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HomeMy WebLinkAboutPermit M92-0048 - PEASE VIRGINIAM92-0048 PEASE VIRGINIA HVAC 3540 SOUTH 116TH STREET ? - e ) vozoduk Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Permit No: M92 -0048 Type: B -MECH Category: RES Address: 3540 S 116 ST Location: Parcel *: 073300 -0225 TENANT PEASE VIRGINIA 3550 SOUTH 116TH STREET , TUKWILA, WA , , 98168 OWNER PEASE ALVA H PO BOX 80021 , SEATTLE WA , 98108 CONTRACTOR RITE -WAY GAS SERVICE P.O. BOX 994 , KENT, WA , , 98035 ******************** ** * * * * * *** * * * * * * * ** * **** *** * * ** Permit Description: INSTALL GAS. HEATER.. AND HOT WATER HEATER UMC Edition: 1988 MECHANICAL PERMIT Valuation: Total Permit Fee: Status: ISSUED Issued: 03/05/1992 Expires: 09/01/1992 Phone: 206 246 -8130 Phone: 206 631 -4700 (206) 431 -3670 ,200.00 38.13 **********'***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Center Authorized,Signatur I hereby :certify that I have read and examined this permit and know the same to be true and correct. A- ll` 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 or local laws regulating construction or the performance of work. I am authorized to sign for and obtain this building perms Signature: Print Name:f el, cal162 Date Date: Title:���� / This permit shal.l,become null and void if the work is not commenced within 180 days from the ' date of issuance or. i the work is suspended or abandoned for a period' of 180 days the,last inspection. PERMIT NO. CONTACTED C. -U CIK DATE READY DATE NOTIFIED 2nd NOTIFICATION �'�O� BY: _pit.) BY: (init.) PERMIT EXPIRES AMOUNT OWING - 3RD NOTIFICATION BY: (init.) MECHANICAL" PERMIT APPLICATION TRACKING PROJECT NAME PLAN CHECK NUMBER Y - OcLt 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 BUILDING - 3 final rnvinw SITE ADDRESS XBUILDING - a initial review ' REVIEW COMPLETED INIT: INIT: INIT: / INIT: ,�UT � tZ ED) Pecxs-g- 9(r) 351.© t CONSULTANT: Date Sent - REFERENCE FILE NOS.: UMC EDITION (year): UIREME SUITE NO. Date Approved FIRE PROTECTION: ( ) Sprinklers ( ) Detectors fl N/A FIRE DEPT. LETTER DATED: INSPECTOR: ZONING: (BAR/LAND USE CONDITIONS? ( ]Yes (I No SCREENING REQUIRED? fYes (l No oei17roo PROPERTY OWNER V//? /N //9 ""p&---/9.-- PHONEc:,i4 -8/3) ADDRESS 35,56 S / / , , ZIP CONTRACTOR R)-7---.., 1('/2 / ( ,42 1/45,e/RU /Gee: PHONE �/ - g lad ADDRESS ( E3 e:: 94 �/(/% Z IP9S-4435 - WA. ST. CONTRACTOR'S LICENSE # 36 ,.. 7 - K EXP. DATE /4- 7 - '9Z ) _ L/ , S,, CiTY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 PLAN CHECK NUMBER T °- 30 1-4 '7cv APPLICATION MUST BE FILLED OUT COMPLETELY SITE ADDRESS 3556 6 /// PROJECT NAME/TENANT V /R6/N/t9 � 95 TYPE OF WORK: 0 New /Addition ® Modifications 0 Repair 0 Other: DESCRIBE WORK TO BE DONE: g6,5 C / 2 /7L7 1) T, ' /, -7 TYPE C 1 / lfT�C /) 7 R 7� BUILDING USE (office, warehouse, etc.) NATURE OF BUSINESS: WILL THERE BE A CHANGE IN USE? 0 No 0 Yes D ATE APPLICATION ACCEPTED SUITE # T:f2)I /I /)47 MECHANICAL PERMIT APPLICATION Mechanical Fee Worksheet must also be filled out and attached to this application. FEES (for staff use only) >: DESCRIPTION BASIC:PERMITFEE UNIT(S) FEE- IF YES, EXPLAIN: VALUE OF CONSTRUCTION - $ DATE APPLICATION EXPIRES /za-e. !� O13aa-13.30a WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? 0 No 0 Yes IF YES, EXPLAIN: ;ERTIFY. C:O RECT, BUILDING OWNER OR AUTHORIZED AGENT E;READ AND EXAMINED <THIS APPL.ICATiON` AM AUTHORIZED TO APPLY FOR THIS PERMIT: SIGNATURE PRINT NAME / 7 , / ADDRESS Po C f9 1 /L CONTACT PERSON ) 6-'1e -still /7 DATE P CITYI z �� T1/T qcg 3 PHO E4 ,/ L/70 � 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 accented 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. 08/18190 *********** k****** h.* k k' * * * *k **r4* * * *h * ** ** * **** ** ** * *k * *** *kk** * * * ... CITY OF TUKW1LA T.RANi;M] T **** k* k/****kk* ** * ** * **.* *k *'* ** * *, * *k****** * TRANSMIT' Numt?'er )20001 §£l : ' Amourite 18.1 03/.Q:i/92 '13'.`33 Permit No:. M'�2 - 00413;: Type: R -MECH . ME,CH(NICAL PERMIT Par cel No: 0 "/3300 -O22u Site A'ddre.s.a c 1540-1 ; 116 ' Payment..Method a CHECK Notatti'one; RITE -WAY GAg xri.it. SLH * * * ** * *k * * * * * * * *' ** ►*******.*** sA* 4 * * * * *k; * * * * * * *,k * * * * *�k * * * *. * k* Account Cod :be:ecr� i pt i arr ' Paid . 0.00L045 S30 PLAN CHECK- RE; 7 000/322;10Q MECHANICAL'- RES 30,50 Total` (This: Payme,nt)t:' 8 1 Tota:1, Fees: Total All Payments: Balance 38.1.3 30,13 .0a Address: 3540 S 11 ST Tenant: PEASE VIRGINIA Type: B -MECH Parcel #: 073300 -0225 CITY OF TUKWILA Permit No: M92 -0048 Status: ISSUED Applied: 03/02/1992 Issued: 03/05/1992 ** * ** * ** * * ** * * ** eft* *** * ** * * ** * * * * * * * * * * * ** * * * * ** k * * * * * * * * * * * *it * * * ** * * * * * * *** 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.- .th.r.ough the Seattle -King County Department of Pub,1`ti :,Hea` :1•th Pl 00.1,4l,g will be • inspected by that a.gericy; �Includingal'l ga:s: ,ip (296-(296-4722) . - - -- ';17.;,;,< :, p. � : , 3. Electrical per t?;rsha l �I b:e ��ob,ta i ned xxthrou `�a l fi the - Was`h,,i ngton . ;State Divis ,o.n r.F,�,iS;jot ",,r, L a dt, Ot % t ° y,k I,� n d t , f>_. us i'er,�t! �•� . `ctri, 1 , and s and , :a =l electrical work w i 11 b;e, Ai , n s pe ct,`ee d,,,,b y that agency / (27.-7,/,,2:72,p l�� e1 e - ;,ti : ,. 4. All permiats, Inspection reco and`"a ans sfi'S1 : k be maintai�n ay. a the jt�obb'kite priorftto the st`art any cops't;ructio,n. TVese doc to be ''maintasi \ available until'`fi,nal in ct sp approval is granted s ` 5. Any e` r bse�d,Insulations b�'ackin material shall have a :;F `.' 7 r:• - 1ess ' 1- g �no..- �nateria1 shall bear °` "' r1 j.dehti'��f �� Spre,a , Ra`t:i;ng o ficationf�hshowing f - 25 o the tire performance rating thereof .` r . �`i` /6 ;.c 6. All ons to b'e "°done. �+:i;,r� conformance with approved' . p,la''s anik "equirement.s`"of� the Un1f.ormj`Buil]:d.,ing Code w(198'8 Edit ii'on) , Uniform- :'Mechani c.al_t Coder "7:'9.881 E.d , Washington '1, t J nova l o f con - ,,:�,h o 1 a ti.p n`i Van:v of n t h e op r o �'T'Sli o n s6ief t h1--s\ cod e..g o r-�• -;o f ,.a n v other Fs` 1 a.� 4g, • ro : : / 4 ype o ns A f.t' : 55Ci1 S 11 ci ;' JI -t eCa ef: 3 ^ „9 - 7 _ �. Speaa In io s: Date Wante Requester Phone No.: /_ 3 I '- 47 7 0, 0 INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION Approved per applicable codes. 6300 Southcenter Blvd., #100, Tukwila, WA 981,88 _ (20G 431 -3670 AA COMMENTS: ' Inspector: ❑ Corrections required prior to approval. Date: moo -D0 PERMIT NO. ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. I Receipt No.: Date: • COMMENTS: ' IArW1V2. N - / - - .. _. _ . Adr N' jj �6 lit) vr� (`-d irC_- / FD.4. tyre" -- C- 1-v Tki !) . A - 1 X— 7� - 78 f _ z> 9 jc avv0 E 50 - ? n va• -- tl -- - �-- // Q . ∎ , O..- -felt- ( Loe-E 6 . 3) fe-v.1J P-Ztef fa1P>e -F0 w∎TN 1,J `r of '714,E (; rou.Kia . fe. /4 t 1 t.1STo'zt,A%( s Ni t S At P ALAS . Q- uoh5 C- trc.c3'n At.M NOT% p. Proiet: J ge. / Type of Inspection: � Adr N' jj Date Called: Ati,-' g D" Sp .. g1 Ins r ctions: 35 0 7� - 78 f Date Wanted: 3 - c J rq am. p.m. Requester: b -.d Phone No. 0 3t V / ° 0 I SPECTIO 0. ❑ Approved per applicable codes, ) /INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT (206) 431 -3670 ❑ Corrections required prior to approval. inspector: �? Date: �. . ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. I Recept No,: Date: �,, SECTION 1 : SECTION 4 " (Continued) HEAT LOSS ITEM 'U' OR 'F' VALUE HEAT LOSS FACTOR (46° A SQ. FT. (SF) LINEAR FT. (LF) CUBIC FT. (CF) HEAT LOSS (BTU /HR) HEAT LOSS ITEM 'U' OR 'F' VALUE HEAT LOSS FACTOR (46° A T) SQ. FT. (SF) LINEAR FT. (LF) CUBIC FT. (CF) HEAT LOSS (BTU /HR) Windows, Skylights & Doors Floor (Continued) Single Pane 1.200 55.2 , Q.0 SF /3 Z 4/d Concrete Slab (Per Ft. of Perimeter) Double Pane Metal Frame .900 41.4 SF On Grade - No Insulation .730 33.6 IF Wood or Vinyl Frame .750 34.5 Sr On Grade - R -5 Perimeter .580 26.7 IF Wood Dr. 13/4" Solid Core .330 15.2 q Z SF (p 3 S% On Grade - R -10 Perimeter .540 24.8 LF Wood Dr. PA" W /Panels .570 26.2 SF Below Grade - Uninsulated .530 24.4 LF Metal Dr. W/O Thermal Break .400 18.4 Sr Other Other Sr SECTION ::5,`. SECTION 2 Infiltration (Per Cu.Ft. of Volume) Walls (Net Area) Pre 1900 1.2 ACH .022 1.0 9( o v Cr CF f O Wood Studs - Above Grade Post 19110 .6 ACH .011 .5 No Insulation .250 11.5 SF R -7 .103 .088 4.7 4.0 q / p sr SF q 3/(1 SECTION 6, A) Total Structural Heat Loss 2 C s" e7 BTU /Ilk R -11 R -19 .062 2.9 SF (Add all btu /hr from sections 1 - 5.) Concrete - Above Grade B) Duct Loss Line A x = 0 BTU/FIR No Insulation .752 34.6 SF For Ducts within Heated Space 0% R -11 Furred In .105 4.8 SF For Ducts in Unheated Spaces: Concrete Block - Above Grade Uninsulated Ducts 20% No Insulation .549 25.3 Sr Insulated to R -5 or Less 10% Filled with Insulation .450 20.7 SF Insulated to R -6 or More 5% R -11 Furred In .091 4.2 SF For Ducts Buried in Slab 25% Concrete - Below Grade For Ducts Exposed Directly to Outdoors, add 5% to Unheated Spaces Factors No Insulation .278 12.8 Sr R -11 Furred In .062 2.9 SF C) 46° A T Design Heating Load cp.. 6}b BTU /HR R -19 Furred In .041 1.9 Sr (Line A + B) R -10 Rigid Exterior .064 2.9 SF D) Correction for Other Design Temperature: Other A T = 70° - (Outdoor Design Temp) = 70 -= SECTION 3' ` Correction Factor = A T _ 46° = ÷ 46 = Ceiling (Net Area) E) Design Heating Load (DHL) 46° A T DHL x Correction Factor (Line C x Line D) F) Minimum Recommended Furnace Output DHL Plus 10% Oversizing Factor -.-f'; U /IIR Li (, 9 L(" BTwlIR No Insulation .400 18.4 MOD SF j ZOO SF SF SOMA 1'449 R -7 .134 6.2 R -11 .091 4.2 R -19 .049 2.3 SF R -30 .036 1.7 SF (Line E x 1.1) R -38 .031 1.4 SF G) Maximum Allowed Furnace Output t.,4 0 2.0 BWU /IlR Other DIIL Plus 50% Oversizing Factor (Cathedrals - add 20% area) (Line E x 1.5) SEC Floor Wood Joist over Crawl Recommended Furnace 6 CA 4!N, 53°060 No Insulation .134 6.2 J 2A' SF SF y / t i (03 (Model B): ( Furnace Output: R -11 .056 2.6 BTU /IIR R -19 .041 1.9 SF R -30 .029 j 1.3 RECEI ✓ED _ NAME ADDRESS RESIDES: .AL HEATING LOAD CAL(.JLATION WNG 866.1 S (12/91) P, 3550 � • H b DATE � ga4ibt. CITY OF TUWILA Style House (�- 2 L �( Z BLOWER SIZING (Air Flow @ 75 - 100 CFM per register): / u i s Contents x 3.5 Air Changes = 60 Minutes = Heated Square Footage PERMIT CEN1Esic Contents x 5 Air Changes _ 60 Minutes = No. w/a registers x 75 -100 = CZ te_c N Min. C.F.M. Max. C.F.M. CFM Req. DATE / �� In, •I ( CENTRAL HEATING SYSTEMS / I I WNG836.10 S (8/90) 0.A P. 040.1 RBI/MLR' Il CUSTOMER NAME / n r I / ADDRESS S / �� ^�• C� / /i) / ''. ❑ IN CITY HOME PHONE d2 L(4 •gob W ORK PHONE r �U,,,,,� KETINO REP "1,te,(� INSTAL 9 C e j�c1 CODE 1161 SCHEDULE DATE MTR. SCHEDULED DATE TYPE OF ❑ DELIVER ONLY AR - DELIVER TO INSTALLER ■ PICK-UP BY INSTALLER DELIVERY: U DE LIVER TO CUSTOMER & INSTALL 1111 CUSTOMER PICK -UP ❑ EMPLOYEE SALE . INST BID Bra. III MTK LLEP REP NEW SERVICE METER ONLY II ADDED LOAD ENTRY ARRANGEME (4) 4 , / / / - da,tt� ❑ PHONE -Dale NAME 111 GAS REPLACEMENT f/ ❑ GAS ❑ OIL ,fn ELE / RIC EXISTING SYSTEM ❑ OTHER vvv((( $j UP -FLOW ❑ DOWN -FLOW ❑ HORIZ ❑ OCTOPUS ❑ BASEBOARD ❑ OTHER MAKE MODEL // // �� mot BTU /`7 L�V /� NO. W/A DUCTS �, NO. R/A DUCTS ATTIC INSULATION ADEQUATE YES ) NO ❑ AUTO T /STAT ❑ DAMPERS INSULATED DIUCTS ( a; ❑ COMB AIR ADEQUATE ❑ C/A RETURN ADEQUATE t 0 S.... PROBLEM hRG. AREAS LOCATION HEIGHT WIDTH WORK TO BE DONE DEPTH OLD EQUIPMENT: LEAVE ❑REMOVE ( RETURN TO WNO W/A PLENUM (SIZE) W D H X X R/A PLENUM IS ZE) W 0 H X X ❑ DISMANTLE EQUIPMENT ❑OTHER (LCR REM)) REMOVAL EXTRAS ❑ DIFFICULT ACCESS ❑TWO PERSON JOB HEAT LOSS ‘l4t, WIRING & CONTROLS: • PROVIDE SEPARATE ■USE EXISTING CIRCUIT CFM REQUIRED. ----- CIRCUIT FURNACE TYPE: VENTING: • UPFLOW Length C VENT PLENUMS: Diameter W /A: • NEW TRANSITION • COUNTERFLOW . ❑ HORIZONTAL B VENT c :S / ,f , / R /A: ❑RELOCATE THERMOSTAT - • CONDENSING PVC ❑ NEW ❑ TRANSITION • ELEVATE FURNACE LOCATION DUCTS: TERMINA ION LtATION: ❑ INSTALL E.A.C. ❑ INSULATE RUNS QA GAS PIPING: I' ❑ PROVIDE CAC. OPTION VENT TO: 0 / ❑ SERVICE LIGHT WITH SWITCH • DON'T INSULATE RUNS LENGTH DIAMETER • INSULATE PLENUMS ❑ LINED CHIMNEY ROOF JACK ❑ DRILL THROUGH CONCRETE AT ENTRY TO FURNACE ROOM • INSULATE EXISTING DUCTS IN MASONRY UNLINED III POWER CONDENSATE PUMP REQUIRED ❑INSULATE TRUNK ❑METAL PE TS: { . I I or34 ONDENSATE LINE TERMINATION PIPING ti W • ADD BALANCING DAMPER ■FLOOR DRAIN ❑ OTHER AL II NEW W/A ❑PROVIDE LINER • ELECTRICAL N • OUTSIDE TO FRENCH DRAIN • MECHANICAL It OTHER N NEW R/A ❑ PROVIDE COMBUSTION AIR ❑ FROM WHERE ❑ BOILER PERMIT TAKEN EQUIPMENT LOCATION & PIPING ROUTE (SKETCH) FROM IRAN CODE TO ■ 1 ■ ■■ ■ ■■ ■ ■ ■ �i ■■■ • ■ ■■ ■ ■■ QN �-� _� 7 . --lj"2'1 I I I I I ILAN I ACCOUNT NO REBP ' l 1 4 1 1 1 6 1 3 1 I I 1 G` ✓( ITEM NO. OUAN DESCRI TION I .1 �/<n _ IIO6��y : ■ ■ ■ ■�■ I _ _ _ • SHINGTON NATURAL GAS COMPANY INS _LER'S INSTRUCTIONS /MATERIAL RELE c) l a 115 ✓'' ❑ ASBESTOS ABATEMENT REQUIRED ❑ DUCT CLEANING REQUIRED PICK UP INSTALLER: 1. (WHITE) INSTALLER /COMPLETION NOTICE; 2. (CANARY) WAREHOU NOTICE' 2 (CANARY) INSTALLA .E) SPECIAL HANDLING ❑ RUSH RECEIVED CITY OF TUKWILA MAR 21992 PERMIT CENTER DIRECT DELIVERY: 1. (WHITE) INSTA DATE J / / a Q ! AWN-CB-WALL FURNACES - RANGES - DRYERS 11 �I t I WNG 836.3 S (3/90) I I CUSTOMER NAME A / \- i /' J ��f/ �j ADDRESS 550 r� �I (S! ✓ / 1 �! \ry...f /� �Ic� / (L„J IN CITY ' �.0 GG�. ■ COUNTY HOMEE�� /3 6 I WORK PHONE NG RE P� I INSTALLER 1 1 ST / SCHEDULE DATE MTR. SCHEDULED DATE TYPE OF ❑ DELIVER ONLY , TO INSTALLER II PICK-UP BY INSTALLER DELIVERY: DE VER TO CUSTOMER & INSTALL ❑ CUSTOMER PICK-UP ll EMPLOYEE SALE BID BY : INSTALL I♦ MTKG REP ❑ PHONE Dale I MEW SERVICE I I I METER ONLY U ADDED LOAD El GAS REPLACEMENT ENTRY ARRAN() S/ / (�' �-'� . I HAW EQUIPMENT LOCATION PIPING ROUTE (SKETCH) FROM TRAN T4 ' I I I 1 II I I RE ACCT NO SP --� I f I& 3 I O I, LL I I I ITEM NO. OUAN DESCRIPTION _ 04.048 WATER HEATER- FSG -40 04-049 WATER HEATER - FSGL -40 j 04 -087 04 -151 WATER HEATER- FSG -50 WATER HEATER- PRV -40 -,' 04-152 WATER HEATER•PRV -50 far r , _ 04-252 WATER HEATER P•50 {HIGH RECOV) 23.971 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 PL)L el 0 • COLD BOILER • ROOF JACK TYPE'S' VENT • WIRE FOR HOT BOILER NO. OF STORIES DIAMETER 85-685 CONCRETE LID 22" 03-212 CONY. BURNER- ECONOMITE DS24A 23 - 524 SWITCH•COMB L•4064B - 1451 24 THERMAL STACK SWITCH 11700) • COMBINE VENT U INSTALL THERMOSTAT APPROX FT 23 -480 PUMP RELAY SWITCH RA -89 -A- 1074.1 SIZF • OTHER TYPE 'C' VENT 26-008 ECON EXTENSION RING 8" • CHIMNEY CLEAN OUT DIAMETER II CLEAN OUT IN 'T' APPROX. FT 24 ECON MOUNTING FLANGE LABOR /MATERIAL IN EXCESS (PROVIDED BY INSTALLER) • ENCLOSE VENT THROUGH ATTIC $ • LOW WATER CUT-OFF $ 23-050 AOUASTAT- DUAL•11•B -30 23 -059 AOUASTAT- SINGLE•STRAP•ON•1127.2 23-646 THERMOSTAT T•87F•1859 W /WALL PLATE • INSTALL /REPAIR FIRE POT $ • PIPIN(; FT $ 24-302 S.S. FLEX CONN•DRYER 1 /2" x 36" • WATER PRESS. REDUCING VALVE $ • ELECTRICAL OUTLET $ 24-307 S.S. FLEX CONN RANGE 3/4" X 48" w /VALVE • THERALTIMETER $ • CORRECT $ 0 - i a) 1 PrJ � S C� T TANK • PRESSURE RELIEF VALVE $ U ELECTRICAL CIRCUIT $ U VENTING $ • COMBUSTION AIR • FROM WHERE' $ LEASE CHARGE ITEMS ❑ OTHER $ GENERAL INFORMATION , • STAND REQUIRED INPUT z) IRAN CD 213 ACCT NO 4 1 116 1 31 0 RESP 1 I 1 1 d APPROXIMATE FEET COLD WATER LINE Z EXISTING WATER LINE: ALV. ❑ COPPER ' 3/4" HOT WATER LINE • 1 /2" ' '4SHINGTON NATURAL GAS COMPANY INSTA 1R'S INSTRUCTIONS /MATERIAL REL ,E FUEL LINE PRESSURE RELIEF DISCHARGE LINE INSTALL IN EXISTING LOCATION? 4 5o /0 OrYES ❑ NO DISCHARGE TO: ❑ FLOOR ❑ DRAIN OUTSIDE ❑ OTHER COMBUSTION AIR ADEQUATE? AYES ❑ NO ARE OTHER APPLIANCES BEING INNTALLED AT SAME ADDRESS? ,ES ❑ NO OLD EQUIPMENT: TYPE: �--'T � ` SIZE' ❑ REMOVE & JUNK ❑ RETURN TO WNG ❑ OTHER' REMOVAL EXTRAS: ❑ DISMANTLE EQUIPMENT ❑ DIFFICULT ACCESS ❑ OTHER COMMENTS: DER TM e are ❑ LEAVE WITH CUSTOMER PICK - INSTALLERS: 1. (WHITE) INSTALLER /COMPLETION NOTICE; 2. (CANARY) WAREHO DIRECT DELIVERY: 1. (WHITE) INSTALLER /COMPLETION NOTICE; 2. (CANARY) INSTALL ❑ SPECIAL HANDLING ❑ RUSH RECEIVED CITY OP 1'11KWILA MAR 21992 PERMIT CENTER 4/47