98-100078 9.&-ib D678
CITY OF 'FEDERAL WAYPERMIT NO: MEC98-0005
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33530 First Way South ' ... ,,., ll!::.t H ICA I_ :,;,:4 F"' .i ."
.1: '.I ISSUED: 01/08/98
Federal Way , WA 98003 Mechanical Inspection Requests 253-661-- +140 BY: FC2
253-661-4000 EXPIRES: 07/06/98
ADDRESS :29010 8TH AVE S
NO. : 515292-0260
PROJECT DESCRIPTION:HVAC - GS TO GAS HWT REPLACEMENT
F= OWNER • ---- _______: T CONTRACTOR =_-- -- -- : ----------- LENDER .-_
JOHN RIBARY E NORTHWEST WTR HTR INC/DAVIS WH
29010 8TH AVE S i 2800 THORNDYKE AVE W
FEDERAL WAY WA 98003 ; SEATTLE WA 98199
253-941-3479 1 (253)984-6404 800-292-4328
NORTHWH103R2
--___-___-. z_.----=====------- ----_.. ___._____.___ -_
OS CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
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PROJECT VALUATION 1350 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* $ 40.00
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 $ 60.00
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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 .ARTED.
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111
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE 1 CORR�' B IF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENTlir — ---____
DATE I_. .__G...'...._..
FILE COPY
62 -
—)OOO7? F ,..A.4
(21 U( -(4-0-1 t 11: iIL woY , PERMIT NO: MEC96-00US
: • ' r) fitTot Way ':;('..uth 11 I e HA N I C tli L PERIII ‘ii". 1 ..(„11: 1): 01 ./1:0/9,:,,
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I WI, Wt't 'M:1)(1:! me, 11.ti i i k ,,t, t I tirrecti on Rogues is 2'53 't.56.1. 't-1.4 0 fr: t i •'
-2 :3 e•,,. .. zkOnt) f '2,1-'1 f`I 1.;: t t//tie' ,1‘-,.)• :
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11 OW: f.,;
PP,0,1 F iT I DI '.;('F< I f) 1 1.0N.*.KW: GS TO GAS MIT PERACIMENT
' (1J401111E11 RIDARY .--- - - '. (NUO:ITPH:(EISCIIRWiR'HiR'i'll'aCTI)WV-I*S';H'' ""-'3-----44'4w—"---'
29010 810 AVE S
FEDERAL WAY NA 93003 2800 1NORNDYKE AVE W
SEATTLE NA 98199 ---. LENDER ......,.--
"4 2',...N.:,,,4.1'AV.,,,,,,,,,,,,a,—,:w .a,I...,11,0,.,
253-941-3479 ( 53)984-6404 800-292-4328
NORTNN0103E2
itt CONINACTORSt.14.EASE,,USE.,E0OTION OINE,,IM,INFII NtRORIIN4 SAL _ _ . ,..._,..____....,,,,_,...,„,,,.._..,.,_,,,,
I PROJECT VALUATION 13SO
FEL,.
FUEL TYPES.:GAS ? FANS 4* BOT011iS ,s, .,,A 4:t'l ;'','„"",: ,,,7 " --, Mtc.. PPM! ISSUAN(t... $ 2000.
GAS PIPING.: 0 ft HOOD
FURN<1.0dk..: 0 ();'' 1(41'...7, ,A --- - - ''-' ' ‘-' --' . 14!,41.114i‘411 1)114itt $ 4°."
DUCT W0iZ4,4',v,, ,, 3; 5 TIO..,4 0
GAS NWT 1 woostevekriti.,0,.. .- 130, •*:.to., , ,.,,, •
-GONV BURNER: 0 fugjo1e0 .,,,,,-0„,A-,,,,,,,:x:z:4- ,i,504014..eit,,,,,,0
0 MIS tt 1,4* ''ii,i,1/40- -4, --'40 I.JIM.....4,,A0,,
' GAS DWIER..: 0 AIR NAI0E1Ik4IKOS,
RANGE 0 <10,1CRIBV00, ,,,, -ri',A-110'000: 0
GAS LOGS...: 0 > 10,000*11: 4V-- ''',, ' MOOGR0011).: 0 - TOTAL FEES $ 60.00
'D—Oah ' 'r — it — 'gi'--' ; ' : " lc —
esTeZters4pl; ;;; e; c:utanaPre ;Ur; (cioh0;Uie or Check valve ( ) Yes ( ) No (If "Yes” then water eipansion tank is required on Not Water Tank)
Inspection Record: Mechanical Ragh-inDate Gas Piping Date
... . __ .. _. _._
C 24-It'
MECHANICAL FINAL .4::. 147.____ Date ..„27.7 i
1
44101
KIWIS EXPIRE 18u DAYS AFTER ISSOARCI II 40 RORK IS MUIR
I CERTIFY lilt 1111OgNAIION IONNISAID RV AL IS TIM , , CORN e,-
IJV ' .. ,1/1A. NY 111001114 AO INE APPLIElitt CM Of FEDERAL WAY REQUIRIMOIS VIII RE NEI.
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OWNER OR AGENT .. . ___ ____ „ POE 3.., V
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FIELD COPY
CRY OF G BUILDING DIVISION . to
• EO 33530 First Way South
V Federal Way,WA 98003
V (253)661-4000 ,
CGe V !`i Fax(253)661-4129
JAS 0 iggb APPLICATION FOR MECHANICAL PERMIT
:Y(Y OF F ,:_.Do _WAY MEC I, _000-,1lLD G/0EPT.
cpc
PARCEL# / 3 _�c;_oca. Single Family 0 Multi-Family 0 Commercial 0
SITE LOCATION �y
Tenant/Owner g6 k At A i /-d/� i ' Phone ç25) 4 1- 54 +---'t
Address/City/State/Zip v�d k.G' -- -Ir A( t S i r C G'3,A c/-O O 03
Nature of Work C`1, - (i Ai a K 'LA( ArlA 7 Project Valuation:$ )->('
APPLICANT
Name
Address/City/St/Zip
Contact Person Phone Fax
MECHANICAL CONTRACTOR
Company Name /I LL's 1�U/9 7/C k41-- ` ( i
Address/City/St/Zip 2-S---0(c --/e� Til- 5 r Cr 5 #/9 l fe3 cc v 4 12'4'? y
Contact Person K.Ink. e'''k : (1. LA Phone( - 3).ct_ �"' -l.i'q6 L1 Fax
State L&I Contractor Registration ii /) - u)) 10' 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<100K BTU's Gas Log Unit Heater Underground
Fum>100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
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BBQ's Wood Stoves A/C TONS Ttitatali if Giitirit:'<:i:i:i<=:=:»:'»»» >»i»::
DISCLAIMER:I certify,under penalty of perjury,that the information furnished by me is true an.correct to the 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.I further agree to save harmless the City of Federal W:. :-to an claim(including Casts,expenses,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,.••b tr..i.-'.ere suc.claim arises out of the 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.
,,-' dio
Owner/Agent , Date
r
R 'it l 1 �qu i
evilrseo pn 8 8/26/97 V
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