94-102453CITY
RAL
335300FirstEWay South MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:33201 26TH PL SW
NO.: 894430-0660
PROJECT DESCRIPTION: HVAC - INSTALL GAS FURNACE.
OWNER CONTRACTOR — LENDER
KENT FRANZ NORTHWEST WATER HEATER
33201 26TH PL SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA NA 98499
984-6404
NORTHNH103R2
9 y-iod- Y,3
PERMIT NO: BLD94-1027
ISSUED: 12/30/94
BY: FC
EXPIRES: 06/28/95
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 0 ft
HOOD...........
0
0-3 HP......: 0
'
NEC PRMT ISSUANCE...
S 20.00
FURN<IOOK..: 1
DUCT WORK.....:
0
3-15 HP.;...: 0
NEC APPLIANCE FEES.X
S 10.00
GAS NWT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER: 0
FURNA 00K.....:
0
30-50 HP....: 0
BBQ........: 0
MISC..........:
0
5t 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
$ 30.00
Does the mater supply
system contain a
Pressure
Reduction Device or Check valve?
(} Yes (} No (If 'Yes' then mater 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 NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT- NFORMA ON FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APP ICABL CITY OP' FERERAL NAY REQUIREMENTS WILL BE MET.
30"R 0 AGEW DA
1yVy
FILE COPY
City of Federal Way
CITY OF 33530 First Way South
Federal Way, WA 98003
`\\\ (206)661-4000
APPLICATION FOR MECHANICAL PERMIT
PARCEL # + ( ��Q US 01D Multi -Family ❑
y Single Family
SITE LOCATION:
Tenant/Owner: �= vLt `r'+ V C'-
Address/City/State/Zip: 70\
Nature of work: �� Z
APPLICANT:
Name:
Phone:
_ 02-7
Commercial ❑
v ��
Project Valuation: $-1
Address/City/St/Zip: ,_7X1 2__l c4ll«V - /H J
� � t'1 ��v�) q 7� �� Fax: Lam'
Contact Person Phone:
MECHANICAL CONTRACTOR:
Company Name:
Address/City/St/Zip:
Contact Person:
State L & I Contractor Registration #
(Card must be presented)
MECHANICAL UNIT COUNT:
Phone: �` Fax:
Exp. Date:
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 >IOOK 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
N�i
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true end correct to the best of my knowledge and further that I rut authorized by the owner of the above
premises to perform the work for which permit spplica 4* Is made. I further agree to save harmless the City of Federal Way w to any claim (including coats, express and attorneys' fees
incurred in investigation and defense of such dakn), wch tttay be made by any Porson. Mduditq the undersigned, and filed agdtrt she City of Federay Way hxR only where such claim arises
out of the reliance of the City, indudiltg ills. oftipans and m yeas, upon the accuracy of the information supplied to the City as a part of this application. s -
Own
Date: / ��
CITY OF FEDERAL WAY
335,30 First Way South MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661--4000
ADDRESS:33201 26TH PL SIN
NO-: 894430-0660
PROJECT DESCRIPT ION : HVAC - INSIALL GAS FURNACE.
OWNER CONTRACTOR -_—=__� � I . - - - — = LENDER
KENT FRANZ NORINNEST MATER HEATER
33201 26TH PL SO 4201 WRANGO ST SO
FEDERAL WAY VA 98023 TACOMA NA 98499
984-6404
40AIMNiOSK2
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN(IOOI..: I
GAS HOT_.: 0
CONV BfJRNFR: 0
ORO. . ...... : 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
PERMIT NO:
ISSUED:
BY -
EXPIRES:
BLD94-1027
12/30/94
FC
06/28/95
FANS..... ... I ER
-4 41". : 0 tel AT S 20.00
0
F*)IOof 0 30-Y't up
0
AIR HA61.14C, 001% FOR I Alws
0 ABOVE 6ROU#D- 0
> 10,0064FIII: UNDERGROUND.: 0 TOTAL FEES 1 50.00
Does the mater supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (it *Yes* then rater expansion tank is required on Not Water lank)
inspection Record Water Lim OK Mechanical Inspection Notes:
61S
I 1A 8y
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 I*. 1INfORNATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST Of MY KNONLEDGE AND THE APPICABIE CITY Of FFRERAL NAY REQUIREMENTS MILL BE Off
11AIZI
�IWPFR 0 ENT
FIELD COPY