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CITY OF FEDERAL WAY PERMIT NO: MEC98-0002
33530 F i rs t Way South ""'� G ;.R.m„: Ih`"'i "' :.�.. M:„,:it1i ,.,„. °" '�.. '��, ''"'1�::�,.: „ ISSUED: 01/06/98
Federal Way , WA 98003 Mechanical Inspection Requests 253-661-4140 BY: KLC
253-661-4000 EXPIRES: 07/04/98
ADDRESS:3416 SW 333RD ST
NO. : 109976-0300
PROJECT DESCRIPTION:HVAC - INSTALLING ONE GAS FIREPLACE W/ PIPE.
F OWNER - __= --- • ------T- CONTRACTOR -. --_. --- - - LENDER -�
WILLIE JACKSON i NORTHWEST WTR HTR INC/DAVIS WH ' t
3416 SW 333RD ST i 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023 i SEATTLE WA 98199
s (253)984-6404 800-292-4328
NORTHWH1O3R2
t
S** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
_, - mom..._ ---- ------------------------- • _--_.-.._--- ---__---. _.
PROJECT VALUATION 1200 t FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 25 ft HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 36.00
FURN<1O0K..: 0 DUCT WORK • 0 3-15 TON • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0
CONV BURNER: 0 FURN>1O0K • 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
t GAS LOGS...: 1 > 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: Mechanical Rough-in Date Gas Piping Date
MECHANICAL FINAL Date
- -----------r - ------------
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS ' ART '•
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE D ClOF KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE
11111 1
i
FILE COPY
. ..
CITY OF FEDERAL. WAY PERMIT NO: MEC98-0002
33530 First Way South MEC tffe414 I C.el L PMIT 1,.. ..,‘JED: 01/06/98
Federal Way, WA 98003 rle,-halical Inspection Reque(4..s 253 (:.6I 4141) BY: KLC
253'-661. 400O EXPIRES: 07/04/98
A DIVE S:',-341 6 SW 333RD 91
NO. : i099760300
PROJECT DESCRIPT ION:0VAC - INSTALLING OPE GAS FIREPLACE tel/ PIPE,
r OWNER u,wmarrmawasmormam.omussmum .m4amswommommommnwumumpowanumf. CONTRACTOR taluvxammearnm=rammicmammustamumrsullom.coc-mnsm,smar LENDER 4/4,7,4..444.4 ---.......................x,.
WILLIE JACKSON 1 NORTHWEST WIR HTR INC/DAVIS 110
3416 SW 333RD ST 1 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023 I SEATTLE WA 98199
(253)984-6404 800-292-4328
HORINVI143R2
I
1
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*le CONTRACTORS, MASI et 1101100 CORE 1732 Iiii WOOING SALES TAX FOR PROJECTS 1111111 iNE CITY Of FINAL WAY TAX RATE = 8.75 III
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PROJECT VALUATION 1200 FEES:
FUEL TYPES GAS ? FRS : 0 NILMICOMPPESSORS AtC PRAT ISSOnACI .. $ 2o.no
,
GAS PIPING.: 25 ft HOOD : J 0-3 10N_ _: U rldtronica! Pertitt $ 36.00
FIRC1001..: 0 DUO NORF : 0 315 TOP . 0
GAS NWT • 0 NOOD STOVV...: 0 1530 1011.,.: 0
CONY MID: 0 Fumloor... : 3 49.10jos4 Al
800........: o Nur.. ": 0 * TO ' ' : 0
....._ .a.** ,
GAS DRYEN..: 0 AIR NAHUM UNITS FUEL FANF3--------
RANGE * 0 <10.000 00: 0 ADOVE GROUND: 0
GAS LOGS...: 1 ) 10,000 (rot 0 UNDERGROUND.: 0 TOTAL FEES $ 56.00
..4444-4444.,1.44-4,4-44444.-12474014,44,3144-4...4.4744,4444.-44c4m.4,44,4,444/414444444444444444,44*4444.40.r.44441/16444124,444 4 casestelogan,1444344444, cl...tng.I=VMM,ZrY.AM...-S.-. -,.--=. ,..-.-....A.,....WW.,..=-..-.'
Does the water supply systes contain a Pressure Reduction Device or Check valve? ( ) Yes ( ) No (If 'Yes' then water expansion tank is required on Not Water Tank)
r
Inspection Record: Mechanical Rough-in Date Gas Piping OIC.-...).>.1t-__ Date Z.- '&X-
MECHANICAL FINAL Ok_ -W„ Date
Sr,,,,,,,,um, x 4,442,2;1.44,414“4.44:o44444.'444444424n444444443429,4.,21F-414.3144 zordituan,—,vol.o4wmcpsvoaritxtamptn r.eptn—ven.a=1=---r-z4.ra.na:aals.smcslmw,raic=wm n•larz......4 ac.asxmann ant re,mz.t..,.........zzatx 04,.....mit,..r.r.wx.
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PERNIK EXPIRE 100 DAYS AFTER ISSVAICE If NO VOIX IS,STAITW-'
I CERTIFY INE 1NFORNATION FURNISHED WY NE IS !WEAR COOK! 10 THE HEST OF NA/KNONILAGE AN, IRE APPLICANU CITY OF fittkAt WAY PEQUIRENINIS VIII RE $11.
01110 OR AGENT i
DATE _
\
FIELD COPY
CITY OF G BUILDING DIVISION
• ED 33530 First Way South
W Fly Federal Way,WA 98003
(253)661-4000
Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
MEC -
PARCEL # I nok ( ---) Cc) Single Family/ Multi-Family❑ Commercial❑
SITE LOCATION .
Tenant/Owner W tar) 6 Ac- Sc,/Q, Phone iSa-- `k g,'
Address/City/State/Zip -)L-1 Cr'f) LC1 CI g ( -2-r-3
Nature of Work (1 ✓ (t rel. I m� 1 Tior a e`te- S
ro Valuation:$
APPLICANT •
,
Name �
Address/City/St/Zip
Contact Person Phone Fax it
MECHANICAL CONTRACTOR
Company Name /V 1 l_.. l'ti A . C t' Y ___„
7 •
Address/City/St/Zip __ v I A A •
Contact Person 1 M D A k E PhoneCS ) 4-l `es Fax
State L&I Contractor Registration# < t)1 ! h l /6 r") /�r- - Exp.Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type fgas/rther) Gas Dryer Air Handling<=10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling>=10,000cfm Above Ground
Fum<100K BTU's Gas Log Unit Heater Underground
Furn>100KBTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other i, i I k '
Cony Burner Duct Work A/C TONS Other
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BBQ's Wood Stoves A/C TONS :<:`t`Aia,5t jr ii:[`'oiinf`s>:<:»>:`'>?>::>`?>`?>`::>`s>:?"":?:
DISCLAIMER:I certify,under penalty of perjury,that the information furnished by me is true and correct to the best of my kno, d i,L. 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 as to any claim(including co -,expenses, j:S'�- Ap fees incurred in investigation and defense of such claim),which maybe
made by any person,including the undersigned,and filed against the City of Federay Way but only where such claim,:_es out of the i,. �te t,including its officers and employees,upon the accuracy of the ,
information supplied to the city as a part of this application.
Owner/Agent / Date
40110
Mem{APP _
Rrv,sm 8/26/97