95-100703CITY F FERAL
335300F i rstDEWay South MECHANICAL P
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:31008 39TH PL SW
NO.: 758200-0070
PROJECT DESCRIPTION :HVAC - INSTALL 1 FURNACE AND UP TO 99' GAS PIPE.
OWNER
ROBERT DODSON
31008 39TH PL SW
FEDERAL WAY WA 98023
838-9150
CONTRACTOR
EAST HILL HEATING 6 COOLING
1621 S CENTRAL 1144
KENT WA 98031
854-4444
EASTHHCO99LG
LENDER
9 S- /00 763
PERMIT NO: BLD95-0261
ISSUED: 04/11/95
BY: FC
EXPIRES: 10/08/95
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 99 ft
HOOD..........:
0
0-3 HP......: 0
MEC PRMT ISSUANCE...
$ 20.00
FURN<100K..: 1
DUCT WORK.....:
0
3-15 HP..... 0a" r _ ��
MEC APPLIANCE FEES.*
$ 13.00
GAS NWT....: 0
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
$ 33.00
Does the water supply
system contain a
Pressure
Reduction Device or Check valve? () Yes () No
(If 'Yes' then rater expansion tank is required
on Hot Water Tank)
Inspection Record
Water Line OK
Mechanical Inspection Notes:
GAS PIPING OK _
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 THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENTCcT,_e�_�- - -' ? DATE
FILE COPY
City of Federal Way •
OF 33530 First Way South
- E� Federal Way, WA 98003 1� oal, f
(206)661-4000 I
�
CITY
APPLICATION FORM q PERMIT
R �ED
PARCEL LL 5 �'` 2 �'. _ 'L) ,.7 r Sin**44 05
Multi -Family 0 Commercial O
CITY OF FEDERAL WAY
SITE LOCATION: gUIL,DING DEPT.
Tenant/Owner: e'' (i 1�
.r(y� k-.-)
��QC>v� Phone: e3
Address/City/State/Zip: (� _ 3 1 DL -x-) tf
TIL
Nature of work: Project Valuation: $
APPLICANT:
Name
Address/City/St/Zip:
Contact Person: Phone:
MECHANICAL CONTRACTOR:
Company Name:
F-1 COD[I"IX
Fax:
Address/City/St/Zip: -� �' 3yv u t, h clt_ e 03 I
Contact Person: h t i I jDLS Phone: _ 4`f`� Fax: Wilts
g'5�' N /f(rl} Ex Date: /
State L & I Contractor Re Istration #: ��%C-'(�- p,
(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
A/C
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 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.
Owner/Agent: �� y� �� Date:
CITY
F FEDERAL WAY
335300First Way South MECHANICAL P
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:31008 39TH PL SW
NO.: 758200-0070
PROJECT DESCRIPTION : HVAC - INSTALL 1 FURNACE AND UP TO 99' GAS PIPE.
OMNFR
ROBERT DODSON
31008 39TH PL SW
FEDERAL MAY WA 98023
838-9150
FUEL TiPES.:GAS ?
GAS PIPING.: 99 ft
FURN<1OGK..: I
GAS HMT....: 0
CONY BURNER: 0
RBQ........ . 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
CONTRACTOR
EAST HILL HEATING 6 COOLING
1521 S CENTRAL 144
KENT WA 98031
PERMIT NO: BLD95-0261
ISSUED: 04/11/95
BY: FC
EXPIRES: 10/08/95
I h _FT "4i Pflt 'SORS FEES:
JC A
FUh, 1Ot,
AIR t ilD+ jkll, Fo" LANK:
<=10,4tlir CFS, 3 �a"'ABOVE GROUND:
> 10,OOVCFM: 0 UNDERGROUND.: 0
TOTAL FEES
20.00
= 13.00
$ 33.00
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (It 'Yes' then nater expansion tank is required on Not Nater Tank)
Inspection Record Mater Line OK tv
/ Mechanical Inspection Notes:
GAS PIPING OK ^ �. 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 THE INFORMATION FURNISHED BY ME IS TRUE
AND CORRECT TO THE BEST OF MY
KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL
BE MET.
OWNER OR AGENT—11 �s...i L4�_ ___:._-,��_;i_
_�
—_---------
DATE
FIELD COPY
`�