95-1007959 5 -/a0795
CITY OF FEDERAL WAY M (� AN I G L P j
PERMIT NO: BLD95-0305
' ' lS , cf ink L ' 1 jo1T
?FeNera�l �iVay, k HM ui ding Inspection equests 6 —4
661-4000 EXPIRES: 10/18/95
ADDRESS:33507 39TH AVE SW
NO.: 109961-0250
PROJECT DESCRIPTION :HVAC - ADD GAS PIPING (30') & FURNACE TO 100,000 BTU
OWNER
TOW O'RORK
33507 39TH AVE SW
FEDERAL WAY WA 98023
661-7564 839-1834
CONTRACTOR
OHMSTEAD CHIMNEY
16635 16TH AVE SW
SEATTLE WA 98166
244-9257
OHMSTC+132ON
LENDER
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 30 ft
HOOD..........:
0
0-3 HP......: 0
MEC PRMT ISSUANCE...
$ 20.00
FURN<100K..: 1
DUCT WORK.....:
0
3-15 HP.....: 0
MEC APPLIANCE FEES.$
$ 13.00
GAS HWT.... : 0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER: 0
FURN>1OOK.....:
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 water 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 INFORMATIIOON FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OL OWNER OR AGENT `���C__ _____ GATE
w
FILE COPY
CITY (
�rFdW
City of Federal Way �-- 63C)15
33530 First Way South
Federal Way, WA 98003
(206)661-4000 RECEIVED
APPLICATION FOR MECHANICAL PERMIT APR 2' 1995
PARCEL &• Z/ 2 22/2/r2 Single Family Q
SITE LOCATION:
Tenant/Owner:
su
Address/City/State/Zip: _NL
Nature of work:
APPLICANT:
Name
Address/City/St/Zip:
CITY OF FEDERAL WAY
Multi -Family El t3UIL,D ficial 0
Contact Person: Phone:
MECHANICAL CONTRACTOR:
Company Name:
K
Phone:-�� 4-3/ ,lk3j/
Project Valuation: $ /,1 7LI;20
Fax:
Address/City/St/Zip: - �663S Z,,,6, 9,0- 6
Contact Person: ` - Phone: Zy/�92-�7 Fax:
State L & I Contractor Registration #: '� Exp. Date: �— �s
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
I3
Gas Dryer
Air Handling <
= 10,000cfm
Fuel Tanks:
Length of gas piping//
Range
Air Handling >
= 10,000cfm
Above Ground
Furn <100K BTU's
K
Gas Log
Unit Heater
Underground
Furn >I OOK BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
Wood Stoves
A/C
TONS
ii,
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 Froderay 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 tNs application. /J
Owner/Agent: Date:
CITY OF FEDERAL WAY
'iiS cf tAl LL N VG4 Ae�derai ay,U 5900 ui ding Inspectionequests —_4 M
1661-4000
ADDRESS:33507 39TH AVE SW
NO.: 109961-0250
PROJECT DESCRIPTION : HVAC - ADD GAS PIPING (30') 6 FURNACE TO 100,000 BTU
OWNER CONTRACTOR - LENDER
TOMO'RORK 4HMSTEAD CHIMNEY
33507 39TH AVE SW 16635 16TH AVE SW
FEDERAL MAY WA 98023 SEATTLE WA 98166
661-7564 839-1834
FUEL TYPES.:GAS ?
GAS PIPING.: 30 ft
FURN<160K..: I
GAS HMT....: 0
CONV BURNER: 0
BBQ.... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
FANS..., 0
HOOD,
VOP STOVES n
IS .. .11, .,6 ,,
244-9257
30
z
ND OUND.
FEES:
PERMIT NO: BLD95-0305
t r<np: qfp i vnii
EXPIRES: 10/18/95
Does the rater supply system contain a Pressure Reduction Devi Vor Check valve? +1 Yes 0 No (if `Yes' then voter expansion tank is required on Not Water Tank)
Inspection Record Mater tine OK Mechanital s c ion otos: _
GAS PIPIN OK 5-1- S' \\_ By
,
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS tXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF 0 KNOWLEDGE AND THE APPLICABLE CITY OF FFDERAI WAY REQUIREMENTS WILL BE Mf T.
OWNER OR ADEN'
FIELD COPY