94-102203L.J
y
33S30OFirstt Way South MECHANICAL PERMIT CITY F FEDERAL PERISSUED: MIT NO: 81/96/9497
Federal Way, WA 98003 Building Inspection Requests 661-4140 8Y: FC
661-4000 EXPIRES: OS/15/9S
ADDRESS:33315 33RD PL SW
NO_: 954280—01SO
PROJECT DESCRIPTION: HVAC - ADD GAS FURNACE 6 HNT
OWNER
GEORGE KOSUE
33315 33RD PL SN
FEDERAL WAY NA 98023
814-1943
CONTRACTOR
LENDER
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 0 ft
H00D..........:
0
0-3 HP......; 0
NEC PRMT ISSUANCE...
Y 20.00
FURN<100K..: 1
DUCT WORK.....:
0
3-15 HP.....; 0
NEC APPLIANCE FEES.*
= 16.50
GAS HWT....: 1
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER: 0
FURN>IOOK.....:
0
30-50 HP....: 0
880........: 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
$ 36.50
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 THAT THE INFORMATION FURNIS ME OE AND CO T TO THE BEST Of MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NA REQUIREMENTS WILL BE MET.
OWNER OR AGENT ------------ ----- - - ------ ------------------------------------- DA?: -- r -
FILE COPY
City of Federal Way RECEIVED
CITY OF 33530 First Way South `
_ Federal Way, WA 98003 WOV 161994
(206)661-4000
,11�^ '
APPL ICA TION FOR MECHAN/CAL PERMI ITY OF FEDERAL WAYBUILDING DEPT
0 PARCEL A- nz'60 () Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner: Phona:
��� �-�� / / l� iL
,�a ' ✓
Address/City/State/Zip:
Nature of work: ��� f� 7 rT� -;y- Project Valuation: $
APPLICANT:
Name
Address/City/St/Zip:
Contact Person: Phone:
MECHANICAL CONTRACTOR:
Fax:
Company Name:
Address/City/St/Zip: �� �1,ZZL
Contact Person:`' ��r[ Phoneme Fax:
State L & I Contractor Registration #:-1'T`Exp,
(Card must be presented)
MECHANICAL UNIT COUNT:
t�� �'
Date;/ �-
7_
Fuel Typ gas ther)
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
Hwt /
Hood
Boiler
BTU/H
Other
tvC,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 beat of my knowledge and further that I sm authorized by the owner of the above
premises to perform the work for which permit application h 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 Fedaray 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: /�� Date: ��'
33530CITY 0First Way WAY
South MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:33315 33RD PL SW
NO.: 954280-0150
PROJECT DESCRIPTION: HVAC - AV) SAS FURNACE & HMT
OMMER --
GEORGE KOSUE
;3315 33RD PL SN
FEDERAL NAY MA 98023
874-1943
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K .: 1
GAS HMT....: 1
CONV BURNER: 0
680......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
CONTRACTOR
NP
DUCI ":,V 3 ► Nim', �,
0
MIS +p
m r.
AIR G L ----
<-10, 0 �ABOVE GROUND: 0
> 10,000'afl. UNDERGROUND.: 0
ITNDER
TOTAL FEES
PERMIT NO: BLD94-0897
ISSUED: 11/16/94
BY: FC
EXPIRES: 05/15/95
E... 1 20.00
1 16.50
4 36.50
Does the water supply systes contain a Pressure Peduction Device or Check valve? 0 Yes () No (if 'Yes' then water expansion tank is required on Not Mater Tank)
Inspection Record Nater i.ine OK __....-__._..._ Nechani+aal inspection% Notes:
GAS PIPING
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS STARTED. RESIKNTIAL AND GRAOING PERMITS EXPIRE ONE YEAR ATTER DATE Of ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNTSED 1IY ME 1 ,..%RUE AND CO RfCl TO THE BEST OF NY KNONLEDGE AND THE APPLICABLE CITY OF FERiRAI NAY REOUIREMEMTS HILL BE MET.
0*HER OP AGENT
-----_- DATE
FIELD COPY
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