98-101280 98. /o12 e0
CITY OF FEDERAL WAY M p L. � u ��y�� PERMIT NO: C98-0086
33530 First Way Southi ,.',: "li' IN I ",q r P!IM;. 11. ISSUED: 04/14/98
Federal Way, WA 98003 Mechanical Inspection Requests 253-661-4140 BY: KLC
253-661-4000 EXPIRES: 10/10/98
ADDRESS: 31750 7TH PL S
NO. : 794150-0190
PROJECT DESCRIPTION:HVAC - INSTALLING A GAS FIREPLACE INSERT W/ASSOC. GAS PIPE.
r __,...__--•- ____-__.._----.____. ------ -- ._-
OWNER ----- �- - -- - �- CONTRACTOR ---• - •• T LEN 3
BARBARA LAFLEUR NORTHWEST WTR HTR INC/DAVIS WH
31750 7TH PL S 1 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 MAY. TAX RATE = 8.25 :::
PROJECT VALUATION 2000 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 30 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 • PP 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 I 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 SF' D.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE ANi ORRECT i . .SOF MY LEDGE AND THE APPLICABLE CI Y OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT __- / DATE M77. •jr"..
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FILE COPY
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33530 f :i FEDERAL
s tE Way South �, HA N I �L P L � .�I i ,.1.• PERM'I SSUE,..D:NO: 0 /?4/
federal. Way, WA 98003 I1t?ch;anical Inspection Requests; 253-661- 4140 BY: K1 C
253--661-- 4000 EXPIRES: 1.0/1.0/°98 ..
ODDRC S:31.750 7111 !'I_ `.
TIO. : • 794150-•0190
PROJECT DES('RIPTDM:HVAC - DETAILING A GAS FIREPLACE INSERT W/ASSOC. GAS PIPE.
-<'. OWNER tnanaa.csaaa CS.�s2Smt'^.a:R:S�Y�Xtl:38S_^tLN38iQ'YC'..G-TtnzSt;4T:Y.'IL"rAW"..:,ata-.•.:. COH TRACT s"ttY.iiLS:RIFm�CP PLSwSIRYrmdYiRSl4kfamP.Y9tl G9tRmNf4�lVtfCJ :CPiL' 'vF LENDER L��ICAW:::YS s2f2a�.WamRmc:cn:Y:%u 3�rOJmles�ztlw�.::GRRgtltaKalBCC.::F:
BARBARA LAFLEUR NORTHWEST HER NIR INC;DAVIS NH I
31754 718 PL S 2800 THORNDYKE AVE N 1
FLULRAL MAY NA 98003 SEATTLE WA 9819
(253)984.6404 800-292-4328
NORTINOT1U R2
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*** CONTRACTORS, Papa 03E LOIAl1011 LW 1E37 WFN 14.14;P1IN6 SALIS TAX EOR PROJLCIS WITHIN TIII CITY Of TEDENA1. HAY. TAX RATE =-0.25 xiS
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PRHJECT VALUATION 1000 FEES:
FUEL (YPES.:GAS ? FANS : 0 8OIL(VS/CoMPPEsSM MLC PRM( ISSUANt'E.. S 20.00
GAS PIPING.: 30 ft HOOD..........: O 11-3 ION • 0 M lianica1 Pe(al t* $ 52.00
FURN<I00K..: 0 PICT WORT.....: .Os..:v, 345 ION....: 0
GAS NWT • 0 WOOD STOVES.. 0 15-30 TON...: 0
CONV BURNER: 0 FURI 00r... .: 0 30-50 T0H.,.t 0
f38Q • o MISC.......... 1. j so4 ION.....: 0
GAS DRYER..: 0 AIR HANDLING !Tr #fit, TASKS-----
RANGE • 0 '1.0,000 OM 0 MOVE GRI+ttlID: 0
GAS IGS...: 1 > 10.000 CI 0 UNDERGROUND : 0 4 IUTAL FEES $ 72.00 1
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Does the water supply systes contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If "Yes' then tater expansion tank is requireJ on Not Water lank)
Inspection Record: Mechanical Rough-in __ _ ....___:_.._ Date __ _____.._ Gas Piping ,e,,,....-_DL. Date _4.7_29- TE
tIECHAH1i:AL FINAL Q/G.._ _ 'DI.,. Date b-2..?.-9
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PEEWITS EXPIRE 100 DAYS AFF I I:k IsAilirit II NO LSE IS ST d. -
I CEREItY nit INIORNAIIOR 1(IN019110 BY ME i' DM: ORRECT. II/tsi or MY CrilLEOGE An INE APPI IIANI.L. tIIY OF IEDERAE WAY REQt1I1ENINIS OIEL DI MEI.
i
OWNER (W AGENT . .... . _.__ a_.__. _.__.. PATE ''' ' -- (
FIELD COPY
City of Federal Way A ECg8 6086
CITY OF C. 33530 First Way South I
__ 1___
Federal Way, WA 98003
"" �„y (206)661 4000
V``1 w ,V
1/ V A PucilTJpiV FOR MECHANICAL PERMIT
COM l 0�10PMEAIT DEPARTIJfB�
PARCEL "7-C7) /� A tat
APR '� Single Family Multi-Family0
� Commercial 0
SITE LOCATION: /���1
Tenant/Owner: 1 , 4- 6. 71.73e1
, 46,!7) / _4 I1 -- ----4
I Phone:��' — G Z�
Address/City/State/Zip: l7 5-0 — Pt-- .
Nature of work: /V�fel1/ F1771, /Ji)6-7---4 ,Tc. Valuation: $ 156,0 i
/ /
,
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR::
Company Name:
MCSK-(11-1W -r-
k `-�' _
Address/City/St/Zip: 2 00 CFtISR.L\sP`t�,c . V V .
Contact Person: - - . �� ►v (1 Phone: "`v0 Fax:
•
State L & I Contractor Registration #: NURTk4Wt f lExp. Date:
(Card must be presented) i
/ g
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping '-J 5 Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log Unit Heater Underground-
Furn >100K BTU's Fans Boiler BTU/H Misce n oe us -,,,'
Gas Hwt Hood Boiler BTU/H . Othe !N S6T
Cony Burner Duct Work A/C TONS Other
Ma's Wood Stoves A/C
TONS
a;:,:i,„,...,:::::,:::,.,:;.,::::.:,:,:,:::::::,,,� #2ntt aunt ......................:•:.::..
DISCLAIMER: I certify under penalty of perjury that the information furnis. • •y a 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 sa ml... City.f Federal Way as to anyclaim(including
incurred in investigation and defense of such claiml,which ma made byany costs,butexonlyyes and cattorneys'fees
pers. .' •the on d,and filed against the City of Federay Way where such claim arises
out of the reliance of the City,including its officers and e • •sees,upon apor
l..rnformstion sup-lied to the City as a part of this application.
Owner/Agent: :-•:44111.1116k
' Date: