98-100093 { 9e—i-bo093
CITY OF FEDERAL WAYPERMIT NO: MEC98-0008
33530 First Way South M Vim;:, M,....' t,,, "h$ M.,dlJ��. M,.,.,..et im. p Eft t M I #41. ISSUED: 01/13/98
Federal Way , WA 98003 Mechanical Inspection Requests 253-661-4140 BY: KLC
253-661-4000 EXPIRES: 07/11/98
ADDRESS: 32460 22ND AVE SW
NO. : 638670-0050
PROJECT DESCRIPTION:HVAC - GAS TO GAS HWT CHANGEOUT.
= OWNER ----- - _ - - CONTRACTOR _----.._.._____.-______..__»-T_ LENDER --- _.__________._.-______�
ROBERTA EDMUNDSON NORTHWEST WTR HTR INC/DAVIS WH
32460 22ND AVE SW 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023 SEATTLE WA 98199
(253)984-6404 800-292-4328
NORTHWH103R2
-- ---------------------- ,-..._____..__...
XIX CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WIFHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 XXX
f._-._ »........ _.__....__.._...._.__..».__.._ ____ ----- ----------------------------- --_-•• -- T•__••-•_----..---._--_.--..-..._.».-_...-.-._.._-._...-...-. - • •1
PROJECT VALUATION 600 ' 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* $ 24.00
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 TON...: 0 1
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: C
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 44.00
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)
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Inspection Record: Mechanical Rough-in Date Gas Piping Date
MECHANICAL FINAL Date
L --- -- - -
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTEf I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CO:' CT TO 1;0.0;k KNO, EDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
iiiOWNER OR AGENT
__-- ___ , DATE __ L,�/
FILE COPY
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CITY OF f-EDE RAL WAY PERMI I NO: MEC98-0008
i3:15:--10 First W4V South irl F C 1 irlN 1 L PEI:trail: 1- 1 ,..,,,ur D: (11/13/98
Federal WAy, WA 9 fl 003 MortiAni r al rn-s.,/,,?(.. t ion Re(wc:-..t,s 253 -,,61 . 1 '10 BY: KI. 0
s‘ 253- 661 4000 LYPT.Rt. <3: 07/11/98
ADDRESS:324h° 22111) AVE SW
NO. : 638670-0050
PROJECT DESCRIPTION:HVoC - GAS TO GAS HOT CHANGEOUT.
t. OWNER ......0.......m....,.................................,T,
1 ROBERTA EDMUODSON NORTHWEST WIT HIP IIKIDAVIS WH
I32460 22ND AVE SW 2800 THORNDYEE AVE If
FEDERAL WAY WA 98023 SEATTLE WA 98199
I (2!3)984-6404 800-292.432e
01001143n
' - It' OROkitiOft . PLIAS!' US1 UkAnii OW 1732 WHEN Riming; SAILS TAX TOR PROJECTS 1111011 ENE CITY Of FEDERAL WAY. , 8.25
.....
- -, vz as scaaxaew:gr ICZZI.PaZZIOE Z...w.m.e.thbu.,4,....0...n.mt....................,...........,......
PROJECT VALUATION 600
FELS:
FUR TYPES.:GAS ? FANS
: 6 841WISIMPRCRAS NEC PROT ISSUANC.I. , i :1.).tio
GAS PIPING.: 0 ft 900D : 0 04 10O....... Mechanical Per )mOr $ 1)4.(JO
FUROTOOK..: 0 MKT WORT_ : 0 HS TON....: 0
GAS NWT • 1 WOOD STOVES...: 0 1S-30 TON...: 0
CONY BURNER: 0 FURPTOOr......: 1 30-50 TOIL,: 0
880 • 9 MISC..........: 0 50f IOL , ; 0
GAS DRYER..: 0 AIR HAWING EMITS THEE TANKS---- --
I RANGE • 0 <10,000 06: 0 ikWil GROUND: 0
,.,
I GAS LOGS...: U ) 10,000 OW: 0 tniPLRCROUND.: 0 TOTAL ((ES $ 44.00
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Reduction O.r--Check valve ( ) Yes ( ) No (If "Yes" then vater expansion tank is required on Hot Water Tank)
IInspection Record: Mechanical Rou0i-in . ,..._ ... ... Date Gas Piping OM Di_ Date
MECHANICAL FINAL Csk...— /),/,,,,, _ Date A__•72._-..-...ca
PERTH'S EXPIRE ION OATS AFTER ISWANCE ir NO WORE IS STARTL 1
I CERTIFY IRE IPIORNATION TORVITWO SNY NE IS TRW AND C CI TO I BE AY I EKE MO THE APPLICAILF CITY Of FLIERAt WAY REITUIREK ( .)
NIS Vitt II NIA. v
oWNER OR AGENT --- ,...-
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FIELD COPY
CITY of G BUILDING DIVISION
• RECEIVED 33530 First Way South
Federal Way,WA 98003
v v RyY (253)661-4000
JAN 1 3 ��®@ Fax(253)661-4129
GI I Y OF 1-mucetAL WA)
APPLICATION FOR MECI-r$NvCAU PERMIT
MEC -
r
PARCEL# l Q `) C 14 C('-'0 Single Family❑ Multi-Family 0 Commercial 0
SITE LOCATION \ Q— °"�(�(�
Tenant/Owner R i Y v`t A n�1) C K Phone �� Uq I
Address/City/State/Zip (c'c\) -2 -i M ` � .v o-Lu\q•1 -A o7
Nature of Work - A(Z ). k AC):&\,t\- aNT Project Valuation: $ 1
APPLICANT •
Name �s
Address/City/St/Zip
Contact Person Phone ` Fax
' MECHANICAL CONTRACTOR , f��
.y Company Name �'
) 'l.�/9 1-/--&q- ,,c<
Address/City/St/Zip aCco( / C' --)-r el tic - o y
Contact Person K' 1 f j' --- Asti& e, Lq Phone( .S.) 4 6.I-16 `t Fax
State L&I Contractor Registration# v l') i L �1' IL,'' R,)— 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
Furn<100K BTU's Gas Log Unit Heater Underground
Furn>100K BTUs Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
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RBA's Wood Stoves A/C TONS i:imit2t>Ui?if>CEif etf>?>:"?»?>:::«:>::::>::>::K:i:i:::::<>::::
DISCLAIMER:I certify,under penalty of perjury,that the information furnished by me is true and 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 Way as to any claim(incl •AIIVt'. .enses,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 , •'y but only where s •f 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.
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Owner/Agent Date /f / ':
Mrcu.Are
Revrsm 8/26/97