95-100222JV'.
CITY FEDERAL AY
335300Firstt Way South MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:32531 42ND PL SW
NO.: 873201-0520
PROJECT DESCRIPTION: HVAC - INSTALL 1 GAS FURNACE.
ONNER— CONTRACTOR -- LENDER
DICK NENSHAN —� GEORGE BRAZIL 24 HR SERVICE
32531 - 42ND PL SN 11063 PACIFIC HWY S
FEDERAL NAY NA 48023 TUKNILA NA 98168
952-5118 451-4800
GEORGB20RIJI
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<10OK..: 1
GAS HNT....: 0
CONV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
FANS........... u
HOOD.. ........ 0
DUCT WORK— ...: 0
HOOD STOVES—.: 0
FURN>100K.....: Q
MTSC...... ...: 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
BOILERS/COMPRESSORS
0-3 HP......: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
9,5- Jnoaaa
PERMIT NO: BLD95-0071
ISSUED: 01/25/95
BY: FC
EXPIRES: 07/24/95
FEES:
MEC PRMT ISSUANCE... $ 20.00
NEC APPLIANCE FEES.t S 10.00
TOTAL FEES
$ 30.00
Does the mater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then coater expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK _ _ Date --- By
PERMITS EXPIRE 180 qffp AFTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THENF°RMATION FU ED BYIS U AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPL CABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT GATE 2�
FILE COPY
� ity ui I uuUiui vvay
ci 1 y of 33530 First Way South
0R— �• Federal Way, WA 9£3003 1
(206)6(31-4000 �- �� 1 00 ;l
APPL ICA TION FOR MECHAN/CA L PERMIT
PARCEL IL Single Family Multi -Family El Commercial U
SITE LOCATION:
Tenant/Owner: DcK NfeLA.)5�am Phona:
Add ress/City/State2ip:
3253 t �Z ��- , FctD
Nature of work: Project Valuation:
APPLICANT:
Name
Address/City/St/Zip:
Contact Person: Phone:
MECHANICAL CONTRACTOR:
Fax:
Company Name:
Address/City/St/Zip:
u5
Contact Person: Cir' '"-- Phone: � Fax:
State L & I Contractor Registration: Exp. Date:
(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 Log
Unit Heater
Underground
Furn > 1OOK BTU's
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
BBO's
Wood Stavei
A/C TONS
*i; tit, i'% Jif•."::
DISCLAIMER: I certify under penalty of perjury that the Information furnished by me is true and correct to the best of my knowledge and furaw that I sm authodized 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 lincludirq costa, expenses and attorneys' fees
incurred in Investigation and def f such clalml, wWch may be made by any person, Including the undersigned, and filed againat the City of Fedway Way but only where such claim arises
out of the reliance of the City, udi its officers and a ees, upon rte axacy of the information supplied to the City as a part of ttds application. -
Owner/Agent: "" "' Date: 24 1`—)
ADDRESS:32531 42ND TSL SW
NO.: 8732O1-0520
PROJECT DESCRIPTION : HVAC - INSTALL I GAS FURNACE.
OWNER CONTRACTOR
DICK NE.NSHAH GEORGE BRAIIL 24 HR SERVICE
32531 - 42ND P! 50 11063 PACIFIC HWY S
FEDERAL NAY NA 9802,1 TUKNILA MA 98168
952-5118 1=4800 "
b2D it
-- - - ---
FUEL TYPES_:GAS >
-
FANS.. 0
��
iT /CONfR[SSO
CITY OF FEDERAL WAY
M33530
SIS PIPING.:
0 ft
it0(ni...
-� �"
= 0- HP iI P
+r ����"
�
PERMIT
PtRISSUED:
1
First Way South
�a�'r��,�,��
NCE FEE5 ; 10.00
GAS NOT.....
4
100TIii 'S�Y
01/25/05
Federal Way, WA 98003
Building Inspection Requests 661-4140
BY:
FC
661-4000
EXPIRES:
07/24/95
r
��
ADDRESS:32531 42ND TSL SW
NO.: 8732O1-0520
PROJECT DESCRIPTION : HVAC - INSTALL I GAS FURNACE.
OWNER CONTRACTOR
DICK NE.NSHAH GEORGE BRAIIL 24 HR SERVICE
32531 - 42ND P! 50 11063 PACIFIC HWY S
FEDERAL NAY NA 9802,1 TUKNILA MA 98168
952-5118 1=4800 "
b2D it
-- - - ---
FUEL TYPES_:GAS >
-
FANS.. 0
��
iT /CONfR[SSO
FEES:
SIS PIPING.:
0 ft
it0(ni...
-� �"
= 0- HP iI P
+r ����"
�
SOOCE... f 20.00
TURN<IOOK..:
1
, .
T 5.:.. , . s e
e
3�� H! ...
�a�'r��,�,��
NCE FEE5 ; 10.00
GAS NOT.....
4
100TIii 'S�Y
CONY BURNER:
BBQ.........
0
0
11;, aR +
�1R,
��
GAS DRYER...
0
AIR h
dEl "Ails` .
RANGE.......
0
�N,
< l0,
k
ABOVE %WuUND:
GAS LOGS...:
0
> 10, M:
UNDERGROUND.: 0
I
191AL FEES ; 30.00
Does the rater supply system contain a Pressure P.eduction Device or Cheek valve? {) Yes () No (If 'Yes' then rater expansion tank is required on Hot Mater Tank)
Inspection Record Nater Line OK _ Mpr.harir al Inr.pection Motes:
GAS PIPING DK ._ _. L a iMo Y'j
PERMITS EXPIRE LBO DAYS AFTER ISSURMCE If NO WORK 15 STARTED. RESIDENTIA! AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE DF ISSUANCE.
I CERTIFY THAT INF INFORMATION FU,RNISED BY HE IS i AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE A" ICA8 CITY OF FERERA! MAY REQUIREMENTS WILL BE MI �V
OWNER DR A6EHT _... DATE _
FIELD COPY