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CITY OF . FEDERAL WAY w r,,,, . ,�,. ... PERMIT NO: C98-0164
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33530 First Way South U !I.: �,.„„4. IHA .Ii. &,,.,,.H 1 P E. If '4.N.I. ISSUED: 07/16/98
Federal Way, WA 98003 Mechanical Inspection Requests 253-661-4140 BY: KLC
2.53-661--4000 EXPIRES: 01/11/99
ADDRESS: 34516 27TH AVE SW
NO . : 502945-0100
PROJECT DESCRIPTION:HVAC - GAS TO GAS HWT CHANGEOUT
i= OWNER ------ CONTRACTOR ----- -- LENDER 3
I DAN JACKSON E ACTION WATER HEATERS ONLY INC I
34516 27TH AVE SW 1 12704 NE 124TH ST, SUITE 43
FEDERAL WAY WA 98023 f KIRKLAND WA 98034
253-874-2617 1 425-820-8848 I
I ACTIOWHO55DP 1
--
XXX CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ==I
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f PROJECT VALUATION 900 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* $ 30.00
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 1
s RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 ! TOTAL FEES $ 50.00
IDoes 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)
1 Inspection Record: Mechanical Rough-in Date Gas Piping Date
I
( MECHANICAL FINAL Date
f ___.____ _.___..____. ..
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE A$D CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT , - _ ___S 1101 ) DATE 7 Lqq`
FILE COPY
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cITY OF FrDERAL W,VYPERM,"I NO MEC:98-0164
530 First Way South M iiiNI ( 1_ P . , . .
ICER111 I issuED: O//16/9
t'ocle ral Way, WO 9800:1 Plech:itii .11 In,:-....pection Rei !-:• L ; 1.,5'..: 661 4-140 LAI: KLC
5 3-661 4000. 1-X P IR E.!2. : 01 /11 9/9
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ADDRESS:34516 2/ HI 11 AVE SW . •
U0. : 502945-0100
PROJECT DESCRI.Pi ION:HVAC - GAS 10 GAS 114! (HAKIM
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DAN JACKSON ACTION WATER HEATERS ONLY INC .
34516 2714 AVE SW 12704 NI 1241H ST, SUITE 43 f
FEDERAL WAY NA 4801 KIRKLAND NA 49034 YYT iity0
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US (0111WORS, PEEK OSE 11(11110100L 1142 IOW'MOUS LIS laJOIR PROJECTS HUMIN ENE CITY OF :DIEM WAY. 10111W4,045 Its
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PROJECT VALUATION 900 , FEES: ' ,'.;.•,...,-•.::..... 1
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FUEL IYPES.:CAS : FANS 4 108011111SAVIPFoOr NEC PRNT ISSUANCE... $ 20.00
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GAS PIPING.: 0 ft HOOD.. ' is 04 io4., . ; 6 ^_, I Mechanical Perait* $ 10.00
FURN(100K..: 0 DWI WORt'..-.,-.,..t 0 ,345 TOP- ....: t1
GAS 14W1 I ROOD S1OYES:. : 0 IS*30 0 ::: 0
CONV MIRNER: 44 rumt,104 liom ,
g. ,0 '14-,f1
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840 • -e ,
ntsc.„...„..: 0 404 NN ....: o
GAS DRYER..: 0 AIR NANOLJN0400: flit' 12' 1"''! ,. 1. * , -- --.1,
RAMGE ' 0 <:14,000 CF11: lA CROWD: 0
GAS LOGS.-: 0 : 10,000 (fit 0 40tERGPOUND.: 0 IOTAL FEES $ 50.00
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Does the water supply systes contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If "Yes" then water expansion tank is required en Not Water lank)
Inspection Record: Mechanical Rough.in Dale as Piping _ Date
MECHAPICAL TINA, 0,4f _C,-..) Date f:11-.923
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KNITS EXPIRE I1 DAYS WIN ISSOAOCE IF NO NORE IS SIARIEO.
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I EEIllit INC INFORNAIION IORMSWED It NE IS IRK AMD CORIECI JO TIE OBI 01 NY (110141161 AND JOE APPIKABL CITY II RIERAt NAY REOOININENTS 11111, it NT.
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wRIR OR AGEN! :>1 0:I:pa' ii: / ) i PAIL l ,1,1111_q_3 ...,_
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FIELD COPY
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RECEIVED BY' surumm mmoN
�„� COMMUNITY DEVELOPMENT DEPARTMENT 33530 First Way South
EDE Federal Way,WA 98003
uV FM, JUL 15 1998 (253)661-4000
Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
MEC 1() — O I(PL
PARCEL# Single Family 0 Multi-Family 0 Commercial 0
SITE LOCATION /
iDAAJ CJS K50 AJ Phone -h AI-JLa/1 Tenant/Owner
Address/city/State/Zip 3q5 7 6 . . ;21'Li. Ave— 5 c ) -o&-rz4ac_ if)4-Y (A)4 ef(). 3
Nature of Work 1?-*' ill 0 U"e' fi R,e%ok it 1 LUZ_ Med Luz_ Project Valuation:$ 9.0,0(
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APPLICANT
Name 4(7 I 0 A) 41 A--r`c. - Ff f 1-TVt S o k/y. /NL .
t/Zi /;/0 q �� /4 5/' • "f3 /�lk/C U9-/UO I.tJ (} (}l/ 3 VAddress/Clry/S p
Phone � �1�S��oZ�' /V Fax �es' cUo - Y..5-0Contact Person '/`vyI /gin a
MECHANICAL CONTRACTOR
Company Name AG 7/0A/ fAiA7-60e /-/Efg TS/e 5 D•tl L V //tiG
Addresx/City/SdZap
Aa 7041 Al E /d Lill) .-1-i-e.6f- 1��I J Tf, 4�3 - APO 4A/C, .aid 9go3i.
3R6 T T P 1�/_1J J 4AJ b Phone ( 5)g ' ' ' Fax (en)E06-9 950
Contact Peron _+�/�,i_
State L 8i I Contractor Registration#
A GT/C WHO 55 Q P Exp.Date LGG�
(Card must be presented)
E.
MECHAMCAL UNIT COUNT ,
Fuel
Air Handling_10000cfin Istel Tanks:
'[apo(R�other) Gas DrveretfRth of gas piping Ranrtr.
Air Handful r,>-1.0,000cfin Above Ground
Furs TOOK BTU's Gas Log
Unit Beater Underground
Furn>100K BTU's Fans
Boiler BTU/H Miscellaneous
/ Boiler FBTU/H Other
Ges Hut �/ Hood
A/C TONS Other.
Cony Burner Dud Work / :`SSF$ � � :£
A/C —._.c)Ndi t,'ttiGd1=(lisittsetnt»i/
BR�s Wood Stoves -"
DISCLAIMER:I coaly,under penalty of pe:jury,that the information tumrshod by me is true and correct to the beer of my fnow:cddc ant hutlnes that 1 un authorized by the owner of the shove premises to perform the wort
fur which permit application is made.I further agree to save harmless the City of Federal Way as to any claim(inclueling costs a lanae I.mai attorneys fees inured in aroesb anion and defense of such claim).which maybe
mid°by any l n.bndudrog the tmderaigne4 and fried against the qty of Fedeny Way but only where such claim arises out of the,ctuo se of the city,including its officers and employees,upon Ma accuracy of the
information aupplrod to aim rorty as a part of this a ybcatiorr.
-` ( �6� - pate
Owner/Agent �
lesarNr
Reviews ir1697