97-102872 r_________k
6p7 , S'12-__
CItY OF FEDERAL WAY PERMIT NO: MEC97-0222
33530 First Way South Ki C.W;:.. Tie* F°A .:,1;•. w:;"eii N.... i'licr,Vi .: :. 'R",. ISSUED: 08/05/97
Federal Way , WA 98003 Building Inspection Requests 66L -4140 BY: FC
661-4000 EXPIRES: 01/31/98
ADDRESS:29501 1ST AVE S
NO. : 119600-3426
PROJECT DESCRIPTION:HVAC - GAS TO GAS A/C REPLACEMENT.
F. OWNER :,_--- --_. -- -- CONTRACTOR -- -- :::: - -- - LENDER
ROBERT BOYS NORTHWEST WATER HEATER
29501 1ST AVE S 2506 104TH ST CT S, SUITE A
FEDERAL WAY WA 98023 TACOMA WA 98444
941-1402 984-6404
NORTHWH103R2
*ts CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 In
PROJECT VALUATION 1150 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 1 Mechanical Permit* $ 36.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP • 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 $ 56.00
-
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 Water Line OK Mechanical Inspection Notes:
GAS PIPING OK ______. Date ------- By ____-- -----...------------.._
- ---
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If NO WORK IS •RTED. REalJ • SAND Ai G PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE . D CORRECT .' ST 'i Y KNI LEDGE AND THE APPLICA E CITY..QF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT �( / __ DATE )C- 7 '
FILE COPY `i`i `t o 9 ' II V
City of Federal Way `
CITY OF �----- 33530 First Way South
��•- Federal Way, WA 98003 •
_.____________________ (206)661-4000 ,11 eC
\vT 0 r�)r9
rill PPL/CA TION FOR MECHANICAL PERMIT
PARCEL#. ( ` 1`-') 42---CC Single Family/ Multi-Family 0 Commercial 0
. (,. pc18AL.WAY
SITE LOCATIONP)NG DEPT
Tenant/Owner: EiU 6 RO
Phone:(2‘53) 9 4( -( Lk) .
Address/City/State/Zip. 1 - /6\V l ) ' tel]" ( )A4 .(-)C)---
Nature of work: (�.-- &I A(C-- K R-Ct CC Project Valuation: $ I I)�`
APPLICANT:
Name:
____'"
Address/City/St/Zip:
Contact Person: l Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: NQ(' lUi & Witi-t5Q-- -L1 -N�
Address/City/St/Zip: Ca) d (�L �l7`['�, V J .
Contact Person: - t k " (1 Phone: 1g2.._4q-C.)0 Fax:
State L & I Contractor Registration #: b ► Exp. Date: 11/' C
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Drier 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 3.O TONS ( Other
• BBQ's Wood ;?tows A/C TONS ,7btaf.#)riiY:Oauist ':>:�s: >7
DISCLAIMER: I certify under penalty of perjury that the information furnis• • •y e 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. rther agree to sa mle City•f Federal Way as to any claim(including coats,expenses and attorneys'fees
incurred in investigation and defense of such claim),which ma made by any pars• • •the underai,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• -yeas,upon - acc af•-information sup died to the City as a part of this application.
Owner/Agent: /,4 .
Date: