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95-100874r t i CITY OF FEDERAL WAY MECHANICAL P PERISSUED: 05/03/9541 33530 First Way South Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC 661-4000 EXPIRES: 10/30/95 ADDRESS:2538 S 302ND PL NO.: 365500-0100 PROJECT DESCR I PT ION: MECHANICAL - 70 FT PIPING, FIREPLACE INSERT = OWNER �ARNWELL 8 S 302ND PL FEDERAL WAY WA 98003 -4457 GASLPIPIN6::1110 It FURN0 00K..: 0 DUCT WORK.....: 0 GAS HWT....: 0 WOOD STOVES...: 0 CONV BURNER: 0 FURN>100K.....: 0 BBQ........: 0 MISC..........: 0 GAS DRYER..: 0 AIR HANDLING UNITS RANGE......: 0 <-10,000 CFM: 0 GAS LOGS...: 1 > 10,000 CFM: 0 CONTRACTOR NORTHWEST WATER HEATER 8201 DURANGO ST SW TACOMA WA 98499 984-6404 NORTHWH103R2 ovl��n��vv�rn�aavp� U3-15 HP...... 00 15-30 HP..... 0 30-50 HP..... 0 5+ HP........ 0 FUEL TANKS --------- ABOVE GROUND: 0 UNDERGROUND.: 0 LENDER NEC PRMT ISSUANCE... ¢ 20.00 NEC APPLIANCE FEES.$ ; 9.50 TOTAL FEES f 29.50 ofthe 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 PERMITS EXPIRE 180 DAYS AFTIR ISSUA I CERTIFY THE INFORMATION F RNIB ED OWNER OR AGENT 1 IF Date By WOR IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCF,,I TRU AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE Cl? 0 FEDERAL AY R14UUIREMENTS WILL BE MET. 5DATE C)�-------- ) I FILE COPY t 5 /©0177' CITY OF FEDERALoY E F1 I 1 CAl R I T PER,MIT NO:SSUED: BLD95 33530 Firs*tWayy South Federal -Way, WA 98003 Building Inspection Requests 661-4140 BY: FC 661-4000 EXPIRES: 10/30/95 ADDRESS:2538 S 302ND PL NO. : 365500-0100 PROJECT DESCRIPTION:MECHANICAL - TO FT PIPING, FIREPLACE. INSERT OWNER a 9..-..1111.11=====, R BARNWELL NORTHWEST WATER HEATER 2538 S 302ND PL 8201 DURANGO ST SW FEDERAL WAY WA 98003 TACOMA WA 98499 -445i 944-4404 NORINNI1103R2 ��}} Il ;til.PJG.:GAgO it gg. -----7T B . 5 C PRMI ISSUANCE... i 2000 ....... FUR$<100K..: 0 DUCT WORK * 0 3-15 HP...... 0 Q NEC FEES.* $ 9.50 GAS PWT • 0 WOOD STOVES..r`: 0 15-3i NP.... ti CONY BURNER: 0 1011101 001(....,': O 11_.1.i: HF .. BBQ ' 0 MISC.. * 3 Sf }i;' .. n GAS DRYER..: 0 AIR MIlltING OWIT\FUti. itOis -A----- RANGE... 0 <_10,u'p' CIN e Atl r GP:UNE. 4 GAS LOGS...: I > IO,f' a 7F11. P UND+.H(t ONO.* 0 TOTAL FEES $ 25.50 Does the water supply system contain ai Pressure Reduction Device or Check valve? () Yes () No (It 'Yes' then water expansion tank is required on Rot Water Tank) Inspection Record Mater tine OK Mechanical Inspection Notes: GAS PIP,NG `:. _` Date BY_—__.4........ _ w.. i PERMITS EXPIRE IAO DAYS AF ER ISSUA ' If 0 WO' IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANC�E I CERTIFY THE INFORMATION URN 'HED : N. S TR AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY F FEDERAL WAY REM IREMENTS WILL 81: MET. OWNER OP AGENT GATE (..)� FIELD COPY City of Federal Way rt�y� CITY OF • 33530 First Way •South �- Federal Way, WA 98003 V V (206)661-4000 APPLICATION FOR MECHANICAL PERMIT PARCEL AL ��� UtISs \ S"c- S Single Family Multi -Family ❑ Commercial ❑ SITE LOCATION: Tenant/Owner:�-°'--`� Phone: ���'��� Address/City/State/Zip: Z 5 R S.. 3 �ZsZL_ �S`\ -q- �;- WL -A CA'1� Sid Nature of work: \".Q- Project Valuation: $ Z =� APPLICANT: f� Name: . i.. r w. Address/City/St/Zip:, A b �- ¢ S ��� ���'-`✓-�y �� \ Z Contact Person: �^� ��, �"�- �- "`J'--��`''ti Phone: �-� - t`� Fax: MECHANICAL CONTRACTOR: Company Name: Y -"j 1,� �'' _J " - Address/City/St/Zip: - Z �' �\^�.' p -,- -\.Q Contact Person: U""� _Q_ `<- " Phone 3-z L. — $ \ u. " Fax: Z -Z State L & I Contractor Registration #: :�'�tT�� `"' �` �\-L Exp. Date: (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 > 100K BTU's Fans Boiler BTU/H Miscellaneous Gas Hwt Hood Boiler BTU/H Other Conv Burner Duct Work A/C TONS Other 17v��7+A/Q 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 (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 Federsy Way but only where such claim arises out of the reliance of the City, including its officers and employees, upon the accurafy of th9 information supplied to the City as a part of this application. - Owner/Agent: Date: " jy3 `��; .