXSWT9 ii,XSLi 5W,_5t:a aM_rcLUX...945. 0 .L'9 t. aS5s SR9N:KYus Qiwwmra5S k0...9.aL wSc.5iGai.5555 .L:'.L.:SNS9L 9
PROJECT VALUATION 600 �,,.. I }rLS.
FUEL TYPES.:GAF ? FANS : 0 BOILS MPRESt S 1 Nit PRAT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD.........,t 0 01 TON.: ....,,4,: fect1an(ca1 Pereit+ $ 24.00
FURN.10OK..: U DUCT Y2K:....: 0 3.15 I014..": 0 I
GAS 11111 • 1 WOOD STOVES...: 0 15-30 N...: 0
(Or WRITER: 0/ FURN' .00K... : 0 30-"50 ON...' 0, 1
8101 0 MtSC.. .<.: 0 50+ ION...... 0 !
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS.. ---....
RANGE • 0 <:10,000 CEM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFR: 0 UNDERGROUND.: 0 I TOTAL FEES $ 44.00
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111111 Does the water supply systee 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.L P,21-5-5 _____._. Datr 7-7igil-,= Piping _ Date ___. ___ w_
RECHANICUL FINAL PA- ___._ Datt 71-_71
,o;ii-----
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VERREtS EXPIRE 180 DAYS AFTER 'MEE IF NO W(* IS SRN . 7
I CERTII Y Tilt 1111019141101111110191411011FIMNISHLO NY NI. 1S TRUE ANB ECT . . J,Tf N KNOKIEICE AND TIE APPUCAM.E CITY If f(0110,. WAY REOUIRt[NTS Olt t. Pt MI
OWNER OR r;GENi DATE(-1. / \If
' --V--- 1C C\.6!'
FIELD COPY \
CITY OF G BUILDING DIVISION
• EO 33530 First Way South a
Federal Way,WA 98003
11511�� a (253)6614000
Fax(253)661-4129
JUN 2 3 1998 APPLICATION FOR MECHANICAL PERMIT
GI IY OF FEDERAL WAY
BUILDING DEPT. MEC 9z- 0 ( yi
PARCEL # -Z---3 I Z 4 C OO'4L Single Family 0 Multi-Family❑ Commercial 0
SITE LOCATION
Tenant/Owner jt.>G St) )c_. I\ Phone\�S:. — 4
Address/City/State/Zip 2 ( k — 2'`\, ifk , -F-1-_-:„4 - (/L A l gCC‹
Nature of Work G ✓("1 AL6 IA C� C Project Valuation:$ '
APPLICANT •
Name.
Address/City/St/Zip
Contact Person - - Fax
MECHANICAL CONTRACTOR
Company Name /Q/ii; -1� J/9 --H -_/ ..
-
Address/City/St/Zip .K C''C.) t �c '.-P" L.), - clgt
Contact Person AN)L � PhoneCZC'() Fax
`t^#0[) Fax
State L&I Contractor Registration# c -)(. 1(Q....-11-1 bLV 1-1 1 O /-. --- • 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
Fum<IOOK BTU's Gas Log Unit Heater Underground
Fum>100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt 1 Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves A/C TONG :.:176t f rfit count
DISCLAIMER:I certify,under penalty of perjury,that the information furnished by me is true an. : t to „, y lino edge, 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 Way:.to any cl:•. ..n .s ,expense-,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 Way b only wh - ,: . ..out of. 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. /
lie
j .
Owner/Agent IFDate `' /f
J
MP.CH.APP
Reviser,8/26/97