HomeMy WebLinkAboutPermit 0596-M - ZION RESIDENCE1
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PROPERTY OWNER:
UMC EDITION (YEAR): 1988
PHONE: I: .
FIRE PROTECTION: ( )Sprinklers ( )Detectors (X)N/A
SUITE NO,
CONDITIONS (other than noted on or attached_ig_p_ormIt/planS):
VALUE OF WORK:
$ 1338.00
TYPE OF WORK: fl New/Addition X) Modifications ( ) Repair
APPROVED FOR BUILDING
OFFICIAL
ISSUANCE BY: /iltg2 AV
DATE: -3 -fr'/
DESCRIPTION OF WORK: Convert. Electrical to Gas
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. ,,„ . i d....A / °
DATE: o - 0 7
.,
) PRINT NAME: - 7 - ..S h J ,
COMPANY: /c/,,e0/ /7 .17.4) Id',
PROPERTY OWNER:
George Zion
PHONE: I: .
SITE ADDRESS: 13940 51 AV S
SUITE NO,
PROJECT NAME/TENANT: Zion, George
VALUE OF WORK:
$ 1338.00
TYPE OF WORK: fl New/Addition X) Modifications ( ) Repair
C Other:
3401 C ST NE Bay 1
DESCRIPTION OF WORK: Convert. Electrical to Gas
Water Heater, Wall Furnace, Circ Heater
0 9 9 BJ EXPIRATION DATE: 2/92
PROPERTY OWNER:
George Zion
PHONE: I: .
ADDRESS:
13940 51 AV S #1
Tukwila IZIP:
CONTRACTOR:
Nordic Heating Inc
'PHONE: 931-0503
Auburn WA IZIP: 98002
ADDRESS:
3401 C ST NE Bay 1
WA. ST. CONTRACTOR mgaLO
0 9 9 BJ EXPIRATION DATE: 2/92
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431-3670
MECHANICAL
PERMIT NO. c)5630 -./n
DATE ISSUED:
MECHANrAL PERMIT
(POST WITH PLANS IN A CONSPICUOUS LOCATION)
ee
Unit Fee
Bat I P
.PIan Check Fee
Other:
. :.!RECEIPT4
Laugla
TO
Plan Check No.:
91
DATE(S)
REQUIRED INSPECTIONS PHONE NO. APPROVED INSPECTOR CORRECTION NOTICE ISSUED
▪ 1 - Rough-in/Vents/Ducts 431-3670
2 - Fire Final
3 - Planning Final
575-4407
431-3680
4
, X 5 - Mechanical Final
431-3670
DATE
OTHER AGENCIES: Plumbing/Gas Piping - King County Health Department (296-4732)
Electrical - Washington State Department of Labor and Industries (277-7272)
This permit shall beCome:rit4/1... • 1,triii
issuance, or/f of
t e is suspended or abandoned for a period of 180 days from the last inspectio
..•
PERMIT NO.
CONTACTED N -
I G�Z
11 �
��
q
- Os�j ,
DATE READY
. -,
DATE NOTIFIED
3
BY:
(init.)
O�Y
PERMIT EXPIRES
2nd NOTIFICATION
BY:
(init.)
AMOUNT OWING
,-
J"
• 5 0 -
3RD NOTIFICATION
BY:
(init.)
MECHANICAt PERMIT
APPLICATION TRACKING
PLAN CHECK
NUMBER
��- )Sm
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 -
initial review
INIT:
INIT:
INIT:
BUILDING - 3Olet I
final ravikw ( INIT:
REVIEW COMPLETED
�qQ
ROUTED
7 .
I o 61 ITV 3
CONSULTANT: Date Sent
FIRE PROTECTION:
FIRE DEPT. LETTER DATED:
ZONING:
SCREENING REQUIRED? fYes
REFERENCE FILE NOS.:
UMC EDITION (year):
E5.8
ono) 0I5 -- a w c.e . 3 y& .
U1REM E '_
.... ...............................
OM MEN..
11 No
SUITE NO.
Date Approved -
Sprinklers Detectors N/A
INSPECTOR:
BAR/LAND USE CONDITIONS? Yes
PROPERTY OWNER C- ev2G-1.::: Z/ c;; N
PHONE cfZ _ o s,/(e,
ADDRESS / 3 7 yp 57 Av 4 - /) 1-6 kw1k
ZIP
CONTRACTOR A/o R v/ c l rr .q . 1 il/C. i� r
PHONE 73/
_ 6 50 3
ZIPS Ck.> _
ADDRESS 3`- /Di C! 5 A/f /3,4y / 4u +,Y uR A/ 104
WA. ST. CONTRACTOR'S LICENSE # Ajoicz X7 04 / v qt.? 8 J
EXP. DATE J )9 Z _
;::DESCRIPTION .
.:::
RCPT:a!
:;
BASIC •PERMIT FEE
$15.00
UNITS) FEE
PLAN CHECK FEE
t t� fJ1
OTHER
`TOTAL::
,
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER
(1 1- iss
APPLICATION MUST BE FILLED OUT COMPLETELY
ER EBY:CERTI FY<THAT;I!I
UE AND CORRE T, AN
BUILDING OWNER
OR
AUTHORIZED
AGENT
CONTACT PERSON
DATE APPLICATION ACCEPTED
C k
E READ AND EXAMINED THIS APPLICA'T'ION;:.
I 11THORIZEWIVAPPIN::!F011 M.
SIGNATURE
AloRD /e AEA 1iM1 - „,
PRINT NAME / L 8 / L Li Ate 10 k/
ADDRESS 3 yO/ s r
0/C41 (r 1. 4_, PO f'
MECHAK CAL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out
and attached to this application.
FEES (for staff use only)
SITE ADDRESS
/ - 3 7 4 /U
S/ 4t S
SUITE #
it
VALUE OF CONSTRUCTION - $ 3 ?.
PROJECT NAME/TENANT
C - f= ORGf Z/01.1
TYPE OF WORK: ❑ New /Addition Oa Modifications ❑ Repair ❑ Other:
DESCRIBE WORK TO BE DONE: •
.:....:::.::.::....
r =s� - 5o I
(r 5 6 )41 /.fr.7At,' /2
BUILDING USE (office, warehouse, etc.)
NATURE Of BUSINESS:
WILL TH RE BE A CHANGE IN USE? (Z No ❑ Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE
BUILDING? Q No ❑ Yes IF YES, EXPLAIN:
DATE 6
PHONE F.51,. i tJ 3
C PTY /Z I P _A, 2,t f 18Ck Z
PHONE 2,3 /_06-. 61 J
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.
DATE APPLICATION EXPIRES
06/18/90
DESCRIPTION
UNIT COST
NO OF
UNITS
X
TOTAL
COST
BASIC
ASIC FEE
$15.00
$4.50
SUPPLEMENT PERMIT FEE
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
3
X 7 �
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 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
00/18/90
SUBTOTAL
(t11 a
PLAN CHECK FEE (25% at subtotal)
j 0 , j50
GRAND TOTAL
$5 .
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.
MECHANr SAL PERMIT
FEE WORKSHEET
INSTRUCTIONS - Complete the worksheet,
ind icating the number of uni bung
• i nstalled in each cate gory. At time of
mittal, staff .will calculate the fees
CITY OF TUKWILA
6200 SOUTIICENTER BOULEVARD, TUKIV /LA, WASHINGTON 98188
Plan Check #91- 158 -M: Zion, George
13940 51 AV S
PHONE N (206, 433.1800 Gaol L. VanDusen, Mayor
THE FOLLOWING COMMENTS APPLY TO AND BECOME PART OF THE APPROVED
PLANS UNDER TUKWILA MECHANICAL PERMIT NUMBER O5 (c .
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 King County
Health Department and plumbing will be inspected by that
agency, including all gas piping (296- 4732).
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 (872-
6363).
4. All permits, inspection records, and approved plans shall
be posted at the job site prior to the start of any
construction.
5. Any exposed insulations backing material to have Flame
Spread Rating of 25 or less, and material shall bear
identification 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),
Washignton State Energy Code (1989 Edition), and
Washington State Regulations for Barrier Free Facility
(1989 Edition).
7. Validity of Permit. The issuance of a permit or approval
of plans, specifications and computations shall not be
construed 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. Provide manufacturers installation instructions of appliances
on site and available to inspectors.
Project:
Type of Inspectio i r'
1
- 1.rtr
struct'
:
Date Wanted: ix
,5.......
�,) am
Requester:
Phone No.:
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
❑ Corrections required prior to approval.
INSPECTION RECORD
Retain a copy with permit
COMMENTS: '
❑ $30.00 REINSPECTION F REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Hece * No.:
Date:
206) 431 -3670
COMMENTS:
,,,5 EZ ct ttq H oT tN r yL '7*r J it_ 're) (Zt -
OY -, ►J r ,Pip1/'1 C A. 'TN 42
Sp: • a nstructions:
Al 0 ttrt.er• -
i Q.tWt D G L4 (, PIT' , r•.) i 12 rJ A cE ..SPA c c� St. 7o1(
)
�() ?ell- Set. 7 b1 (3) of 'T'bll- to v i c I A PtA k.IJHC�
5UPPetLT1 Low 'r-M4 cr ok rJ2 .SN/i -L(... R - e - T " o,4
A co ).-s t'a -e-r75 51-.9-6 fir 7Y Dl X --, ni dr LESS ll
3" 4 G rio t4-N0 L -- f.. ,
S) J a-1 2-0 ►.F'ilR1t-=• . R.l:l 14 S ' //0 . Vi y,+ C./4-w nl aT bt
> (O 0 u Pc a - Set. . 9 zxSCa -) or 774S . tA n, G .
..r a a
ro
: 0 n tom ,ied irmi
d. ,,,, -
'` te a e': /Z _ & _.• qv
iimuseir ligiAl
Sp: • a nstructions:
Date Wanted/
9 - q ,
am. •.m.
Requester: '
Phone No.:
..r a a
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Inspector:
I Receipt No.:
INSPECTION RECORD
Retain a copy with permit
1 Date:
Dade:
/2 X74/
05%
PERMIT NO.
(206) 431 -3670
❑ Approved per applicable codes. f Corrections required prior to approval.
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
HEAT LOSS ITEM
D.T.
D.T.
QUANTITY
HIM LOSS
HEAT LOSS ITEM
D.T.
D.T.
QUANTITY
HEAT LOM
40
50
40
50
Window ma Doors
44
55
Sq. Ft.
INy/Hr.
Redly/Joist At&
No Insulation
10
12
Sg. FL
B iii.
Single Pane
Double Pane
25
31
/ '5" `�
y
w/R-4
5
6
Trip Pane
17
20
w /R -7
4
5
• Storm Windows
20
25
w/R -11
3
3
Doors 1W Solid
19
24
`/ Z
AD ?'
w/R -19
2
2
Door w/Storm Door
14
17
`J (•-
/. `3 C
w/R -30
1
1
Other
Other
War Frame (Net Areas)
Sa H.
Nu/Hr.
Conc. Mock Wafts
Sg. FL
Mtt/Nr.
No Insulation
9
11
/h 3 ••j
// 3 I* S
w/R -7
4
5
8" Block
18
20
w/R -11
3
4
Other
w/R -19
3
3
War Brklt/54ds
Slab Surface floors
Sq. Ft
Slv/i *
No Insulation
7
8
No insulation
3
3
_,
w/R -7
4
• 1
Over Unheat. Basement
Sq. Ft.
M1/fI 1
w/R -11
3
3
w/Pad & Carpet
w/Vinyl
Over UnbeaL Crawl Sp.
5
7
5
7
54 Ft.
/Iu/Ift.
w/R -19
2
2
Other
War Conc.. Above Grade
Su. Ft
iNu/Ni.
No Insulation
6
2
8
3
/ di 7 `5'
Zp 2.449
No Insul lion
32
40
With Insulation
w/R-4
8
10
Other
,
War Cone.. Below Grade
Sg. FL
lu/Hr.
No Insulation
4
6
infiltration* (See Below)
Cu. FL
Brt/Hr,
w/R -3
4
5
15 Air Chan :OW.
.4
. 5
w/R -7
3
3
15 Air Change/Hr.
.6
.7
w/R -11
2
2
1 Air Chanee/Hr.
.8
.9
/0 2 F`C.
Q/ 5-0
Cerkstz Roo)
54. ft.
Btu/11r.
11/4 Air Change/Hr.
1.2
1.4
_
Ventilated Attic
No Insulation
25
26
w/R -7
5
6
w/R -11
4
4
—
w/R -19
2
2
•
.
...
•; (: ra A ,
w/R -30
2
2
/ A 7 `i
2 7 SLR
FURNACE
TOTAL HEAT
Plus 10% Oversize Factor
By Duct Loss Factor " OUTPUT
4- A.F.U.E. ' i ' 2 -16 INPUT
SIZING*
LOSS =
x 1.1 =
=
=
w /&-40
1
1
—
STYLE HOUSE
1 / La i2f' l
ACE MOUSE
`- 7 7 5- /
HEATED SOUARE FOOTAGE
Aooruss:
/ C H
/ 3 7 / /C,
RECEIVED
CITY OF TUKWILA
vauu 2 8 1991
PERMIT CENTER
WNLTRATUONt
1/2 Air Change per hour
3/4 Air Change per hour
1 Air Change per hour
1 - 1/2 Air Change per hour
•• Duct loss divide by .85
HEATING LOAD CALCULATION FORM
�f
IY:
DATE:
6/V/7/
BLOWER SIZING (Air Row @ 75 —1M CFM per regMar)t
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. Rp.
RECOMMEDE0 FURNACE (Model e)t 5 );.if.- ti - 30 tSwrA �l rZ
— Extremely tight w /extraordinary meas.
— Very tight construction
— Typical house built prior to 1975
— Older construction - single pane windows - not real tight
for uninsulated ducts in unheated area .95 for insulated ducts unheated area .0 for ducts w /ins. heated aria.
--1,-1 61
AWH -CB -WALL FURNACES - RANGES- DRYERS
WNG 836.3 S (3/90)
qer; r . / y
F6I I 1
��✓✓ I ■
17
CUSTOM NAME Y `
AOORES53� VO 5" " • V C
IN CITY II COUNTY
HOME PHONE
WORK PHONE
MAR NO REP
INSTALL
SCHEDULE DATE
MTR SCHEDULED DATE
TYPE OF ■ DELIVER ONLY ❑ DELIVER TO INSTALLER ❑ PICKUP BY INSTALLER
DELIVERY �/�
OEIIVER TO CUSTOMER 81NSTALL ❑ CUSTOMER PtCK�UP 11 EMPLOYEE SALE
BID INgTALLER
❑ MTKp REP
Q n .oN[-D•N
Nue
SE RVICE
�
R �� AO
JIQ7IAS REPLACEMENT
_ dl9 REPLACEIAENT
j
ENTRY ARRA M
•
EQUIPMENT LOCATION & PIPING ROUTE (SKETCH)
h. Rom T RA
"BODE
I
I
1
I
I
(
i
i "
�
/1
��
ACCT No
I 1 I I
RESP.
1
!RR
�''
^��r
ii
.
*
r
G
■
■ r Yp�
PIIIII
ITEM No ouAN DESCRIPTION
svim
!
tflolv
pp
4 Ih , r
04.048 WATER HEATER- FSG -40
�4:►
04 -049 WATER HEATER- FSGL -40
04.087 I WATER HEATER - FSG -50
04 -151 WATER HEATER- PRV -40
,
04.152 ■ WATER HEATER-PRV-50
• �..�
=1
— �
•
04 . 252 WATER HEATER P -50 (HIGH RECOV)
��
� ►
'rte
1 P ill :
�
23 - 971 RELIEF VALVE -P 125 LB j1L:
23 -974 � RELIEF VALVE -T & P IXL 150 LB.
PRE- INSPECTION A '
CHED:
i BOILER
■ CONVERSION BURNER
85 -684 CONCRETE BLOCK 6 x 8 x 16
WORK REQUIRED
❑COLD BOILER • FICOF JACK TYPE 'IF 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- 40648.1451
24 -784
THERMAL STACK SWITCH 11700)
• ■
COMBINE VENT INSTALL THERMOSTAT APPROX. FT
SIZE • OTHER TYPE `& VENT 11
23 -480
PUMP RELAY SWITCH RA- 89•A•1074.1
❑ CHIMNEY CLEAN OUT DIAMETER 3
28.008
ECON EXTENSION RING 8"
❑ CLEAN OUT IN T APPROX. FT do r
24-320
23-050
ECON MOUNTING FLANGE '
AOUASTAT- DUAL - 11.8.30 ..
-
LABOR/MATERIAL IN EXCESS (PROVIDED BY INSTALLER)
❑ ENCLOSE VENT THROUGH ATTIC $ • Low WATER UT -OFF $
23 -059
AOUASTAT- SINGLE - STRAP -ON- 11272
23.646
24 -302
24 -307
THERMOSTAT T -87F -1859 W /WALL PLATE
S.S. FLEX CONN -DRYER I /2" x 38 "'
S.S. FLEX CONN RANGE 3/4" x 48" w /VALVE
• INSTALL /REPAIR FIRE POT $ ❑ PIPINr•. Lt FT $_ I Ze,
• WATER PRESS. REDUCING VALVE $ ❑ ELECTRICAL OUTLET $
• THERALTIMETER. $ ❑ CORRECT PIPING TO $
EXPANSION TANK
• PRESSURE RELIEF VALVE $
• •
l ... ,., .
ELECTRICAL CIRCUIT $ VENTING $_________
•
, f
COMBUSTION AIR - FROM WHERE
TRANCD
LEASE
1 213
CHARGE ITEMS
ACCT NO 4 1 118 1 31 0 RESP ' . r..<.r`;fld�,: /
GENERAL INFORMATION
❑ STAND REQUIRED INPUT 1 ^1 () o
,
APPROUNATE FEET �►^ Q
• COLD WATER LINE 1 EXISTING WATER LINE LJ GALV.
_cO�P
❑ HOT WATER LINE v /4• 1X] /2'
i..i•
❑ FUEL LINE S
BILLING DATA
•7 r.'; •y :._ +r
INSTALLA AMT ❑ BAL
• PRESSURE RELIEF n DISCHARGE TO: 0 FLOOR ■DRAIN
■OTHER
DISCHARGE LINE (� OUTSIDE
INSTALL IN EXISTING COMBUSTION AIR
LOCATION' ' ' ' ' ❑ YES NO ADEQUATE? YES NO
ARE OTHER APPLIANCES BEING INSTALLED AT SAME ADDRESS? ES • NO
OLD
EQUIPME T: TYPE. SIZE • ❑ L E AVE WITH CUSTOMER
L�
EXCESS AMT r l / 0 11 7 `
INSTALLE DATE AMT, BILLED:
SERIAL No
lotr REMOVE & JUNK • RETURN TO WNG IN OTHER O a
MO DEL N TOTAL $
.
PERMITS: PIPING B PLUMBING Y
REMOVAL �D III DISMANTLE EQUIPMENT II DIFFICULT ACCESS
MECHANICAL B ELECTRICAL M
COMMEI(T$ , t 2 a �, t y 91
Ii
ORDER RECEIVED BY. - /NA'K• A.... DATE +•' -/, � (/
MATERIAL RCOELED BY DATE
MATERIAL ISSUEDBY DATE
PERMIT CENTER
WASHINGTON NATURAL GAS COMPANS
INSTALLER'S INSTRUCTION
❑ SPECIAL HANDLING
❑ RUSH
PICKUP INSTALLERS: 1. (WHITE) INSTALLER /COMPLETION NOTICE, 2. (CANARY) WAREHOUSE; 3. (PINK) INSTALLATIONS; 4. (GOLDENROD) POST INSPECTION
;"f'
.•
AWH -C8 -WALL FURNACES - RANGES - DRYERS
WNG 836.3 S (3/90)
,oNO
- i l 1. 106 / I 1:17
1
CUSTOMER NAME
ADDRESS ''. .. / _ ❑ Oft �� • ,a 0....1
HOME PHONE
Z— Oil er_.. -
WORK PHONE
MARKET REP
INSTALL.R ♦
- 11 iii
SCHEDULE DATE
•
MTR. SCHEDULED DATE
TYPE OF 0 DEUy ONLY . S DELIVER TO INSTALLER II PICK-UP BY INSTALLER
DELIVERY;
DELIVER TO CUSTOMER 8 INSTALL 0 CUSTOMER PICK-UP 0 EMPLOYEE SALE
1
BfD BY: 4 A INSTALLER
• ❑ IMO REp
❑ ngrDaM
U NEW sERYICE
a METER ONLY
B'1125D LOAD '
•
0 11E►tj CE
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ENTRY EMENTS.
( ' ., C.(,., '
ow* •
:• LOCATI & PIPING ROUTE (SKETCH) s
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OUAN
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04.087
04 -151
WATER HEATER•FSG -50
WATER HEATER•PRV-40 '
0 4.152
WATER HEATER-PRV-50
04.252
:23.971
WATER HEATER P•50 HIGH'RECOV f
RELIEF VALVE-P 125 LB. '^ '
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— , W.Mr// e:.4.�I� A.i'
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i1�II A
RELIEF VALVE•T B P IXL 15O LB. :s' ,i ,
PRE "' SPECT ON ATTACHED: ,
• BOILER • CONVERSION BURNER
_ . 85-884
CONCRETE BLOCK 8 x 8 >t 16
'
• COLD BOILER •
• WIRE FOR HOT BOILER
.WORK REQUIRED
ROOF,JACK . -. • . , TYPEwYENT
. NO, O 870RIES DIAMETER
•85'
CONCRETE LID 22" ;'
03.212
CONV. BURNER ECONOMITE DS24A
, 23.624
SWITCH•COMB•L'= 40618.1451 .` :' '
24 -784
THERMAL'STACK SWITCH 11700)
, ,
D COMBINE VENT INSTALL THERMOSTAT ,APPROX. FT
23 -480
PUMP RELAY SWITCH RA•89•A- 1074.1
S12 '' D OTHER 'Mt 'O', r m. /I
28.008
ECON EXTENSION RING 8" �-
D CHIMNEY CLEAN OUT „ DIAMETER 4
-
CLEAN IN T APPROX. FT .p I
24 320
ECON MOUNTING FLANGE ;
• LABOR/MATERIAL IN EXCESS (PROVIDED BY : INSTALLER) ;'
• ENCLOSE VENT THROUGH ATTIC ' $ ' ' -OFF, $ ; '
- 23.050
AOUASTAT- DUAL-1.1 -B -30
23-059
AOUASTAT - SINGLE - STRAP -ON- 1127.2 " '' •:
• 23.646
THERMOSTAT T87F- 1669WIWALL.PLA
• INSTALL/REPAIR
EPAIR FI E POT $ .... FT
• PIPINR $
24.302
p
SS. FLEX CONN-DRYER i /2" x 38" " '.'i, Y'\ h
4
CR TT
• WATER PRESS. REDUCING VALVE $ • .. 0 ELECTRICAL OUTLET $
24.307
S.S. FLEX CONN RANGE 3/4" %48" w /VALVE
• , , . .
D THERALTIME TER $ .. D CORRECT PIPING TO $
.
�ry.; ,
, RELIEF VALVE •...... .. EXPANSION TANK „
il PRE S • $
, QQ
0 I
' 30 0 lot���
• ELECTRICAL CIRCUIT • ' $—.. ..
• VENTING $
_ 1
1331
0 I
.
i 7�� v1,y ,,4 A: 4:
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0 COM 10 AIR • C
LJ BUST N F ROM WHERE: ' $
TRi1M
2'13 •'ACCT
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NO 41 1181 31 kRESP •:r1
D OTHER $ ;i
• GENERAL-INFORMATION
D STAND REOUIREO INPUT f ��
-
. ° , . .' ^.' "=', , '+
.
APPROXIMATL PLET ..... ..
D COLD WATER LINE EXISTING
WATER LINE: • GALV. 0 COPPER ;'
°' ;;;: ..;
(' *Y
• HOT WATER LINE
0 3/4• • I/2
..;
"'
INSTALLATION
AMT.
- ..t. i-'� :ia 'i J?t3 '.',
BILLING DATA
� er,'"4 8 '
s 0(EAgE
CI FUEL LINE f5
❑ PRESSURE RELIEF
DISCHARGE LINE
DISCHARGE TO: • FLOOR III DRAIN
0 OUTSIDE'D OTHER
EXCESS AMT t 4: +
INSTALL IN EXISTING
LOCATION?
ARE OTHER APPLIANCES BEING
OLD
EQU IPMENT: TYPE:
COMBUSTION
• YES ❑ NO ADEQUATE? TE?
INSTALLED AT SAME ADDRESS?
SIZE
AIR D
YES • • NO
0 YES • NO
yE WITH CUSTOMER
'..
INSTALLED DAA AMT. BILLED'
7 /
SERIAL NO 9 / / [ 3 •
MODEL r TOTALS
•
REMOVE 8 JUNK 0 RETURN TO WHO • OTHER
L. ' ...ye-.
POINTS: PIPING N PLUMBING M
REMOVAL EXTRAS: DISMANTLE EQUIPMENT
DIFFICULT CESS
•
MECHANICAL It ELECTRICAL N _._
ORDER HECEJV W Br It • • Me. • DATE 4 i� P'i:
co�u►` " " l: 8 :
2 8 1 9 1
MATERUL RECKVED BY DATE ' !
MATERIAL ISSUED BY DATE
pEp pd)T PC RCM R
( WASHINGTON NATURAL GAS COMPAN si
INS . - 4LLER'S INSTRUCTIONS /MATERIAL R ..cA
❑ SPECIAL HANDLING
❑ RUSH
PICK -UP INSTALLERS: 1. (WHITE) INSTALLER /COMPLETION NOTICE; 2 (CANARY) WAREHOUSE; 3. (PINK) INSTALLATIONS; 4. (OOLD[NROO) POST INSPECTION
DIRECT DELIVERY: 1. (wHITE) INSTALLER /COMPLETION NOTICE; 2. (CANARY) INSTALLATIONS; 3. (PINK) INSTALLER; 4, (OOLIMINR0O) POST INSPECTION
y
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AWH -CB -WALL FURNACES - RANGES - DRYERS
WNG 838.3 S (3/90)
GN N.
I 1 110I2*IV r� JI7 (1 /
IT
GUST N
.
/ 3 9 L { 0 57 4v S a
HOME '
Z ��
WORK PHONE
MARK REP
INSTALLER
N /I �� �
I 1i
SCHEDULE DATE
. .. ..
MTR SCHEDULED DATE
TYPE OF R DELIVER ONLY • DELIVER TO INSTALLER • PICK.UP BY INSTALLER
DELNEiTY• Ia �OEUVER TO CUSTOMER 6 INSTALL • CUSTOMER PICK -UP • EMPLOYEE SALE
Bo BT ` "�+NSTALL.ER
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23 971
WATER HEATER•PRV -50 ' .
WATER HEATER P -50 (HIGH RECOV) - .. .. . ..
' •'
RELIEF VALVE -P 125 LB. ' ' `'''' ' " - L '''.. "" '" ''
.
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% % �
•', Fill
M M
IIII
MI
23-974
RELIEF VALVE -T 8 P IXL 150 LB. '.' ...:?"'".•'''
RNER
1 ❑ • 1 SIGN BURNER
`./ CT r 1 ATTACHED:
8 x 8'x 18
'(�
C) BOI
.
ORK REOUI IyG.:wYJ(�,
II COLD BOILER ❑ ROOF JACK TYPEIFVENT
• WIRE FOR HOT BOILER NO. OF STORIES DIAMETER
35.685
CONCR LID 22" ,....,.: M p er, .
x.2
CONY. BURNER•ECONOMITE b324A' ` ' ' ' "'
23-524
SWITCH- COMB -L- 40648- 1451'''''' .. .• -'
24 -784
THERMAL STACK SWITCH 1'1700,1 J ?
• COMBINE VENT • INSTALL THERMOSTAT APPROX. FT
23-480
PUMP RELAY SWITCH RA.89 -A- 1074.1 !
SIZF •
OTHER TYPE '0 VENT (
26 -008
ECON EXTENSION ' ' ' ' ' ' % • • •
• CHIMNEY CLEAN OUT DIAMETE
• CLEAN OUT IN T APPROX.' FT
24 -320
,..�
ECON MOUNTING FLANGE
23-050
AOUASTAT- DUAL- 11 -B -30 °' - " . """`"'d
'
` IN EXCESS (PROVIDED BY.INSTALLER)
• ENCLOSE VENT THROUGH ATTIC $ 0 LOW WATER CUT -OFF ' $
23.056
A OUASTAT•SINGLE•STRAP•ON- 1127.2 " " ' "'•
23.848
THERMOSTAT T -87F -1859 W/WALL PLATE " ",q
❑ INSTALL /REPAIR FIRE POT S ❑ PIPINf FT $
24.302
S.S. FLEX CONN -DRYER 1/24408" . .... -.:" .. ` }"
• WATER PRESS REDUCING VALVE $ 0 ELECTRICAL OUTLET ' S
24-307
S.S. FLEX CONN RANGE 3/4" x 48" w /VALVE ' `'{
A THERALTIMETER . 5 • CORRECT PIPING TO : $
Q II'
0 `
w in . � s : '::: ,. •: ;.
EXPANSION TANK t
❑ PRESSURE RELIEF VALVE '$
+� .�/t
�'T I'1^
0 I
�,5,
I
• ELECTRICAL CIRCUIT •'$ ❑ VENTING }Ql
ION
, TL C / toil
❑ COMBUSTION AIR - FROM WHERE: $
_/
LEASE
_
CHARGE I rt r.l•,
• OTHER j
GENERAL INFORMATI (a / O � N
i/ '5 \r 0
❑ STAND REQUIRED INPUT � �
TRANC0 `
2' 3
ACCT NO 4 • 1'e "'3' o uREBP I$ ri 'Ir` P]
,
...
.... ., .... e..u.�rnnv,.m�.....*•'• irh.r+*NUryr . Nt
� � •. .
• APPROXIMATE FEET
• COLD WATER LINE EXISTING WATER LINE: U GALV. • COPPER
. ..... ..... , ' :. - „.. !".7:4 +.
. "71
❑ HOT WATER LINE • 3/4 ❑ 1/7'
INSTALLATION
AMT.
.: ,. " "'"•': -`.tS
BILLING DATA
• y� L.�i.' a :v X4.0 y; -+army.., , •
/ 7 1 - LE [] LEASE
■FUEL LINE V
DISCHARGE TO. ❑ FLOOR
❑ PRESSURE RELIEF
DISCHARGE LINE • OUTSIDE
• DRAIN
• OTHER
EXCESS AMT.
INSTALL IN EXISTING
LOCATION? 0 YES • NO `,
ARE OTHER APPLIANCES REINQ 1
OLD (:14
EQUIPMENT: TYPE
COMBUSTION AIR
ADEQUATE? 0 YES • NO
�j�ppRESS? ❑YES • NO
I�YV'IJ�
❑ LEAVE MIA CUSTOMER
'• ' " ^
INSTALLED AMT, BILLED "'' . ' "' •" '''' -'
DATE.
SERIAL No- 75 u O/ / /7
.
MODE N TOTAL f
JUV 2 8 14
ri "
❑ REMOVE 8 JUNK RETURN TO WNG U OTHER
PERMITS: PIPING M PLUMBING Y
REMOVAL EXTRAS: DtizialbliikCiagfiR ❑ DIFFICULT ACCESS
. ❑ OTHER
MECHANICAL II ELECTRICAL N 1 '
.110
ORDER MUNE° BY: .. OATS,.. .. .. ... _
MATERIAL RELIEVED BY DATE
COMMENTS •
i A I / I I
r< I�
MATERIAL ISSUED BY DATE 1 .
VI
IN
VASHINGTON NATURAL GAS COMPANY(
ALLER'S INSTRUCTIONS /MATERIAL RELEASE
❑ SPECIAL HANDLING
❑ RUSH
PICK-UP INSTALLERS: 1. (WHITE) INSTALLER /COMPLETION NOTICE; 2. (CANARY) WAREHOUSE; 3. (PINK) INSTALLATIONS; 4. (GOLDENROD) POST INSPECTION
'N
DIRECT DELIVERY: 1. (WHITE) INSTALLER /COMPLETION NOTICE; 2. (CANARY) INSTALLATIONS; 3. (PINK) INSTALLER 4. (GOLDROO) POST, INSPECTION