Loading...
HomeMy WebLinkAboutPermit M92-0025 - SCHORNACK MILDREDM92-0025 SCHORNACK MILDRED 4421 SOUTH 146TH STREET C• rY\ILIA.E1) ELEILML22:22222212.2212LCS2/2g; , ' , : . :' , : , i ,, P , ';;:ii;g•:::.:1.::::;i::i;::: , i;i::::: , iii::::':ii:11 UMC EDITION (YEAR._: 1988 FIRE PROTECTION: IIPS•rinklers Detectors x N/A ADDRESS: 4421 South 146th Street, Tukwila, WA CONDITIONS (other than noted on or attached to permlt/plans): CONTRACTOR: Europa Construction Inc. PHONE: 775 c 21728 46th Avenue West, Edmonds, WA APPROVED FOR ISSUANCE BY: BUILDING \J‘j\ , ' \L OFFICIAL DATE: 1 -. C i2 LICENSE NQ. EUROPCI110QN .... 10-01-92 I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign for and obtain this mechanical permit. SIGNATURE: t--- DATE: 2. • -.- • ( 1 2_ • PRINT NAME: 40T0i3 Ko.L G . COMPANY: EL02.r.R COOSiI2.. WC' PROPERTY OWNER: Mildred Schornack PHONE: .: ADDRESS: 4421 South 146th Street, Tukwila, WA [ZIP: 98188 CONTRACTOR: Europa Construction Inc. PHONE: 775 ADDRESS: 21728 46th Avenue West, Edmonds, WA ZIP: 98020 WA. ST. CONTRACTOU LICENSE NQ. EUROPCI110QN (EXPIRATION DATE: 10-01-92 CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431-3670 MECHANICAL PERMIT NO. 'MGT -00Q DATE ISSUED: .............................................. ............... ... .......... .. .............................................................................................................................................................................................................................................................. " " • • "'"' SITE ADDRESS: 4421 S 146 St MECHANi%AL PERMIT (POST WITH PLANS IN A CONSPICUOUS LOCATION) MOUNT:0: :IA ECEIPT4.: FEES Eia.liPerr ':'..',:t.:$15•:•00 Unit : , ..Fe4:::' , If.f.r . :' ,. ' , :''....::::::' , ' , :::: - :::::: ,,, .: ,. .:•:' , : . . ,. :.:".::•::: -. :::: , ...:::: ,.. ...:' , :'.... , : . ::•.::: : 1550:•:;' , ' ,, •:'::: EJ ••"' s":•:";:'''..;:••::::::' ,:' Oth•ert::::,:::'.:::::i:'.:::::!:::'::::!::::::?..:::::::::,:::,:::::::::::::::::::::‘:::;:::::i,..:, :: . ..:;::: ::,:.,::..:„......:::„.... ... ,.... . ..: ..:::... . TO TAL '::: 1":„':::' :M.,...: :::,!::::.:::::::::::::::::::: Plan Check No.: M92-0025 SUITE NO. PROJECT NAME/TENANT: Schornack, Mildred VALUE OF WORK: $ 3,682.00 TYPE OF WORK: fl New/Addition (1) Modifications ) Repair C ) Other: DESCRIPTION OF WORK: Replace oil furnace with gas and electric water heater and range with as units. 1 gig.§:::.,KINIIIMONTRiTilii$ DATE DATE(S) APPROVED INSPECTOR CORRECTION NOTICE ISSUED REQUIRED INSPECTIONS 1 - Rough-in/Vents/Ducts 2 - Fire Final 3 - Planning Final 4 - - Mechanical Final PHONE NO. 431-3670 575-4407 431-3680 41 OTHER AGENCIES: Plumbing/Gas Piping - King County Health Department (296 Electrical - Washington State Department of Labor and Industries (277-7272) This permit shall become nu!!.and.void it the work is not commenced within 180 days from the dato f• PERMIT NO. CONTACTED DATE NOTIFIED N ► + 1 — " 3 I -q 7 a BY: (init.) 13 DATE READY PERMIT EXPIRES 2nd NOTIFICATION BY: (init.) AMOUNT OWING 3RD NOTIFICATION BY: (Init.) MECHANICA PERMIT APPLICATION TRACKING PLAN CHECK NUMBER INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by staff so that any time the status of the project may be ascertained. • Plan corrections shall be completed and approved prior to sending on to the next department. • Any conditions or requirements for the permit shall be noted on the plans or summarized concisely in the form of a formal letter or memo, which will be attached to the permit. • Please fill out your section of the tracking chart completely. Where information requested is not applicable, so note by using "N /A ". DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. O FIRE O PLANNING O OTHER PROJECT NAME SITE ADDRESS BUILDING - L- aq_q initial review BUILDING - final rAViAw (1 REVIEW COMPLETED (9Z_ (ROUTED) INIT: INIT: Sc. nr no_. 1 -0-4a1 5 1t--R9 (" >..A.E. UIREM CONSULTANT: Date Sent FIRE DEPT. LETTER DATED: ZONING: SCREENING REQUIRED? f Yes fl No REFERENCE FILE NOS.: UMC EDITION (year): 1 7 SUITE NO. f<��t�INENT'S Date Approved - FIRE PROTECTION: Sprinklers Detectors N/A INSPECTOR: IBAR/LAND USE CONDITIONS? ( )Yes 11 No 08117/00 SITE ADDRESS SUITE # q ' L fr 21 S /L ST VALUE OF CONSTRUCTION - $ 3 6 8 z . 0 0 PROJECT NAME/TENANT fii I 472 L sc icieJ 4cK TYPE OF WORK: ❑ New /Addition ❑ Modifications ❑ Repair ❑ Other: DESCRIBE WORK TO BE DONE: RCPCIFG 0/ C. Fv J4 ce W ow 6:)A4 t-UPa1lb4Ct_ /Qc P ,'fcE eLecuic WA-me- */PiL9 ZE" r,Jrrtr 64c L)Nir,S :: ':< <<i >< » ><<<:<:; > . f?.. U;: € €:: > >;: ;' >;: •O : ». NITS! T G/ 5iZE:;:>: ?>;<<:>« :>:<::> �r`::!;I .. ::<: < >< TYRE: �;>;::>:><>: �::'> ?<:< : > <<::< ».;; > :<: >: >� > ::�: RA .iN ' ?s4YNE" S9.C'C V 69D D Doc 10 / AO .V FSq ro zo o 0 a Toor/ / WA. ST. CONTRACTOR'S LICENSE # L veo? CZ //D ef'N EXP. DATE /0. /. 1 a BUILDING USE (office, warehouse, etc.) NATURE OF BUSINESS: WILL THERE BE A CHANGE IN USE? ❑ No ❑ Yes IF YES, EXPLAIN: WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? ❑ No ❑ Yes IF YES, EXPLAIN: PROPERTY OWNER k/,/ae 7 S'C H J4C - PHONE Zc�c�_ c� /G ADDRESS (fu S pt-c,.6 S r Tv ,� ZIP CONTRACTOR C:cJRQ GANS7,e4,t,T /ON /NC PHONE 77 _04 ),C'- ADDRESS 217 Z g �G 41/6 f..1 g-arroA) s ZIP qu WA. ST. CONTRACTOR'S LICENSE # L veo? CZ //D ef'N EXP. DATE /0. /. 1 a : ><> >::AMO.UNT : : : :: RCPT: #.:: > : ::DATE :: >.:: BASIC PERMIT :::FEE $15 ::::`:::> 11NITIS) F E PLAN :`GHECK F E ., OTHER <<<<; :<;; »< > > <:: : : :;; ;> <> < » :: ::? < : >>: >:? >? .. :: '....' «` <?; :` :::: > :`:» .: : :: :. ,.::TOTAL . .: CITY OF TUKWILA Department of Community Development - Building 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 PLAN CHECK NUMBER a APPLICATION MUST BE FILLED OUT COMPLETELY BUILDING OWNER OR AUTHORIZED AGENT CONTACT PERSON SIGNATURE DATE APPLICATION ACCEPTED 1 -(D G Q Division ADDRESS 217 a 4 W E/pfrloN.OS /INTO AU /" 1v.0 7ER. MECHAF CAL PERMIT APPLICATION Mechanical Fee Worksheet must also be filled out and attached to this application. FEES (for staff use only) PHONE g' -,9 _q /83 CITY /ZIP garoap PHONE 9t,F0 _ cy83 APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill out the application completely and follow the plan submittal checklist on the reverse side of this form. A completed "Mechanical Permit Fee Worksheet" must accompany this permit application. Handouts are available at the Building counter which provide more detailed Information on application and plan submittal requirements. Application and plans must be complete in order to be accepted for Plan review. BUILDING OWNER / AUTHORIZED AGENT If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the permit will be required as part of this submittal. VALUATION OF CONSTRUCTION The valuation is for the work covered by this permit and must be filled in by the applicant. This figure is used for budget reporting purposes only and not to calculate your fees. EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 304(d) of the Uniform Mechanical Code (current edition). No application shall be extended more than once. if you have any questions about our process or plan submittal requirements, please contact the Department of Community Development at 431 -3670. DATE APPLICATION EXPIRES -tea - q . 06/18/90 DESCRIPTION UNIT COST NO. OF UNITS X TOTAL COST 1 BASIC FEE $15.00 SUPPLEMENT PERMIT FEE $4.50 1 Installation or relocation of each forced -air gravity -type furnace or burner, including ducts and vents attached to such appliance, up to and including 100,000 Btu /h. $9.Q0 X 2 Installation or relocation of each forced -air or gravity -type furnace or burner, including ducts and vents attached to such appliance over 100,000 Btu /h. $11.00 x 3 Installation or relocation of each floor furnace, including vent. $9.00 X 4 Installation or relocation of each suspended heater, recessed wall heater or floor- mounted unit heater. $9.00 X 5 Installation, relocation or replacement of each appliance vent installed and not included in an appliance permit. $4.50 x 6 Repair of, alteration of, or addition to each heating appliance, refrigeration unit, cooling unit, absorption unit, or each heating, cooling, absorption, or evaporative cooling system, including installation of controls regulated by this code. $9.00 X 6) ec 7 Installation or relocation of each boiler or compressor to and including three horsepower, or each absorption system to and including 100,000 Btu /h. $9 X 8 Installation or relocation of each boiler or compressor over three horsepower to and including 15 horsepower, or each absorption system over 100,000 Btu /h and including 500,000 Btu /h. $16.50 X 9 Installation or relocation of each boiler or compressor over 15 horsepower to and including 30 horsepower, or each absorption system over 500,000 Btu /h to and including 1,750,000 Btu/h. $22.50 X 10 Installation or relocation of each boiler or compressor over 30 horsepower to and including 50 horsepower, or for each absorption system over 1,000,000 Btu /h to and including 1,750,000 Btu /h. $33.50 x 11 Installation or relocation of each boiler or refrigeration compressor over 50 horsepower, or each absorption system over 1,750,000 Btu /h. $56.00 X 12 Each air - handling unit to and including 10,000 cubic feet per minute, including ducts attached thereto. (NOTE: This fee shall not apply to an air - handling unit which is a portion of a factory- assembled appliance, cooling unit, evaporative cooler or absorption unit for which a permit is required elsewhere in this code.) $6.50 X 13 Each air - handling unit over 10,000 cfm. $11.00 X 14 Each evaporative cooler other than a portable type. $6.50 X 15 Each ventilation fan connected to a single duct. $4.50 X 16 Each ventilation system which is not a portion of any heating or air - conditioning system authorized by a permit. $6.50 X 17 Installation of each hood which is served by mechanical exhaust, including the ducts for such hood. $6.50 X 18 Installation or relocation of each commercial or industrial -type incinerator. $11,00 X 19 Installation or relocation of each commercial or industrial -type incinerator. $45.00 X 20 Each appliance or piece of equipment regulated by the code but not classed in other appliance categories, or for which no other fee is listed In this code. $6.50 x 5D 1� ----� 08/18190 SUBTOTAL 30.6o PLAN CHECK FEE (25% of subtotal) 1 0'5 GRAND TOTAL $ 3r. L3 �D CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 THIS WORKSHEET MUST ACCOMPANY YOUR MECHANICAL PERMIT APPLICATION. MECHAN SAL PERMIT FEE WORKSHEET INSTRUCTIONS C o m p lete: the:wo ...... icating;the numb of uni ts stalled to each category 1' ` .m0al staff :will calcu CITY OF TUKWILA Address: 4421 S 146 ST Permit No: M92 -0025 Tenant: SCHORNACK MILDRED Status: ISSUED Type: B -MECH Applied: 01/29/1992 Parcel #: 004000 -0737 Issued: 02/05/1992 ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Conditions: 1. No changes will be made to the plans unless approved by the Architect and the Tukwila Building Division. 2. Plumbing permit shall be obtained through the Seattle -King County Department of Public Health. Plumbing will be inspected by that agency, including all gas piping (296- 4722). 3. Electrical permit shall be obtained through the Washington State Division of Labor and Industries and all electrical work will be inspected by that agency (277- 7272). 4. All permits, inspection records, and approved plans shall be maintained available at the job site prior to the start of any construction. These documents are to be maintained available until final inspection approval is granted. 5. Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear identi- fication showing the fire performance rating thereof. 6. All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1988 Edition), Uniform Mechanical Code (1988 Edition), Washington State Energy Code (1991 Edition). 7. Validity of Permit. The issuance of a permit or approval of plans, specifications and computations shall not be.con- strued to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. No permit presuming to give authority or violate or cancel the provisions of this code shall be valid. 8. MANUFACTURERS INSTALLATION INSTRUCTIONS REQUIRED ON SITE FOR THE BUILDING INSPECTORS REVIEW. 9. 90,000 BTU FURNACE PROPOSED (PAYNE 395 CAV 3690) ro ect: 5C.a1 or n.a.ck, Mildred Typo of Ins ` i nr 1 Address: 414 , Date Called:` D - 5.,.�j 5 11410 Special Instructions: • Date Wanted: n 1 eat L e . ; am. t7F Requester: �o n Phone No.: TA ,�. , 4 Inspector: Receipt No,: D $30,00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: ‘) c? INSPECTION NO. ❑ Approved per applicable codes. . COMMENTS: INSPECTION RECORD ( Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERM NO. ❑ Corrections required prior to approval. SECTION 1. SECTION ' 4 : (Corit;naited) 'U' OR 'F' VALUE HEAT LOSS FACTOR (46° n rl LINEAR FT. (LF) CUBIC FT. (CF) HEAT LOSS (BTU /HR) HEAT LOSS ITEM U' Olt'F' VALUE HEAT LOSS FACTOR (46° A T) SQ. FT. (SF) LINEAR FT. (LF) CUBIC FT. (CF) HEAT LOSS (BTU /HR) HEAT LOSS ITEM Windows, Skylights at Doors Floor (Continued) Single Pane 1.200 55.2 SF Concrete Slab Double Pane (Per Ft. of Perimeter) Metal Frame .900 .750 41.4 34.5 r00 SF SF On Grade - No Insulation On Grade - R -5 Perimeter .730 .580 33.6 26.7 Lr LF Wood or Vinyl Frame Wood Dr. 1 Solid Core .330 15.2 Sr On Grade - R -10 Perimeter .540 24.8 LF Wood Dr. 1 '/4" W /Panels .570 26,2 YvZ SF �� Below Grade - Uninsulated Other .530 24.4 /...0 LF ��� Metal Dr, W/O Thermal Break .400 18.4 SF Other SF SECTION.: 5' SECTION 2 . ` . Infiltration (Per Cu.Ft. of Volume) Walls (Net Area) Pre 1980 1.2 ACH .022 1.0 CF Wood Studs - Above Grade Post 1980 .6 ACH .011 .5 0 7Ul'F /' JV No Insulation .250 11.5 5F R -7 .103 4.7 o?t SF Sr �1 VO SECTION 6 A) Total Structural Heat Loss ,..s-g, o BTU /FIR R -11 .088 4.0 R -19 .062 2.9 SF (Add all btu /hr from sections 1 - 5.) Concrete - Above Grade B) Duct Loss Line A x = * € BTU /HR No Insulation .752 34.6 SF For Ducts within Heated Space 076 8/ R -11 Furred In .105 4.8 SF For Ducts in Unheated Spaces: Concrete Block - Above Grade Uninsulated Ducts 20'X. No Insulation .549 253 300 Sr Insulated to R -5 or Less 10`X, Filled with Insulation .450 20.7 SF Insulated to R -6 or More 5% R -11 Furred In .091 4.2 SF For Ducts Burled in Slab 25`X. Concrete - Below Grade For Ducts Exposed Directly to Outdoors, add 5% to Unheated Spaces Factors No Insulation .278 12.8 SF R -11 Furred In .062 2.9 SF C) 46° A T Design Heating ad I:0,9/X) 9 HTU /HR R -19 Furred In .041 1.9 SF (Line A + B) l R -10 Rigid Exterior .064 2.9 SF D) Correction for Other Design Temp lure: Other A T = 70 - (Outdoor Design Temp) _ _ :,SECTICSN , , .. Correction Factor = A T - 46° = Ceiling (Net Area) E) Design Heating Load (DHL) BTU /HR No Insulation .400 18.4 SF f(40 46° A T DHL x Correction Factor (Line C x Line D) R -7 .134 6.2 /103 SF R -11 .091 4.2 SF F) Minimum Recommended Furnace Output / / Ie l BTU /IIR / R -19 .049 2.3 SF DHL Plus 10`X. Oversizing Factor R -30 .036 1.7 SF (Line E x 1.1) R -38 .031 1.4 SF G) Maximum Allowed Furnace Output Bt /IIR Other DI-IL Plus 50' Oversizing Factor (Cathedrals - add 20`X, area) (Line E x 1.5) SECTION : 4 . Floor Wood Joist over Crawl Recommended Furnace r Ott No Insulation .134 6.2 SF (Model t1) : j /) • R -11 .056 2.6 SF Furnace Output: uFU /IIR R -19 .041 1.9 SF R -30 .029 1.3 SF NAME /dr AbDRtSS y / / 6 ` //l ( Style House Heated Square Footage RESIDEis( ,AL HEATING LOAD CAL( JLATION 4_01_1:1 WNG 866.1 5 (12/91) BY DATE / 141P � RECEIVED v I n ('.ITY OF TUKWILA BLOWER SIZING (Air Flow @ 75 - 100 CFM per register): ■Yco C � ontents x 3.5 Air Changes :- 60 Minutes = Min. C.F.M. SAN 9 Cub Contents x 5 Air Changes _ 60 Minutes = ax. C.F.M. PERMIT CENTER -/QNo. w/a registers x 75 -100 = _ To � ` F M Req. CUSTOMER N E IIOME PI ION 9 MTF SCHEDUI • DATE Iz Z MODEL WORK PI IONE TYPE OF ❑ DELIVER ONLY ❑ DELIVER TO IN. TER ❑ PICKUP BY INSTALLER DELIVERY: ❑ DELIVER TO CUSTOMER & INSTALL ❑ CUSTOMER P •UP ❑ EMPLOYEE SALE ❑ OTHER R/A PLENUM (SIZE) 02 X D X VI W/A PLENUM (SIZE) W U X C DX F1 INSTALLFE CODE ❑ JN STALED' TKGR P ❑NIONF D1O NAur DID HEAT LOSS REMOVAL EXTRAS' DIFFICULT ACCESS ❑ DISMANTLE EOUIPMENT 61/0x) ! ce TWO PERSON JOB (] 0111111 SCHEDULE DATE O OIL ❑ ELECTRIC EXISTING SYSTEM MAKE WIDTH z WORK TO BE DONE DEPTH 1 /3 OLD EOUIPMENT: 0 LEAVE TEMOVE 0 RETURN TO WNO (LCII MOD) BTU ADDRESS /. " . i CI • I ?MINTY NO. W/A DUCTS /0 NO R / DUCTS W SERVICE ❑ METER ONLY El ADDED LOAD ❑ GAS REPLACEMENT CFM REOOUIRV DATE HEIGHT y9 FURNACE TYPE: PFLOW ❑ COUNTERFLOW ❑ HORIZONTAL ❑ CONDENSING DUCTS: ❑ INSULATE RUNS ,.e'DON'T INSULATE RUNS ❑ INSULATE PLENUMS ❑ INSULATE EXISTING DUCTS ❑ INSULATE TRUNK ❑ ADD BALANCING DAMPER 11 NEW W/A (1 NEW R/A COM VENTING: ASHINGTON NATURAL GAS COMPAN, ` IN ,LLER'S INSTRUCTIONS /MATERIAL RELE, CENTRAL HEATING SYSTEMS WNG 000.10 S (8/90) O.A.P. 040.1 C VENT B VENT PVC TERMINATION LOCATION: VENT TO: ❑ LINED CHIMNEY ❑ ROOF JACK ASONRY UNLINED ❑ POWER ❑ METAL ❑ OTHER ❑ PROVIDE LINER ❑ PROVIDE COMBUSTION AIR FROM WHERE EQUIPMENT LOCATION & PIPING ROUTE (SKETCH) UP•FLOW ❑ DOWN•FLOW ❑ HORIZ ❑ OCTOPUS BASEBOARD ❑ OTHER Length Diameter laEC rITV nF TI IKWILA JAN 291992 PERMIT CENTER 64 PLENUMS: W /A: ❑ NEW Q TRANSITION R /A: ❑ NEW TRANSITION ❑ ELEVATE FURNACE GAS PIP G: LE 711 ❑ DRILL THROUGH CONCRETE ERMITS: PIPING II ❑ ELECTRICAL II MECHANICAL 11 ❑ BOILER PERMIT TAKEN 1 1 ITEM NO. / 1/ DIAMETER FROM ORDER RECEIVED UY OUAN MATERIALS RECEIVED BY ATTIC INSULATION ADEOUATE YES ❑ NC3 AUTOT/STAT ❑ „.1:4- DAMPERS EXISTING � INSULATED DUCTS .k_J COMB AIR ADEOUATE r pr Q C/A RETURN ADEQUATE y] 0� PROBLEM FUG. AREAS TJ LOCATION ACCOUNT NO ❑ SPECIAL HA f8; RUSH WIRING & CONTROLS: ❑ PROVIDE SEPARATE CIRCUIT (SE EXISTING CIRCUIT / �y ❑ RELOCATE THERMOSTAT D ING LOCATION ❑ INSTALL E.A.C. ❑ PROVIDE CAC. OPTION ❑ SERVICE LIGHT WITH SWITCH AT ENTRY TO FURNACE ROOM ❑ CONDENSATE PUMP REQUIRED CONDENSATE LINE TERMINATION ❑ FLOOR DRAIN ❑ OUTSIDE TO FRENCH DRAIN ❑ OTHER IRAN CODE RESP DESCRIPTION TO 1 4 ) 1 1 6 l 3 IO(Z3I I I 1 BILLING DATA INSTALLATION AMT EXCESS AMT' INSTALLED DATE: SERIAL 4 MODEL II AMT. BILLED* TOTAL S DATE , -i bz ❑ ASBESTOS ABATEMENT REQUIRED - �)DUCT CLEANING REQUIRED - (:\\ 1 Q \ fart( V ) 22P 1 - 71 1 MATERIALS ISSUED BY DATE PICK UP INSTALLER: 1. (WHITE) INSTALLER /COMPLETION NOTICE; 2. (CANARY) WAREHOUSE; 3. (PINK) INSTALLATIONS; 4. (GOLDENROD) POST INSPECTION DIRECT DELIVERY: 1. (WHITE) INSTALLER /COMPLETION NOTICE; 2. (CANARY) INSTALLATIONS; 3. (PINK INSTALLER; 4. GOLDS P T P DATE DA TE ��9=• AWH -CB -WALL FURNAC AN ES -D ERS oN,p.�[ Q) C)3 "�/ I / M I WNG 836.3 S (3/90) CUSTOMER NA / / /` �/''�(/ /�� { ^/ j � /! �G! �-'T �1 � �/ /�c1 1 ADDADDRESS CITY -.4WP a / � (/F COUNTY / ' HOME PHONE —6j �..,/ ' SC r/- HEDD ' U / LEEE DATE WORK PHONE JJJ333[[[,, MAR P A IN / _ ■ /I DDE EL L L IVER �DE ,/i(` M R. SCHEDULED DATE „-� 7 TYPE OF ❑ DELIVER ONLY STALLER 11 PICK -UP BY INSTALLER DELIVERY: ❑ DELIVER TO CUSTOMER 6INSTALL CUSTOMER PICK -UP EMPLOYEE SALE DID II INSTALLER G RE ❑ PHONE Date NEW SERVICE METER ONLY Ill ADDED LOAD NI GAS REPLACEMENT ENTRY ARRANGEMENTS NAME EQUIPMENT LOCATION & PIPING ROUTE (SKETCH) F OM TQ TRAL D ( 1 1 I - - - � -- - -- -- --. - -- `1iLiau 1ot I I I 1 ! ITEM NO. OUAN -' DESCRIPTION � � .� ! lL 1 _� � - - -- — - __ _ _ -'— `J: _ _ _ - 110 - - -' - — tt /_\- — -_._ -- __ _— - __ - - — 04 -048 WATER HEATER-FSG-40 04-049 WATER HEATER-FSGL-40 �/'') /_ /_— — �� _� __ —_ __ 04.087 WATER HEATER- FSG -50 — -- __ — __ -- -- —����� 04-151 WATER HEATER-PRV-40 ._ -_ _...._ _ _ __ — _.._ — _— — 04 -152 WATER HEATER- PRV -50 04-252 WATER HEATER P-50 (HIGH RECOV) 23-971 RELIEF VALVE -P 125 LB. 23-974 RELIEF VALVE -T & P IXL 150 LB. PRE - INSPECTION ATTACHED: ❑ BOILER ■ CONVERSION BURNER 85-684 CONCRETE BLOCK 6 x 8 x 16 WORK REQUIRED ■ COLD BOILER • ROOF JACK TYPE 'B' VENT ❑ WIRE FOR HOT BOILER NO.OF STORIES DIAMETER 85-685 CONCRETE LID 22" 03-212 CONV. BURNER - ECONOMITE DS24A 23 SWITCH - COMB L - 4064B - 1451 24.784 THERMAL STACK SWITCH 11700J t-1 • COMBINE VENT INSTALL THERMOSTAT APPROX FT 0 23-480 PUMP RELAY SWITCH RA- 89- A- 1074.1 SIZF ■ OTHER TYPE 'C' VENT 26-008 EGON EXTENSION RING 8" • CHIMNEY CLEAN OUT DIAMETER ❑ CLEAN OUT IN T APPROX. FT 24-320 ECON MOUNTING FLANGE LABOR /MATERIAL IN EXCESS (PROVIDED BY INSTALLER) ❑ ENCLOSE VENT THROUGH ATTIC $ • LOW WATER CUT-OFF $ 23-050 AQUASTAT -DUAL- 11.8 -30 23-059 AQUASTAT- SINGLE - STRAP -ON- 1127 -2 2.3.646 THERMOSTAT T - 87F - 1859 W /WALL PLATE • INSTALL /REPAIR FIRE POT $ • PIPING FT. $ 24 S.S. FLEX CONN -DRYER 1/2" x 36" • WATER PRESS, REDUCING VALVE $ • ELECTRICAL OUTLET $ 24 - 307 0 S.S. FLE CONN RANG. 3/4" x 48" w /VALVE • THERALTIMETER $ • CORRECT PIPING TO $ 1 ° /�iM� ������ / „ . S• �� • PRESSURE RELIEF VALVE $ EXPANSION TANK • ELECTRICAL CIRCUIT $ ❑ VENTING $ • COMBUSTION AIR • FROM WHERE $ TRANCD LEASE 2 3 CHARGE ITEMS ACCT NO 4 1 6 3 0 RESP� II OTHER $ GENERAL INFORMATION • STAND REOUIRED INPUT APPROXIMATE FEET • COLD WATER LINE EXISTING WATER LINE: • GALV, • COPPER • HOT WATER LINE ❑ 3/4" • I /2" INSTALLATION AMT BILLING DATA /..2% ! SALE ❑ LEASE UELLINE �� • PRESSURE RELIEF DISCHARGE 70: • FLOOR • DRAIN DISCHARGE LINE • OUTSIDE • OTHER INSTALL LOCATION?XISTING • YES ❑ NO ADEQUATE? AIR YES NO RECEIVED f`)TV (1F TI IKW ARE OTHER APPLIANCES BEING INSTALLED AT SAME ADDRESS? ❑ YES In NO OLD JAN 2 9 1 EQUIPMENT: TYPE: SIZE' • LEAVE WITH CUSTOMER �EX�aCESSAM'f INSTALLED DATE: AMT. BILLED 9IIAL NO: MODEL q TOTAL $ ❑ REMOVE &JUNK • RETURN TO WNG • OTHEFI PERMIT CEN1t PERMITS: PIPING I — PLUMBING 11 REMOVAL EXTRAS: • DISMANTLE EQUIPMENT • DIFFICULT ACCESS ❑ OTHER MECHANICAL t ELECTRICAL M I ORDER RECEIVEDDY Ilk OATE� • es, - 1* ` V C p '' 77 L.G. l.a'�. _ • MATERIAL RELIEVED BY DATE �,'�;� �'■ reri .iF'.' . 11 - ix • * • 1•,/- r- 1 • � MATERIAL ISSUED BY DATE % ,CI ^ N 0 'IASHINGTON NATURAL GAS COMPANY IN S T ...ER' S INSTRUCTIONS/ IAL RE ❑ SPECIAL HANDLING ❑ RUSH PICK - INSTALLERS: 1. (WHITE) INSTALLER /COMPLETION NOTICE; 2. (CANARY) WAREHOUSE; 3. (PINK) INSTALLATIONS; 4. (GOLDENROD) POST INSPECTION DIRECT DELIVERY: 1. (WHITE) INSTALLER /COMPLETION NOTICE; 2. (CANARY) INSTALLATIONS; 3. (PINK) INSTALLER; 4. (GOLDENROD) POST INSPECTION DATE/ -/-P.-? � AWH B -WALL FURNACES - RANGES - DRYERS 4N,,, 8 36.3 S (3/90) A ��� (` , >+ � M� I I NAME CUSTOMER NAME // • f y� / / ^/ (/// /]]] / /�1'. , j/` / L // ` � C .c / Or / AOOREESS$ ./. , / CITY CIT -Y+ �,-/ I ( i drr / ! r // ' 1.4/47 • COUNTY HOME PHONE /q � WORN PHONE �J MARS i ` ` / CO E INSTALLER 139° SCHEDULE GATE MTR. SCHEDULED DATE —'Z 7 .,G7 TYPE OF • DELIVER ONLY III DELIVER .�I' TALLER • PICK •UP BY INSTALLER DELIVERY. = DELIVER TO CUSTOMER 5 INSTALL ❑ CUSTOMER PICKUP ■ EMPLOYEE SALE ©10 6 NSTALLER TKG RE ❑ rrgrv¢ Dite IEW SERVICE METER ONLY ❑ADDED LOAD ❑ GAS REPLACEMENT ENTRY ARR EMF.NTS ,,, r / 7 — `/ .-...L. ■ . air i d / N p MAE EQ 'I 'OCATION & PIPING ROUTE (SKETCH) FROM IRAN .OD f u l l zDI I I I I - - - - -_ -. - � 0 / ' l:i_ _ , — y " _- - - - -- AC T. NO R P I 1 1 ( 171 1 1 l � ITEM NO OUAN DESCRIPTION . ._.. _ _�/ _ __ ___ - __ -- _ _ - _ 1 _. . __ __ - - 04-048 WATER HEATER - FSG -40 04-049 WATER HEATER- FSGL -40 --_ - - / _._ __ . J' _ __ 04-087 04 -151 a WATER HEATER - FSG -50 WATER HEATER•PRV -40 - - - - . i tgl n _ -_ __ _._ - ..- ._.._ __ _._ . . -_ _ ...._ _ 04-152 WATER HEATER-PRV-50 ' 04 -252 WATER HEATER P-50 (HIGH RECOV) .- - ..44` _ _ ____ 23-971 RELIEF VALVE -P 125 LB. 23-974 C� RELIEF VALVE•T 8 P IXL 150 LB. PRE - INSPECTION ATTACHED: ❑ BOILER ❑ CONVERSION BURNER 85 - 684 CONCRETE BLOCK 6 x 8 x 16 WORK REQUIRED • COLD BOILER ■ ROOF JACK TYPE' B' VENT • WIRE FOR HOT BOILER NO. OF STORIES DIAMETER 85.665 CONCRETE LID 22" 03 -212 CONV. BURNER - ECONOMITE DS24A 23.524 SWITCH - COMB - 40648.1451 24.784 THERMAL STACK SWITCH 11700) • • COMBINE VENT INSTALL THERMOSTAT APPROX FT SIZE ■OTHER TYPE 'C' VENT // 23 -480 PUMP RELAY SWITCH RA- 89•A- 1074.1 • CHIMNEY CLEAN OUT DIAMETER 26-008 ECON EXTENSION RING 8" J / / ❑ CLEAN OUT IN 'T' APPROX. FT 24-320 ECON MOUNTING FLANGE 7 23 -050 AOUASTAT•DUAL- 11.8.30 LABOR /MATERIAL IN EXCESS (PROVIDED BY INSTALLER) • ENCLOSE VENT THROUGH ATTIC $ • OW WATER U •OFF $ 23-059 AQUASTAT- SINGLE - STRAP -ON- 1127.2 23.646 THERMOSTAT T•87F - 1859 W /WALL PLATE • INSTALL /REPAIR FIRE POT $ IPING � FT 24.302 24.307 S.S. FLEX CONN 1/2" x 36" S.S. FLEX CONN RANGE 3/4" x 48" w /VALVE • WATER PRESS. REDUCING VALVE $ • ELECTRICAL OUTLET $ ■ THERALTIMETER $ • CORRECT PIPING TO $ EXPANSION TANK ■ PRESSURE RELIEF VALVE $ • ELECTRICAL CIRCUIT $ ❑ VENTING $ ■ COMBUSTION AIR • FROM WHERE $ • OTHER $ TRANCD GENERAL INFORMATION • STAND REQUIRED INPUT • // / 01 (7 LEASE CHARGE ITEMS 21 3 ACCT NO 4 1 116 1 31 0 REST 1 1 1 1 APPROXIMATE FEET COLD WATER LINE /-�� / EXISTING WATER LINE: ALV. • COPPER HOT WATER LINE /p' 3/4" ❑ 1/2" , FUEL LINE BILLING DATA PRESSURE RELIEF / DISCHARGE TO) FLOOR INSTALLATION AMT Q ALE 0 LEASE DISCHARGE LINE • OUTSIDE • OTHER INSTALL IN EXISTING COMBUSTION AIR LOCATION? • YES )KO ADEQUATE? YES ❑ NO ARE OTHER APPLIANCES BEIN STALLED AT SAME ADDRESS? YES • NO OLD EOUIPM NT: TYPE: / SIZE • LEAVE WITH CUSTOMER �', EXCESS AMT <" C / INSTALLED DATE: AMT. BILLED SERIAL NO EMOVE & JUNK • RETURN TO WNG • OTHER' MODEL 11 TOTAL S PERMITS: PIPING N ."---- PLUMBING # RCCEIVCD REM VAL EXTRAS: ■ DISMANTLE EQUIPMENT • DIFFIQOLTXC€STUKWILA • OTHER MECHANICAL N .` ELECTRICAL N C "���``� • \ DATE ORDER RECEIVED BY Q� j COMMENTS. "' MATERIAL RECIEVED BY DATE PEHMI1 CEN 1tti MATERIAL ISSUED BY DATE ( 'ASHINGTON NATURAL GAS COMPANY ,;• INSTk 'S INSTRUCTIONS MATERIAL REL' NSE ❑ SPECIAL HANDLING RUSH PICK-UP INSTALLERS: 1. (WHITE) INSTALLER /COMPLETION NOTICE; 2. (CANARY) WAREHOUSE; 3. (PINK) INSTALLATIONS; 4. (GOLDENROD) POST INSPECTION DIRECT DELIVERY: 1. (WHITE) INSTALLER /COMPLETION NOTICE; 2. (CANARY) 3. (PINK) INSTALLER; 4. (GOLDENROD) POST INSPECTION Svddik