94-102363i
CITY OF FEDERAL WAY
33530 First Way South MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-41.40
661-4000
ADDRESS:1030 S 289TH ST
NO.: 720580-0050
PROJECT DESCRIPTION: tech - adding us piping (25') & gas hot
Cox
OWNER TRACTOR
'ROTHY GRfFFTN NORTHWEST NATER HEATER
S 289TH 'if 8201 OUR4NGO $I so
FEDERAL NAY VA 98023 IACONA NA 984"
FUEI TYPES.:6AS;
FANS...
0
801
GAS PJIPIK.:
25 ft
HOOD.
0
0
FURN<1001..:
0
DUCT 'VORC.-
0
3
GAS HINT—.:
I
ow Sfoffs--
CONV BURNER:
0
rumto4t-.�.4..
0
809........,
0
MISC
GAS DRYER–:
0
AIR HANDitft G
RANGE......:
0
<-10,0OOCSM: -,#'
DUND:
A
CAS LOGS...:
0
> 10,000 cio"i
U#D.:
IENDER
PERMIT NO: BLD94-0973
ISSUED: 12/14/94
BY: KLC
EXPIRES: 06/12/95
IIPRE
gp-
W. KE
S
20.00
TR
A -�N
�nM%,A
-n
A EES
9.5fl
-1V
DUND:
0
U#D.:
0
TOTAL FEES
II
29.50
Does the water supply systes contain a Pressure Reduction Device or Check valve? Yes () No (If 'Yes* then water expansion tank is required on Hot later lank)
Inspection Record Water line OK Mechanical Inspection Notes:
GAS PIPING OK Date __ By
PiRJIITS EXPIRE 180 DAYS AFTER ISSUANCE If 00 WORK Is STARTED. RESIDENTIAL AND CRADIRG PERMITS EXPIRE 001 YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY HE IS TRUE AND CORRECT TO THE REST Of NY KNOWLEDGE AND THE APPLICARLE CITY Of fERERAL WAY REQUIREMENTS VILL Of NET.
DATE
OWNER O� A
FIELD COPY
CDO193
SE`TtIA.fS & FiifJTINGS
Date
By
FOUNOATICN
Date
By
PLlINlBim GRffUf�09W.0RK
Date.
By
UNDERFLOOR I=RAMING
Date
By
sEAR WALL5
Date
By
PLUMBING: ROUGH IN
Date
By
GAS PIPING
Date
By
MECHANICAL ROUGH-IN
. _ ......................... _
..............................................
Date
By
MECHANICAL ($fil'I1RRI
P
Date IZ —1
BY ML
FRAMING
Date
By
INSULATION
Date
By
GWR 1ST LAYER
Date
By
GWB::*.r::2W.M LAYER
Date
By
7
SUSPEN.D..EQ rOE#LING
Date
By
PLANNING: FINAL
Date
By
ENGINEERI.N(i FINAi.
Date
By
F.I.RE FINAL
Date
By
BUILDING FINAL
Date
By
OTHER
Date
By
OTHER
Date
By
CDO193
06
CITY F FEDERAL WAY
0Firstt
MECHANICAL PERMIT
MIT NO:
o�RISSUED:
HOOD...........
33530Way South
0
182/14/9473
Federal Way, WA 98003
Building Inspection Requests 661-4140
8Y:
KLC
661-4000
15-30 HP....:
EXPIRES:.
06/12/95
ADDRESS:1030 S 289TH ST
NO.: 720580-0050
PROJECT DESCRIPTION:mech - adding gas piping (25') 6 gas haat
ONNER
DOROTHY GRIFFIN
30 S 289TH ST
ERAL NAY NA 98023
FUEL TYPES.:GAS
GAS PIPING.: 25 ft
FURN<100K..: 0
GAS HNT....: i
CONY BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
CONTRACTOR
NORTHNEST NATER HEATER
8201 DURANGO ST SN
TACOMA NA 98499
984-6404
NORTHNH103R2
FANS..........:
0
BOILERS/COMPRESSORS
HOOD...........
0
0-3 HP.......
0
DUCT NORK.....:
0
3-15 HP...,.:
0
HOOD STOVES...:
0
15-30 HP....:
0
FURNMOOK.... .:
0
30-50 HP....:
0
MISC..........:
0
5f HP.......:
0
AIR HANDLING UNITS
FUE? TANKS ---------
<:10,000 CFM:
0
ABOVE GROUND:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
LENDER
FEES.
NEC FRMT ISSUANCE... $ 20.00
MFC ARPLIANCE F.ES. $ 9.50
TOTAL FEES $ 29.50
Does the mater supply system contain a Pressure Reduction Device or Check valve? O Yes O No (If 'Yes' then coater expansion tank is required on Hot Nater Tank)
Inspection Record Nater Line OK
GAS PIPING OK
Mechanical Inspection Notes:
Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY rTT 0 F RNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNONLEDGE AND THE APPLICABLE CITY OF FE ERAL NAY REQUIREMENTS KILL BE MET.
OWNER 0, A _-_ DATEJZ -
- ----------------------------------------------------
FILE COPY
CITY OF
City of Federal Way
33530 First Way South
Federal Way, WA 98003 46
(206)661-4000
APPLICATION FOR MECHANICAL PERMIT
PARCEL #• /iJIJ5 U Vl.�l J� lJ Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner: bY &' Phone;
Address/City/State/Zip: -�{� 1 ' �C1���
Nature of work:='�lt-i-i \� `�/ -V Project Valuation: §4 l
1
aaa
Name
Addres
� � I
Contact Person: Phone: �Fax: V7�
MECHANICAL COntTQAt -rnQ.
Company Name:
Address/City/St/-i
r
Contact Person- Phoneasz` �Fax:
State L & I Contractor Registration #:' 1 U ��_ Ott 1( _ - Exp. Date: C
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling < = 10,000efm
Fuel Tanks:
Length of gas piping r
'J Range
Air Handling > = 10,000cfm
Above Ground
Furn <1OOK BTU's
Gas Log
Unit Heater
Underground
Furn >I OOK BTU's
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
BBO's
Wood Stoves
A/C TOUS
DISCLAIMER: 1 certify under penalty of perjury that the information furnished by me is true and correct to the beat of my knowledge and further that 1 am authorized by the owner of the above
premises to perform the work for which permit application Is made. 1 further agree to save harmless the City of Federal Way as to any daim (including costs, expenses and attorneys' fees
incurred in investigation and defense of such daim), which may be made by any person, including the undersigned, and filed again at the City of Fodaray Way but only where such claim arises
out of the reliance of the City, including its officers srxqmployees, upon the accuracy of the information supplied to the City as a part of this application. -
Owner/Agent:
Date-