94-102361CITY OF FEDERAL WAY
33530 First Way South
Federal Way. WA 98003
661-4000
Building Inspection ReqUeSts 661-4140
ADDRESS:726 S 291ST ST
NO.: 515291-0010
PROJECT DESCRIPTTON-.HVAC - INSTALL GAS FURNACE A 40' GAS PIPE.
O#HFR
MARGARET WAD
S 791ST sl
ITERAL WAY NA 98003
CONTRACTOR
FUE), tYPES.:GAS ?
FANS...........
4
BOIL IRS[ORPRESM,
GAS PIPING.:
40 ft
HOOD� .........
0
0-3 of, .....
0
FURN< 100K..:
I
DUCT NORK.- —
0
3-0 111--:
GAS HNT.... <
0
4000 SMVES—.
0
1 5,�-50 NP..
COPY BORNER:
0
30-5 P.,.,:
GAS DRYER..:
0
AIR HANDLI* *T$
FIRL
RANGE......:
0
10,000 ON:
-` e
WYE 16ROUNO:
0
QS LOGS...:
0
10,000 CFO:
0
UNDERGROURD.:
0
Does the water supply systes contain a Pressure Reduction Device or Check valve?
Inspection Record Nater Line OK Nechanical Inspection
GAS PIPING OK Date/,0,03y
_ X? -e-
Notes:
# �tlbu I ,
PERMIT NO: BLD94-0983
ISSUED: 12/14/94
BY: KLC
1� EXPIRES: 06/12/95
NEC
TOTAL FEES
... $ 20.00
M-4 13.00
1 33.00
() Yes () No (it 'Yes' then water expansion tank is required on Not later Tank)
PERMITS EXPIRE 160 DAYS AFTER ISSUANCE IF NO NORK 15 STARTED. RESIDENTIAL AND GRADING PERNTITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY HE 15 TRUE AND CORRECT TO THE BEST OF MY tMOILFOGE AND THE APPLICABLE CITY Of FFREPAL MY REQUIREMENTS HILL BE NUI.
jj OX
00HER 0 'AGENTDATE
- - --------------- - - - ------
L;� L�� �l�_ / n i/ /
6 A)
FIELD COPY
10 V
CITY
3353O0First£RAL Way South MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:726 S 291ST ST
NO_: 515291-0010
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE 6 40' GAS PIPE.
OWNER --
MARGARET WARD
S 291ST ST
ERAL NAY NA 98003
CONTRACTOR
LENDER
PERMIT NO:
ISSUED:
BY:
EXPIRES:
BL_D94-0983
12%1.4%94
KL_C
06/12/95
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
FEES:-
GAS PIPING.: 40 ft
HOOD..........:
0
0-3 HP......: 0
NEC PRMTISSUANCE...
$ 20.00
FURN<100K..: 1
DUCT WORK.....:
0
3-15 HP....... 0
NEC APPLIANCE FEES.*
$ 13.00
GAS HNT....: 0
WOOD STOVES,..:
0
15-30 HP....: 0
CONV BURNER: 0
FURN>IOOK.....:
0
30-50 HP....: 0'
BBQ........: 0
MISC..........:
0
5+ HP.....,.: 0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0
<:10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
$ 33.00
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 Nater Tank)
Inspection Record
Nater Line OK
Mechanical Inspection Notes:
GAS PIPING OK
Date By
I
PERMITS EXPIRE 180 DAYS AFTER ISSU CE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY TH T OR
UR BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNONLEDGE AND THE AW
ERAL NAY REQUIREMENTS WILL BE MET.
OWNER 0 AGENT _ ---------------------------------------------- DATE
FILE COPY
City of Federal Way
CITY OF a 33530 First Way South
® r
� -0 Federal Way, WA 98003 0 O�
(206)661-4000 L 1 T
APPLICATION FOR MECHANICAL PERMIT
PARCEL it- Single Family Multi -Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: C kai cL, Phone-:
Address/City/StateJZip:
Nature of work: Project Valuation: $ !
APPLICANT: t
Name:
260
l �_
Address/City/St/Zip;�' G'/� J'l�C
P? �/- ��
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: L✓ "rz
Address/City/St/Zip- c_J1 Gt ll�_c�z
Contact Person: Phone: r'�` 1o� Fax:
State L & I Contractor Registration #: �4 64 L) - W) k -2-' Exp. Date: )Z/ Z / L'fL/
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling < = 10,000cfm
Fuel Tanks:
Length of gas piping L
Range
Air Handling > = 10,000cfm
Above Ground
Furn <1o0K BTU's
Gas Log
Unit Heater
Underground
Furn > 100K BTU's
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
Wood Stoves;
AIC TONS
DISCLAIMER: I certify under penalty of perjury that the Information furnished by me is true and 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. I further agree to save harmless the City of Federal Way as to any claim Gncluding costs, expenses " attorneys' fees
incurred in investigation and defense of such claim), which may be made by any person, including the undersigned, and filed againat the City of Federay Way but only where such claim arises
out of the reliance of the City, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this application.
i"
OwnerJAgent: l t Date: L_Zllaz�zz