95-1005841 4
CITY MIT NO:
33530First ODEWay South MECHANICAL P RAL WAYPERISSUED: 03/23/9514
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 09/19/95
ADDRESS:34805 31ST PL SW
NO.: 279150-0180
PROJECT DESCRIPTION :HVAC - INSTALL ONE FIREPLACE INSERT AND 33' GAS PIPE.
= OWNER
BRUCE MCDONALD
O05 31ST PL SW
ERAL WAY WA 98023
661-5614
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA WA 98499
984-6404
NORTHWH103112
LENDER
FUEL TYPES.:GAS ?
FANS..........:
0
80ILERSJCOMPRESSORS
FEES:
GAS PIPING.: 33 ft
HOOD..........:
0
0-3 HP......: 0�����
NEC PRMT ISSUANCE...
5 20.00
FURNO OOK..: 0
DUCT WORK.....:
0
3-15 HP.....: 0
'"" T
NEC APPLIANCE FEES.$
i 9.50
GAS HWT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
:�"" :: ".k � I. &'`
CONV BURNER: 0
FURN>100K.....:
0
30-50 HP....: 0
BBQ........: 0
MISC..........:
0
5+ HP.......: O.
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
--------RANGE......:
RANGE ...... 0
(_10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...: 1
> 10,000 CFM:
0
UNDERGROUND.: 0
0
TOTAL FEES
f 29.50
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 CORREOT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ------------------------------------------- DATE �?
FU COPY
City of Federal Way
CITY OF G 33530 First Way South
Federal Way, WA 98003
CJ (206)661-4000 r
APPLICATION FOR MECHANICAL PERMIT
PARCEL 2-a9 I YDSI ()'D --W.�
Single Family (.,►(ku(ti-Family fl Commercial ❑
SITE LOCATION: MAR 2 3 1995
CITY OF FEDEHq
Tenant/Owner: RI 111 01411
Address/City/State/Zip:
Nature of work:PDProject Valuation:
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: , \e�Z
Address/City/St/Zip:
Contact Person: ,�yPhone: <� Fax, '7 Z
State L & I Contractor Registration #: 1 1 Z�y Exp. Date: �T
(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 <1OOK BTU's
Gas Lo
Unit Heater
Underground
Furn > 100K 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
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge and furdw 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 an to any claim (including coats, axpensss 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 infgfmation supplied to the City as a part of this application.
Owner/Agent: 'J�`j lam/ � = Date: 2
I
CITY OF FEDERAL WAY
33530 First Way South MECHANICAL P
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:34805 31ST PL SW
NO.: 279150-0180
PROJECT DFSCRIPTION:HYAC - INSTALL ONE FIREPLACE INSERT AND 33' GAS PIPE.
OWNER - — - CONTRACTOR =—
BRUCE MCDONALD NORTHWEST MATER NEATER
IN905 31ST PL SW 8201 DURANGO ST SW
FRAL WAY WA 98023 TACOMA '4A 98499
661-5614 Baa-Arsx
NORINWH103R2` '
LENDER
PERMIT NO: BLD95-0214
ISSUED: 03/23/95
BY: KLC
EXPIRES: 09/19/95
FUEL TYPES.:GAS ? FANS........ 0 BOILERS CNIPI c: c FEES:
R t d
GAS PIPING. 33 ft H04D.....,
.n_ n 0-� �
� Hr,�..... NCE... >� 20.00
P
FURN<IOOK..: 0 DUCT MR1 t ;0 ,_115 OP....., 0 A FEES.' 11 9.50
GAS NWT....: 0 MOOD $ 30 # ik
e
CONY BURNER: 0 FUR�0� 0
BBQ......... 0 misc..
GAS DRYER..: 0 AIR RAN
RANGE......: 0 <=10,00 GR e.': 0 ;
GAS LOGS...: i > 10,000 ERGROUND.: 0
TOTAL FEES 1 29.50
Does the rater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (Ii 'Yes' then water expansion tank is required on Not Mater Tank)
Inspection Record Water line Or
GAS PIPING OF
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 THE INFORMATION FURNISHED BY ME IS TRUE ANF�ORJT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BF
4NER OR AGENT DATE
FIELD COPY