95-103022 9T /030.
CI I Y OF FEDERAL. WAY r•ti t 3
.(-1E -� M . (...I I N JFIL�' P RM .1 I" ' <;(lt_1): 1.1 /07/95
?`T 4' T rpt Way ° ! % ,
;, , , iii t (n t e i , i riri ( f2'.:I t-, i i .r
96
ADDRESS:30171 3RD PL SW
H0. : 259970-0120
PROJECT DESCR.IPT1ON:HVAC - INSTALL ONE GAS FURNACE AND 22' GAS PIPE.
-
GREG ADAMS NORTHWEST WATER HEATER
30171 :TPD Pt SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499 +
946-2555 984-6404
NOR IHWH103R2
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*** CONTRACTORS, PLEASE USE IOCATIQM CObi 17322 WOEN REPORtttl.G SALES LAX FOR PROJECTS WITHIN IHE CITY OF FLOUR NAY. J•.TAX RATE = 825 ***
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FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
6AS PIPING.: 22 ft HOOD • 0 0-3 HP • 0 NEC PRAT ISSUANCE... $ 20.00
FURNt100K..: 1 DUO WORK 0 3'15 HP... ..: 0 NEC APPLIANCE FEES.* $ 13.00
GAS NWT OWOOD STOVES...: 0 1 Jig NP n
(ONV BURNER: 0 FURN>IOU , .: O 31)-'01 0P_„: 01 „
6641........: 0 MIS( • U 54 I;P",.....: U 1
GAS DRYER..: 0 AIR HANDLING UNIT" 1 UFI. IW, - •'
RANGE • 0 (:10,000 CFM: 0 ii+ttt ,t 1,011, i!
GAS LOGS...: 0 .41 ,Z, ---Ak-'r'', 4
> t I' .+'.II ,,1' t IJI4 R0-�,IIR11_' ft ;St
� �` $ 33.00
'3aAA-:.� 'v"a�3?M..-. aW'.t.a#t ,.w...3,x'.:+Aa . Nat can,+sense va�avms:tussnatesats::e m+a:w.? tV:isn maatrt::cr.,+IC.mx:a.c�ZMIX R•araaaac MM.VW x t .*t •sa¢.w�aaaa»naa,saP.0 C. VM ee
'.savt.lamgcmc.umummmu,mm=mvu r � i T Yes t) No ([f °Yes" then water expansion tang . required on Hot Water Tank)
Does the vater supply systerF�o o , e ',u�o ' Chemo _,
� , ,fin� �.
Inspection Record Water ting 4, mechanical Inspect`n °" '`''tes:
GAS PIPING OK ' Date By
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PERMITS EXPIRE 1010 SAYS AF/F. 1SS!JA - !AMID. KESOOLNI AND GRADING PLHMITS EXPIRE ONE YIN €tlIN DATE OF ISSUANCE.
I CERtIFY (NE INFORMATION 6URNIs8E BY ME I' ANO IMRECT TO 18 4 St Of NY KNOWLEDGE AND THE APPLIAI'E Clly O1..FEOF.TtA1. MAY REQUIRENEHIS WILL 8E on.
//r "
OWNER OR AGENT
DATE y
w_...._._.---—
c ITY OF FEDERAL WAY ,, � PERMIT NO: BL 95 09 7
Way South1��� f". ,•° ��.,i it,,,r'ti �''' ,,. i i .. �;"��w E. °''�,tf" 11 ' ,'.: ISSUED: 11/07/95
3530 �Fi rst Wa
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 05/05/96
ADDRESS: 30171 3RD PL SW
NO. : 259970-0120
PROJECT DESCRIPTION:HVAC - INSTALL ONE GAS FURNACE AND 22' GAS PIPE.
= OWNER ---.._.-- _ - --•---- --
- CONTRACTOR ---_.. -----=--- T -_
LENDER ---- -..,_ ----_ _ �
i GREG ADAMS INORTHWEST WATER HEATER
30171 3RD PL SW 8201 DURANGO ST SW 1
FEDERAL WAY WA 98023 TACOMA WA 98499
1
946-2555 984-6404
NORTHWH103R2
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 *1* _
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS 1 FEES:
GAS PIPING.: 22 ft HOOD • 0 0-3 HP • 0 1 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 13.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 l
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS 1
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1
1 TOTAL FEES $ 33.00
1
_.. -__ . _- -- ..._ ======--=..--.--- -----. _. _---___.--
i Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK sate - _-- By ..
--- -- __-_ = - -_ --- •--- - •- -- --- --. _.
PERMITS EXPIRE 180 DAYS AFTE' ISSUA , !'' T D. ' S'DENT . AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION • RNIS, 1 J' I AND ,0:' 0 :EST OF MY KNOWLEDGE AND THE APPLI E C OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT .. DATE / CHS y--------....„
City of Federal Way 1
CITY OF ir--- 33530 First Way South
•
Federal Way, WA 98003
--- FETD —IrKFR.— (206)661-4000 IlLiNc-- - CY/0- a.'
APPLICATION FOR MECHANICAL PERMIT
el°
11995PAL ti• � 7 G id-
Single Family; Multi Family 0 Commercial ❑
Of SITE LOCATION:
Tenant/Owner: �'7/ / �f )in__J' Phone: ? s-• -- 5—
Address/Cit /State/Zi -3a l / _ T -
Address/City/State/Zip: , C: )1-211 -Lf/•4 Y Y 6f of
Nature of work: /A/ S'4,9z-c- 1/;KildCe Project Valuation: $ �3T
APPLICANT:
Name: /1/Gt) fr,(/y! /7
Address/City/St/Zip: s---Xac)-- t 12,412 /,1041 '4 / C-7/9 7�//�
Contact Person: (76-01 -flkidi-i3Phone: 2r--/ -S--- r V/ ax`W.-. /.d'- ' -
MECHANICAL CONTRACTOR:
Company Name: Al ir C'� - .9
Address/City/St/Zip: c5(Od T fkPiil v1 1 YEA- - ?,,f i/ 7
Contact Person: C2 rk Afe////07 Phone: S It�s C( .0S Fax: -3. " 4/...a- ''"
State L & I Contractor Registration #: ,716X-T //l)Ht de ----.
(Card must be presented) Exp. Date:
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping .-; Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's I Gas Log Unit Heater
Underground
Furn >100K BTU's Fans Boiler BTU/H
Miscellaneous
Gas Hwt Hood
Boiler BTU/H Other
Cony Burner Duct Work A/C TONS
Other
BBQ's Wood Stoves
A/C .....;
TONS Tnfal.l)nit t;atii;<it; <:; '
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true a •correct to the best of my knowledge and further that I am authorized by the owner of the above
premises to perform the work for which permit application is made. rther7gree to savej/mless the City of Federal Way as to any claim)including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which m• ••made by any person uding the under •,and filed against the City of Federay Way but only where such claim arises
out of the reliance of the City,including its officers and e..•oyees,upon t .rthe informs'• • ed to the City as a part of this application.
Owner/Agent: �i /ANN Date: ` ( 7 / J