HomeMy WebLinkAboutPermit M92-0092 - FARIAS Tm92-0092 farias virginia
4704 south 164th street hvac
Ci o 7ixkwil�
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Address: 4704 S 164 ST
Location:
Parcel St: 537980 -0485
Signature
Print Name
MECHANICAL PERMIT
Permit No: M92 -0092 Status: ISSUED
Type: B -MECH Issued: 06/10/1992
Category: RES Expires: 12/07/1992
TENANT FARIAS T
4704 S 164TH AVE, SEATTLE WA 98188
OWNER FARIAS T
4704 S 164TH AVE, SEATTLE WA 98188
CONTRACTOR SEA -AIRE, INC.
906 INDUSTRY DRIVE, :TUKWILA, WA',98188
********************************************** * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description:
FURNACE CHANGEOUT (GAS TO GAS).
UMC Edition: 1988
Permit Center.Author.ized Signature: Date
. : (206) 431 -3670
Phone: 206 575 -8051
'Valuation:
Total Permit Fee:.
******** * * * * * * * * * * * * * * * * * * * ** * * * * * * * **
I hereby certify that I. have read and examned'this permit and know:the
'
same to;be true,and correct.', provisions of law and ordinanc"es`'
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 orlocal laws regulating
construct -or the performance of work. I am authorized to sign for and
obtain this building permit.
M AI _ ___ Date:
Title:
This permit shal;l,become null and.void if work is not commenced within
180 days from the'.date of issuance,'or if the work is suspended or
abandoned for a period of 180 days from ,,the, last inspecta:on.
850.00
30.00
ca_44ciaz
PERMIT NO.
CONTACTED
U d
DATE READY
DATE NOTIFIED
([7
BY: ,,��'���22,, (init.) —�c�iJ
PERMIT EXPIRES
2nd NOTIFICATION
BY:
(Init.)
AMOUNT OWING
,gyp • 0 0
3RD NOTIFICATION
BY:
(init.)
_ ME HA I AC , PERMIT
APPLICATION TRACKING
PLAN CHECK
NUMBER
[ jq& — oqa
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.
...AR TM N DATE^ iN
BUILDING - L 4rZ
initial review ROUTED)
O FIRE
O PLANNING
O OTHER
BUILDING -
final rAvipw
REVIEW COMPLETED
PROJECT NAME
SITE ADDRESS
INIT:
INIT:
INIT:
h
C62- INIT:
ti7
Ul
1 -n L 6 1 (0LI r� !
UIREME
CONSULTANT: Date Sent
FIRE DEPT. LETTER DATED:
SCREENING REQUIRED?
REFERENCE FILE NOS.:
UMC EDITION (year):
fYes
n
No
SUITE NO.
Date Approved
FIRE PROTECTION: Sprinklers Detectors (- ) N/A
INSPECTOR:
ZONING: BAR/LAND USE CONDITIONS? Yes
08/17 /9O
SITE ADDRESS SUITE #
a l b Li s i Li
VALUE OF CONSTRUCTION - $
$ -66)
L' w q i...//-7
I P c� / S
g�S�
ZIP q l S S.)
PROJECT NAME/TENANT
U /A) /1-/ J "//1 1/i s
�,��
CONTRACTOR S' El=i _ t-f� i l,, E i .T ��
TYPE OF WORK: 0 New /Addition (g Modifications 0 Repair 0 Other:
WA. ST. CONTRACTOR'S LICENSE # 5 ,i f--4, 2 r� k, J ,
DESCRIBE WORK TO BE DONE:
f (9 AW i &- - a p i-f its' L, � .G) L. 7 N S 9, --/- 5
:<:: ><:; >:;:::; >::::<.. HATI NG/SIZE < :: � ::»;::::;; > <:::>:;;: » ;::;::: > ::<:::<>;> . :; » :::::::> : >: > ..;:< »::<:;:<:.Nl9MBER :Of= > S<; < >:: »; » >::
»:.
tJ k />✓ t G t 1—S GG G i
BUILDING USE (office, warehouse, etc.)
A / Z-_ E" it—) Le
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? No 0 Yes IF YES, EXPLAIN:
WILL THERE 13XATORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE
BUILDING? I No 0 Yes IF YES, EXPLAIN:
PROPERTY OWNER v1 is L7 /1 U/ /`i N A / H S
PHONE o
PHONE 6-75-....
L' w q i...//-7
I P c� / S
g�S�
ZIP q l S S.)
ADDRESS G1 -i t ` 1 �� / 0 7 C 6, / L. /
l - /
�,��
CONTRACTOR S' El=i _ t-f� i l,, E i .T ��
ADDRESS O/ (J, / /t r U (�'ST7'' y � lL • Gc I� Gt.) /L /4
WA. ST. CONTRACTOR'S LICENSE # 5 ,i f--4, 2 r� k, J ,
EXP. DATE 5 " z...,)
l
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER G1�, O cia
APPLICATION MUST BE FILLED OUT COMPLETELY
MECHA1 'CAL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out
and attached to this application.
FEES (for staff use only)
DESCRIPTION
BASIC PERMIT FEE
UNIT(S) FEE
PLAN CHECK FEE
OTHER: !'
TOTAL `
AMO,UNT:::
RCPT #
DATE APPLICATION EXPIRES
KNOW
DATE ,I / !lG / V
DATE
::HEREBY CERTIFY THAT'd HAVE READ AND EXAMINED:THIS :APPLICATION`AN.D
r:RUE ANE).CORRECT AND 1 AM; AUTHORIZED TO..:;APPLY FOR T.H. IS .PERMIT....,:...
BUILDING OWNER
OR
AUTHORIZED
AGENT
CONTACT PERSON , J I)
SIGNAT RE
LI 4.4
j 'f il�` I , " C, Lt�'L Li
PRINT N ME V
j /1'1, L
ADDRESS Gl (4 / /V [J (� 5 7 /L. t_I " �i`KGLJI
JVk
PHONE
IZ I ) � S / S
PHONE • -
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.
l
DATE APPLICATION ACCEPTED
08118/0
DESCRIPTION
UNIT COST
NO OF
UNITS
X
TOTAL
COST
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.
$9.00
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
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.
$ 9.00
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 cim.
$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
06/10/90
SUBTOTAL
PLAN CHECK FEE (25• of
subtotal)
GRAND TOTAL
$
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.
e MECHAN ^AL PERMIT
FEE WORKSHEET
INSTRUCTIONS - Complete the worksheet,
lndicating the n umber of units being
installed in each.. category. At lime of,
submittal,; staff will calculate the fees:
*k* ** 4: r**• h**********'k• k*********• k*** **k** *k***Jkkk *******kk******kk
CITY OF TUKWILA:1 WA TRANSMIT
kk * * *k * * * * * ** * ** *:loth* * ****kit** *kick ** * *kk * *kit kkk * *:k *k * * ***k
TRANSMIT 'Number a ;920.00548 Amount. :30.00 :06/1:0/92.; 15:01
{ Permit NO: M92- 0012 Type. R-M MECHANICAL. PERMIT.:
GENERA 6.00
GENERA _ 24.00
GENERA 6..00
GENERA 24.00
TOTAL 60.00
CHECK 60.00
CHANGE 0.00
0655A00.0: 13:58 _.
47 477' `.' +'R renTrirO ` 'A ` ° ke -Vi9 hoof :' WVi i 1"4 `°M" 'PM".5 "v'w" r y^ ?K"1* 777" "1#
.Total , F , ee is
Al `l Payments:
Hal anew
Parcae' :No :537980 .`:.
Sit.e Ad'dreg 4704 8 :i -. "aT
0010/92
Pa:ymerit . Method x CHECK Notation: SEA- AIRE, INC, Ini i a ..SLU
1 .*** k****k* **** * *** *k **,* **** * **** * *: kkk *It* * * *** **** *kkk *kk *.k * ,k* 4i
Account': :Cod :e Description Pa i d
00:0/ PLAN CHECK — RES 6.00:
000/322.100' MECHANICAL : RES: 24.00
Total This PLyineint)e 30..00`.
Address: 4704 S 164 ST
Tenant: FARIAS T
Type: B -MECH
Parcel #: 537980 -0485
,C OF TU
i•k* *'k*'* *** * * * **•** * * **************** *** * * ** * * * * ***** ** * * **'k* ** * * ** ** * * * *'k**
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 ob w ough the Seattle -King
County Department of Public Heal t h Y : = , ' P 1 1nb:i.ng w i l l be
• Inspect ed • by that agency, ncTuding� all gas p1;p.,ing
(296 -4722) . �. r, .�
:E 1ectriea1 ••per��ms1` Wsha11, b throug ,
the'�W ;', µ i ngton•
St ate'Division, ' f •L I,1 dusit'r�l es, and? all l relect
::work 'wi 1.1'. i� isp,eet.ed b that ag ency ; 72�72 • '\ , k
ts
'All .perml, inspection re and appr;ov d, l,Ans, shalf'1:, be•
,me intai r9e, _& av labli u: e att, the 3'040 site prioP•tto' the 'start°;o
any con' r'uct1on. These doc eint°s;�,,are to be"°ymain ai
tilt ' F,�,.
avai 1a,,1i unt il "rival insp{tct aiSA :oval is g Pin ted:t ,1
5. •Any e backing ma ter ial shall have a
S of `25.or�.,.�less, ng .Code• 'an.d.,,,rnateria1 shall bear ''id.enti _•
f
aibn,shaw �' f .;r p ante rating thereof "`
is 1n the l a er rm _� �
6. A11� ff ' '" ` N�
I e , ns;trua , tion to bi" d'on. confarinance with approved � •
p • ti*
and -�r eq i rerne °o f th Un i form
Edi
ti ' e ' rd_ '( 19
'i Uniform echa i1cali'C ' (19 8 8'0-1 iutio '''''t, • ,
n l.. d n) , and, th'eA'"
Wa t i'sngton ta • St. � .Earer` "gy, Co a x(1 d1t
` 9 T.- "a f ` �., , •T.
Val I it"y »of� Permit. "The° ofi a or approval of
�st
1 ,. s ,ecific d com to lt.o s ..shal,l + not be con -w � r> d :�to� be a e i,i" ns,, t for, or ar. n ` .
� p ►� ,� .n f �. �p0=au.a 1 o f , •any violation .
of r'y of• t:, a kprov'i'si of" this b code` , {or : -'of any other, z"h
ord ; nc.e o the ,jurisdiction. • Nb pe,rfil .to.'.g
•.aut . ,tait9r oi^ or �p'
can tl a r vls1,9ns of this code
8. g
S INS'T'ALLATION INSTRUCTION % RE�� U.I ED dN SITE .
BUILDING INSPECTORS REVI{ ;W, . } �}; . o .
A . tp. L 7., \ ..d ? `Y
;: BEd:, t � � kP � U o tit
Permit No: M92 -0092
Status: ISSUED
Applied: 06/02/1992
Issued: 06/10/1992
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
❑ Approved per applicable codes.
COMMENTS:
INSPECTIO II RECORD C.
Retain a copy with permit
(206) 431 -3670
Corrections required prior to approval.
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to relnspection, tee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule relnspection.
Receipt No.:
Date:
Address; 4704 6 / 1/ 8 /
t!�
DateCa iled: �� 8 / /a ,.� if.A
C�7
Special Instruction :
C u c I '.3 6
Date Wanted;
/ /9a
am. E
Requester: /4-L._
Phone No, ,S = 8b57
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
❑ Approved per applicable codes.
COMMENTS:
INSPECTIO II RECORD C.
Retain a copy with permit
(206) 431 -3670
Corrections required prior to approval.
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to relnspection, tee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule relnspection.
Receipt No.:
Date:
SECTIf0N 1
SECTION . 4 ( W tinucd)
HEAT 1.055 ITEM
'11' OR 'F'
VALUE
HEAT LOSS
FACTOR
(4G° A T)
SQ. FT. (SF)
LINEAR FT. (LF)
CUBIC FT. (CF)
HEAT LOSS
(BTU /HR)
HEAT LOSS ITEM
'U' OR 'F'
VALUE
HEAT 1.055
FACTOR
(46° A TI
SQ. FT. (SF)
LINEAR FT. (LF)
CUBIC FT. (CF)
HEAT LOSS
(BTU /FIR)
Windows, Skylights & Doors
Floor (Continued)
Single Pane
1.200
55.2
Z sF
ilv /
Concrete Slab
(Per Ft. of Perirneter)
Double Pane
Metal Frame
.900
41.4
SF
On Grade - No Insulation
.730
33.6
Lr
Wood or Vinyl Frame
.750
34.5
5F
On Grade - R -5 Perirneter
.580
26.7
LF
Wood Dr. 14" Solid Core
.330
15.2
SF
s r
0
On Grade - R -10 Perimeter
.540
24.8
LF
Wood Dr. 11/4" W /Panels
.570
26.2
Below Grade - Uninsulated
Other
.530
24.4
Li
Metal Dr. W/O Thermal Break
.400
18.4
sr
Other
SF
: SECTION : 5
SECTION • 2
Infiltration (Per Cu.Ft. of Volume)
(Ne1 Area)
Pre 1980 1.2 ACH
.022
1.0
+
3
OW
t
Cif
CF
rTrYynrwn
�+
/
f
Wood Studs - Above Grade .
-WSIIC
Post 1980 .6 ACH
SECTIIL7N
.011
.5
;6
No Insulation
.250
11.5
t 101:
Sr
R -7
.103
4.7
R - 11 .
.088
4.0
Sr
A) Total Structural Heat Loss
R -19
.062
2.9
SI
(Add all btu /hr from sections 1 - 5.)
Concrete - Above Grade
B) Duct Loss Line A x =.
Biu,IIR
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'X.
_
No Insulation
.549
25.3
sr
Insulated to R -5 or Less 10%
n-
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
SE
R -11 Furred In
.062
2.9
Sr
C) 46° A T Design Heating Load
(
S g Bnv11R
R -19 Furred In
.041
1.9
SF
(Line A +13)
R -10 Rigid Exterior
.064
2.9
SF
D) Correction for Other Design Temperature:
Other
A T = 70 - (Outdoor Design Temp) = 70- =
sECTIO(W . 3
Correction Factor = A T _ 46° _ _ 46 =
Ceiling (Net Area)
E) Design Heating Load (DHL)
BhI/IIR
No Insulation
.400
18.4
SF
46° A T DHL x Correction Factor
R -7
.134
6.2
SF
(Line C x Line D)
- r +
-- - - ��lll
R -11
.091
4.2
SF
/�/(43
F) Minimum Recommended Furnace Output
DFIL Plus 10'Xi Oversizing Factor
(Line E x 1.1)
r! ,/ �
/�RrUiUR
R -19
.049
2.3
1.7
t'� Q SF
SF
R -30
.036
R -38
.031
1.4
SF
G) Maximum Allowed Furnace Output
- 4
nttuttR
Other
131-11 Plus 50% Oversizing Factor
(Cathedrals - add 20% area)
(Line E x 1.5)
SECTION" 4.
Floor
Wood Joist over Crawl
1W /O
Recommended Furnace
No Insulation
.134
6.2
2.6
[ 1 OD SF
SF
(Model it):
Furnace Output:
�0 Q 0 BTU /HR
R -11
.056
R -19
.041
1.9
SF
R
•02a nn4r3•1■1
SF
RESIDEN(, AL HEATING LOAD CAL( JLATION
WNG 866.1 5 (12/91) 1`
Style House
Heated Square Footage
CITY OF TUKWIIA
- JUN 2199
PERMIT CENTER
BLOWER SIZING (Air Flow @ 75 -100 CFM per register):
Cubic Contents x 3,5 Air Changes :- 60 Minutes = Min. C.F.M.
Cubic Contents x 5 Air Changes ± 60 Minutes = Max. C.F.M.
No. w/a registers x 75 -100 = To C F M Req.
CUSTOI ❑ COUNTY
WORK PI IONE
MARKE
IIJSTAl CODE
SCHEDULE DATE
MTR SCHEDULED DATE
TYPE Or • DELIVER ONLY 1 DELIVER TO INSTALLER 1 PICK •UP BY INSTALLER
DELIVERY' I OE LIVER TO CUSTOMER 8 INSTALL 1 CUSTOMER PICK , UP 1 EMPLOYEE SALE
BIB By: 111 INSTALLER
• MTKO REP
1 NEW SERVICE
1 METER 0
ADD .DAD
AS KEPI ACEMENT
ENTRY ARRANGEMENTS.
❑1r iot OIIC
1 AM1
IAS ❑ OIL ❑ ELECTRIC
EXISTING TEM ❑ OTHER
❑ UP -FLOW OWN -FLOW ❑ 11OR12 ❑ OCTOPUS
❑ BASEBOARD ❑ OTHER
MA MODEL
RIU
NO W/ O
NO R/A DUCTS
AT I IC INSULATION ADEQUATE YES ❑ NO ❑
AUTO T/STAT ❑ ❑
D
DAMPERS EXISTING ❑ 0
INSULATED DUCTS ❑ ❑
COMB AIR ADEQUATE ❑ ❑
C/A RETURN ADEQUATE ❑ ❑
PROBLEM IITO AREAS ❑ ❑
LOCATION
HEIGHT
1
DEPTH
W/A PLE UM (SIZE)
W 0 11
X
n/A PLENUM (SIZE)
W D 11
X X
OLD EQUIPMENT
DONE ❑ LEAVE ❑ 'MOVE
WORK TO BE ❑ TIE TO WWI (LCn nE00)
REMOVAL EX RAS
[3 DIFFICULT ACCESS ❑ DISMANTLE EQUIPMENT
❑ TWO PERSON JOB ❑ OTHER
I HEAT LOSS
CFM REQUIRED
FURNAC TYPE: VENTING: PLENUMS: WIRING & CONTROLS:
L th ! _ lo( W/ • ❑ PR E SEPARATE CIRCUIT
COUNTERFLOW C VENT NEW ❑TRANSITION
SE EXISTING CIRCUIT
0 HORIZONTAL 13 VENT l R /A; ❑ RELOCATE THERMOSTAT
0 CONDENSING PVC E TRANSITION
TERMINATION LOCATION: LEVATE URNACE LOCATION
GASP El INSTALL E.A.C.
0 INSULATE RUNS • PROVIDE CAC. OPTION
0 DON'T E RUNS VEN O:
• INSULATE PLENUMS LINED CHIMNEY
0 INSULATE EXISTING DUCTS El MASONRY
❑ INSULATE TRUNK ❑ METAL
❑ ADD BALANCING DAMPER
❑ PROVIDE
SERVICE LIGHT WITH SWITCH
LENGI DIAMETER ❑
• ROOF JACK AT ENTRY TO FURNACE ROOM
UNLINED ❑ POWER ID ILL THROUGH CONCRETE ❑ CONDENSATE PUMP REQUIRED
PERMITS:
❑ PIPING Ii CONDENSATE LINE TERMINATION
❑ FLOOR DRAIN
❑ ELECTRICAL I1 OUTSIDE TO FRENCH DRAIN
II NEW W/A LIN i ❑
(1 NEW R/A ❑ MECHANICAL 11 OTHER
O D
FROM WHERE
COMBUSTION AIR ❑
• BOILER PERMIT TAKEN
EQUIPMENT LOCATION & PIPING ROUTE (SKETCH)
rnoM IRAN CODE TO
. ■
•
g • ;
• .
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1 1 1 1 1 221 1 1 1 1 1
ACCOUNT NO. NESP
1 `(1 1 1 6 1 3 I� 1i31 1
ITEM NO
OUAN
DESCRIPTION
t7 far
°)
• 3 _
viii_IL_Q
7
BILLING DATA
INSTALLATION AMU ?c0
E %Cf::S AMT
COMMENTS. RECEIVED
TUKWIL
INS1 AILED DATE: AMT. BILLED
CITY or
SERIAL M
MODEL II 1OIA) $
PERMIT CENTER
11
0110ER RECEIVED 131 t ''( DAn�(�c! _ `Ja
MAI ERALS RECEIVED BY DATE
❑ A 8TOS ABATEMENT REQUIRED -
MATERIALS ISSUED BY DAT5
DUCT CLEANING REQUIRED • ) d ✓
WASHINGTON NATURAL GAS COMPANY!.
I( 'ALLER'S INSTRUCTIONS /MATERIAL REL( )E
CENTRAL HEATING SYSTEMS
W1:E3 636.10 7 (0/90) 0 A.P. 040 1
❑ SPECIAL HANDLING
❑ RUSH
mis, ,), gst .
PICK UP INSTALLER: 1. (WHITE) INSTALI/QR /COMPLETION NOTICE; 2. (CANARY) WAREHOUSE; 3. (PINK) INSTALLATIONS; 4. (GOLDENROD) POST INSPECTION
DIRECT DELIVERY: 1. (WHITE) INSTALL'II /COMPLETION NOTICE; 2. (CANARY) INSTALLATIONS; 3. (PINK) INSTALLER; 4. (GOLDENROD) POST INSPECTION