96-101713 9G-lol 713
.,CITY OF FEDERAL WAYPERTH I NU : MEC: 96--U11
93530 First Way South itl ;;;;.(„,, 11f"4 it"^ .,,K.,.(..,,,:rii ,,,,,. PE Pi.M I.I ISSUED: 06/18/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 06/12/97
ADDRESS:29840 6TH AVE S
NO. : 515200-0040
PROJECT DESCRIPTION:HVAC - FURNACE, PIPE, HWT
_;;.zC_____ ._.___. •- LENDER -_-._
r= OWNER .._. ._........___.. _ _. .. _..__---x- CONTRACTOR -__-___.-----..__..___-_.:-,-------- --- -----q- �- ..____._ ===_=--
DAVID SMITH ' NORTHWEST WATER HEATER I }
29840 6TH AVE S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA WA 98499
589-1909 984-6404
( NORTHWH103R2 f '
_. _ _ _ - --- ------- ----------------------._.
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
PROJECT VALUATION 1052 FEES:
FUEL TYPES.:GAS GAS FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 34.00
GAS PIPING.: 77 ft HOOD • 0 0-3 HP • 0 MEC PRM? ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP.....: 0
GAS HWT • 1 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 $ 54.00
� a
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)
l �
Inspection Record Water Line OK _,__,___.__.,_,_, Mechanical Inspection Notes:
GAS PIPING OK __________ Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. ' DENTIA :'ADING 'ERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME 1S TRUE AND COY TO TH10 M .HOWL 1,E AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT AL.....-.,.. AT c7- (,(f-4-- ---
,
!LE COPY
7 - /c.)/ 7/ 3
IllYJOF TIDLRAI WAY PERM1 F NO: 11E.C96 0115-
39930 First. Way •„;out.h MECtiAtlICPIL PERMIT ISSUED: 06/1F3/96
Federal Way, WA 98003 Building inspection Requests 661 -4140 BY: FC2
661 -4000 EXPIRES: 06/12/97
ADDRESS:29840 6TH AVE S
No. : 515200-0060
PROJECT DESCRIP I 1011:11VAC - FURNACE, PIPE, Mil
r00AwytiEIDR SMITH„ _ J,....„............,.......„......, NoRTHWEcTTOWATER HEATER
1 29840 6TH AVE S 8201 DURANGO ST SW I
FEDERAL WAY WA 98003 i TACOMA WA 98499 I
I 589-1909 984-6404
. , 1
--'r.''"r'''''-'7**-.(''oo-Ific-hlts.-- pt7it-isgrik7 , - q' ' i: INS SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDLRAI WAY. TAX ME :i... . _
8.. $”
25 _,., ,, . ,,.;,,,,L,.,
4,,,17,-;4, WV2-4°","4t,-. -=. :
PROJECT VALUATION 1052 ,',,,w,.„, ,-'2 4-----, _ FEES:
FUEL TYPES.:GAS GAS FANS *-04--i, :11,ER:f0MP' . , ,: li4! , 1._. :,. g.7._, ' -
GAS PIPING.: 77 ft HOOD- " , 'w ' -4 'emit* $ 34.00
FURN(100K..: 1 ' * ..-.0 _ ,- , 11111111Ir 4m. ,,, , •_, /2-'1 I 401 ' 4serlic:i 7-IJANCE.- $ 20.00
DUCT ifTMI.. .• #- , 3-15 HP I -_ „*„-
- • r14,,, , ,i A4v
GAS NWT • 1 ' , VES„,. ,,,,4 141h , . 4 op..... 1
CONY BURNER: 0
Ful 4 .''' 71-'2,1 Iff,), 31 ,,,,,Hp
BI0 • Ti I'l,- ' *". '7t. '''
MI"‘:'4"h, 4 \k/4.21
1 GAS DRYER..: 0 A1P HA Vt- 44\ Vil-I, ,",t' AR
- :10,0 i-', , ' 1 ‘," 4 ' WE GROUND.. 0 RGAANSGELOGS,..•: 00 ) 10,000 .. . 0 ' ---i UNDERGROUND.: 0 TOTAL FEES $ 54.00
I
11";;;;;";;;;;;;;;;;;;;;;;TPr-es-sr-u-re-k;u'c7io-n;:ni"ceroTC;e"CkP'Y'aly;?'"1;;;; () No -(It "Yes" then water expansion tank is required on Hot Water Tank) I
Inspection Record Water line OF, Mechanical Inspection Notes:
I
GAS PIPING 01 Date By „, 61A•z? retie. dti „,,,, 71
AA bl /di (
- .Z46 /Z4) 4e- dA2-`k I
.,...re rt,w7mmr.su--.anr.pm,...a.,,..mmum.r,mmn-ve p•.................',--r
Li n -- aia 4.16 Ok_ A t V'Mil 04.kti. . 0.14--, _ , ‘..,,,„_„
PENNIES WIRE lao DAYS AlICA ISSVANtt IF NO WORK IS SIANIED._ASTilITIAI GRADING tXPINE ONT !tileiAll: itiAt10,10
10: WAY IS :tNluiltiouts Will
et al.
I COMFY JiltINTORIVIIION IURNIAID WY NT IS TROT AND CONItEd 10 Ilk NY NOVELDGE AND Mt APPIKANIE 11.ly
. (---
OWNER OP AGENT
DATE c--//'
FIELD COPY
City of Federal Way
1.....__ITY OFFr''''''''"`, 33530 First Way South
•
_ CSC MAIL_ Federal Way, WA 98Q( ';SCE E
(206)661-4000 'iC ✓�
WFr•
APPLICATION FOR MECHAN/CAL1 PE WIT
_ �//�� SinCITY OF FEDERAL WAYPARCEL tt (
C7()L� %) BUILDING .
gle Family Multi-Family 0 Commercial 0
SITE LOCATION: t-->\
,l
Tenant/Owner: t>V ID SM tTf Phone: <9"- lc.ni
Address/City/State/Zip:e 4c k_v •� U 1Aifl i qCc
Nature of work: JALL/1 (.5-V 1. CLI PAA CC. t PIPc,-' PtsN i- -(`'v�
Project Valuation: $ ) (rS-D--!
APPLICANT:
Name: AE.:i 62M t
Address/City/St/Zip: Z C2, �.- /1ilPt -0 IS O ST to I 5-EA g 1
Contact Person: C FC:�1- A teda LD Phone:I-LID--8S17/ Fax: -?. --'? 5/2
MECHANICAL CONTRACTOR: 4/.
/ //
Company Name: A G,U W'' #rece?-.7 ,/E'
Address/City/St/Zip: DW co 1 HC \ Dr/ lCA 1f144 1 -
Contact Person: �)E/— Wil;v;.f- --t-C= Phone: ZQZ- 4 `Tv C) Fax:
State L & I Contractor Registration #: /\((ilk " lilU ik / 63 teD- Exp. Date: (a/ ;'''
(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 1 Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt ! Hood Boiler BTU/H Other
Conv Burner Duct Work A/C TONS Other
BBQ's
Wood Stoves
A/C TONS
DISCLAIMER: I certify under penalty of perjury that the information furnis . by me is true and cor-. o 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 •ther agree to sav 'ar• ess the ity of Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may b ade• any• -o` •ing the u •ersigned,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 emplo s,up• the at informati• supplied to the City as a part of this application.
Owner/Agent: v Date:
L'7( Y(
(5 A2