The URL can be used to link to this page

97-103285I 0I I FOU"(st, 1\10"i I t 143',? L F11 C rk M 110"T Ng 1 41 0 I I wa- 00 �"H'Kj 0t I It AV[ NW, UH,"),104 (.. 1 01 "J It.I f, I 't I'll 1,4 - 4VA( IRSIALLING GAS I) GAS FURNACE RLPLAQW1, NEW W1, 2-11' GAS PIPE. KATHY CLARE A SUPERIOR HEATING COMPANY W 31104 610 AVE S 25716 13TH PL S MERAL 16Y WA '18003 DIS WINES WA U198 941 ;403 946-5329 qj 1039ff� 13URMI f NO: Ml-,C9i 0, 49 ij its CONTRA( M, Pilo *,i Of C SAUS TAX 101 PRWIS VIIIIIN THE (fly Of M0URA1 WAY. TAX RATE = 8.25 tit FEES PROWT VALUA1100 2225 WEI TYPES :GAS U1 F ANs .......... Bol dS t1PRE ,4,W MEG Val GAS PIPM.: 20 ft NO, D. Or I 1A FWf'iW. i;... GK WJI .... 1 W141, S t30 ... N - 0 C00 BURNER: 0 f OR0, W N Av 8DO... NiS GAS DOUR—: 0 AIR 0 A 0 G iiS L,- K RAW ...... 0 :10,000- M. ''k, AVE G9 GAS LOGS...: 0 1 10,000 Cmi, JIMPERGROUND. 0 TOTAL FEES S ;"o Does the water supply system conUio a Pressure Reduction Device or (beck valve" Yes No (it les* then water expansion tank is required on Hot Vater Tani) lrispfctioa Record: Mechanical Rouqh-in I I Date Gas Piping MECHANICAL FINAL I K14 -- Date -- , ._ b-4 . KMIS EXPIRE Ito DAYS A1,111 IS~,' 1, If NO VOPf 1!; SIAR11,11. I (E=!f try IRL IW 1191 I(MMWO Pys Ifflk An (tual to IM UL'if 01, NY t "MADIA AND filt APPI 1061 L MY W f W101 VAY KWUMEW-111S gilt OF Ntl 00T AF AGENT fy I. FIELD COPY It CITY OF FEDERAL. WAY 33530 First Way South �''� ;.. ,.,.� �4 1,41 K's C„. f;;;ri ��;,,. �"''�� 'µ'� .,�., F Federal. Way, WA 98003 Mechanical Inspection Requests 25:3-661-4140 253-661-4000 ADDRESS:31104 6I`h AVE S NO.: 082104-9190 PROJECT DESCRIPTION:HVAC - INSTALLING GAS TO GAS FURNACE REPLACEMENT, NEW HWT, 20" GAS PIPE. PERMIT NO: MEC97-0249 ISSUED: 08/29/97 BY: FC EXPIRES: 02/24/98 ¢= OWNER:___________________________________________________f= CONTRACTOR =___=________. __________- __________=====z= LENDER KATHY CLARE ] A SUPERIOR HEATING COMPANY INC p f 31104 6TH AVE S t 25716 13TH PL S FEDERAL WAY WA 98003 DES MOINES WA 98198 i 941-5443 946-5329 ( ASUPEHC044KS *** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 *** PROJECT VALUATION 2225 ? FEES: FUEL TYPES.:GAS ELE FANS..........: 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE,.. $ 20.00 GAS PIPING.: 20 ft HOOD..........: 0 0-3 TON....,: 0 Mechanical Permit* $ 54.00 FURN<100K..: 1 DUCT WORK.....: 0 3-15 TON....: 0 4 f GAS HWT.... : 1 WOOD STOVES...: 0 15-30 TON...: 0 CONV BURNER: 0 FURN>100K.....: 0 30-50 TON.,.: 0 BBQ........: 0 MISC..........: 0 50+ TON_—: 0 GAS DRYER.,: 0 AIR HANDLING UNITS FUEL TANKS --------- --------RANGE.,....: RANGE ...... 0 <:10,000 CFM: 0 ABOVE GROUND: 0 i GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 74.00 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: Mechanical Rough -in Date ---------- Gas Piping y MECHANICAL FINAL Date Date PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARRED. I CERTIFY THE INFORMATION FURNISHED IS TRU AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS MILL BE MET. OWNER OR AGENT 1��__. ____._._._._.._.. DATE FILE COPY EIVE© City of Federal Way iaec 33530 First Way South Au3 �99� Federal Way, WA 98003-6210 qq_ /� %' l(253)661-4000 dilEC - 6 `'lq L)LDEPT AY APPL/CA TION FOR MECHANICAL PERMIT 5UILDING PARCEL #: Single Family y 1 Multi -Family ❑ Commercial ❑ SITE LOCATION: Tenant/Owner: kcA4 cleWc Phone: Add ress/City/State/Zip: Nature of work:-�r�rrcz-�c,✓ot �� 'lcu1�/ ��lµ�c-rrtic�t Project Valuation: APPLICANT: Name Address/City/St/Zip: 25716 13 / A PZ_ D Contact Person: �� Phone: '�c,/G "532 Fax: MECHANICAL CONTRACTOR: Company Name: -p SctOc i o .'� ti nti _ZN<L- Address/City/St/Zip�I� -71& 1-3 a PL- So d cs �a%vis G✓ 4 %k/ie Contact Person: AA Phone: �FyG S 3 z�i Fax: State L & I Contractor Registration #: �S(� r �%y�kS Exp. Date: 6 (Card must be presented) MECHANICAL UNIT COUNT: Fuel as oth as Dryer Air Handlin < = 10.000cfm Fuel anks Lenoth of aas i r ane Air Handlina>= 1 0.000cfm Above Ground Furn <100K T Gas LoaUnit Heater Underaround Furn > 100K BTU's Fans Boiler BTU/H—Miscellaneous Gas Hwt HoodoilBTU/H Other Conv Burner Duct Work C TONS Other 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 Federay Way but only where such claim arises out of the reliance of the City, including its officers and employees, ort the accuracy of the information supplied to the City as a part of this application. / c n Owner/Agent: �� Date: