94-102150I I A�, ��qtcqb
'CITY OF FEDERAL WAY PERMIT NO: 11/009/94
335:0
33530 First Way South MECHANICAL PERMIT IS -SUED: 11/09/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/08/95
ADDRESS:1471 S 302ND ST
NO.: 025300-0070
PROJECT DESCRI PT TON: MECHANICAL - ADD 10' GAS PIPING & NOT
ONNER
F.W. CWRCILL
1411 S. 302 ST
FEDERAL NAY VA 98003
FUEL TYPES.:GAS; ?
GAS PIPING.: 10 ft
fURN(I001..: 0
GAS ONT....: I
CONV BURNER: 0
ON.......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS—: 0
CONTRACTOR
NORTMEST NATER HFAIER
8201 DURAWA ST 50
TACOMA #A 984"
LENDER
FEES:
MEC PRMI ISSUANCE... 1 20.00
anAWSAMANCE FFES,f S 9.50
TOTAL FEES $ 29.50
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (if *Yes' then water expansion tank is required on Not later Tank)
Inspection Record later Line 01 Machanir-, Inspection motes: ------
;APs PIPING a te )J�I/jy
1 15 1�
PEP"ITS EMPIRE 180 DAYS AFTER ISSUANCE If NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE DOE YEAR AFTER DATE Of ISSUANCE,
I CERTIFY THAT THE INFORMATION FORNISIO BY ME IS TRUE AND CORRECT TO THE BEST Of NY INONLEOGE AND THE APPIICARI f CITY OF FIR[RAt MAY Pf(MIREMENTS MILL k h
OWNEGI} AGEN_I DATE
FIELD COPY
jm
ti
f ANS. 0
OILERS
0
0
[41C I Vogt 0
HP Tn
4�
NOW
7r5i%'i l
*50 48
LENDER
FEES:
MEC PRMI ISSUANCE... 1 20.00
anAWSAMANCE FFES,f S 9.50
TOTAL FEES $ 29.50
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (if *Yes' then water expansion tank is required on Not later Tank)
Inspection Record later Line 01 Machanir-, Inspection motes: ------
;APs PIPING a te )J�I/jy
1 15 1�
PEP"ITS EMPIRE 180 DAYS AFTER ISSUANCE If NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE DOE YEAR AFTER DATE Of ISSUANCE,
I CERTIFY THAT THE INFORMATION FORNISIO BY ME IS TRUE AND CORRECT TO THE BEST Of NY INONLEOGE AND THE APPIICARI f CITY OF FIR[RAt MAY Pf(MIREMENTS MILL k h
OWNEGI} AGEN_I DATE
FIELD COPY
CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:1471 S 302ND ST
NO_: 025300-0070
PROJECT DESCRIPTION: MECHANICAL - ADD 10' GAS PIPING 5 HMT
OWNER
F.W. CHURCILL
1471 S. 302 ST
FEDERAL NAY NA 98003
CONTRACTOR
NORTHWEST MATER HEATER
8201 DURANGO ST SW
TACOMA NA 98499
LENDER
PERMIT NO: BLD94-0872
ISSUED: 11/09/94
BY: FC
EXPIRES: 05/08/95
Does the water supply systes contain a Pressure Reduction Device or Check valve? O Yes O No (If 'Yes' then rater expansion tank is required on Hot Nater Tank)
Inspection Record Water Line OK
GAS PIPING OK
Mechanical Inspection Notes:
Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE 0 NATION FURN E BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET,
=""------------------------------------------- DATE---i—
OWNER�R'AGENT - 4---
FILE COPY
984-6404
NORTHWH103R2
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.:
10 ft
HOOD..........:
0
0-3 HP......: 0
NEC PRMT ISSUANCE...
$ 20.00
FURN<100K..:
0
DUCT WORK.....:
0
3-15 HP.....: 0
NEC APPLIANCE FEES.$
S 9.50
GAS HNT....:
1
WOOD STOVES...:
0
15-30 HP....: 0
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 ---------
RANGE ...... :
0
<:10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
$ 29.50
Does the water supply systes contain a Pressure Reduction Device or Check valve? O Yes O No (If 'Yes' then rater expansion tank is required on Hot Nater Tank)
Inspection Record Water Line OK
GAS PIPING OK
Mechanical Inspection Notes:
Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE 0 NATION FURN E BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET,
=""------------------------------------------- DATE---i—
OWNER�R'AGENT - 4---
FILE COPY
RECEIVED
CITY OF
City of Federal Way 0
33530 First Way South NOV 0 91994
Federal Way, WA 98003
rflEm (206)661-4000
CITY OF FEDERAL WAY
APPL ICA TION FOR MECHAN/CAL PERMIT BUILDING DEPT..
PARCEL it, tet; ��� V( 00(2 JO__ C%1 Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner: Y", a) ' Phone:
Address/City/State/Zip:
n J f
Nature of work: i I ✓ Project Valuation: $
APPLICANT:
Name
Address/City/St/Zip-
Contact Person: Phone:SZ7- k161-( Fax: 1C��Z
MECHANICAL CONTRACTOR:
Company Name:
Address/City/St/2-
Contact
ddress/City/Stn
Contact Person:
Phoned z V70D Fax:
State L & I Contractor Registration #: %/ � `! --��� 7: Exp. Date: i7
(Card must be presented)
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
Gas Log
Unit Heater
Underground
Furn > 10OK BTU's
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
Wood Stoves
A/C TONS
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the beat 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 (including costs, expenses and attorneys' fees
incurred in investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of Federay Way but only where such claim arises
out of the reliance of the City, including its fficers and empl,7ees, upon the accuracy of the information supplied to the City as a part of this application. -
Owner/Agent: L Date: