96-100851 • - •
CITY OF 1 E DE RA I Wrl'i PERMIT NO: IYIEC96--006J
33530 iirt Way south ...,
ilECHAll I CAL PC Rti I T ISSUED: 03/28/96
Federal Way, WA 90003 Building Inspection Peque'.;ts 661-4140 BY: FC2
6614001) EXPIRES: 03/22/97
ADLVESS:3632 SW 328TH ST
NO. : 87:1195-1100
PP,0,11( T DFSCRIPTInti:HVAC - INSTALL FIRE'LACE INSERT
rcttwr CONTRACTOR nvSt,atk , gn; ;ttatt: nastw LENDER
RAYMOND CRAIG NORTHWEST WATER HEATER
3632 SW 128111 8201 DURANGO SI SW
FEDERAL WAY WA 98023
874-2509 TACOMA WA 98499
984-6404
NORION0103R2
..MX4W.,M1,541nUFMM.="1,04.12:
I I I CON I Rh(10#'. MHO tr I
I' f' OM ,AA ii it. WHEN REWRITING SALES TAX TOR PROJECTS RUM IRE CITY OF fEDERA1 4I1 , TAX VAR - 0.25 ***
I PROJECT VALUATION 100 , FEES:
o4',41,-4-r."- .4.%.
FUEL TYPES.:GAS GAS FANS.... . • A 'ill ,P giirort' '"A' - -' -- ' '- Mechanical Petoitt $ 26.00
GAS PIPING.: 5 ft HOOD .,.: 0 it 4P ..: 4014YS-TaV4,10A '-;h' AO 14, '',1' T.-it:- ..1' laT.;,, .UANCE.... $ 20.00
,,)1 0,
I FURIV100k .: 0 DUCT RMO i it' ' 0 il'I :11E'r'":""qc' -.-='17, '''.14 -!0•4:'- !40
.. , 4.14A't1 , 4er*' **GAS NWT • 1 WOOD STOVES. .:- * 1 ci. ''i-
COIN BURNER: 0
BBO........: 0 mis
GAS DRYER..: 0 MCI*.‘•%: •4,. N. 1 0, 1;P.‘s,; 9
t% ...::- --.4 1 - Pc . ft
• '.
AIR N , T'4 FUF InHSz--------: ,
RANGE • 0 <-10, ..°, : ,L,* E 111111MD: 0*
44- '. „....,
GAS LOGS...: 0 ' 10.0004F 0 -.- _•1, DERGROUND.: 0 TOTAL FEES $ 46.00
I Does the water supply system contain a Pre sure Re fiction Device or Chest TOW 0 e, Il sO III "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record Water line OX M chanical Inspection Notes:
GAS PIPING Or D te By I
„,..--"” ...— i
PERMITS EXPIRE 180 DAYS MIER ISSUANCE IF IW IPIRK IS,,,S?MTER. , 4 AL Ale GRADING PER TS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY 111 IIIFORNATION IURNISRLD NY NE I TRUI,,AND CONE . T NEST Of NY ENOWLEDG AND THE APPVCARE CITY Of FEDERAi Y REOUIRENENTS WILL Mi NIT.
OWNER OR AGENT
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FIELD COPY
111.
CITY OF FEDERAL WAY „ .,,, ,, PERMIT NO: MEC96-006
3'3530 First Way South M El.::. i rill N I. w...„: !, ,w,.i l' w ';:.::.R M ."I,,.. �, ISSUED: 03/28/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661--4000 EXPIRES: 03/22/97
ADDRESS: 3632 SW 328TH ST
NO. : 873195-•1100
PROJECT DESCRIPTION:HVAC - INSTALL FIREPLACE INSERT
OWNER --------- -. ._.- ----- ----- --y--, CONTRACTOR -._____::_.._.___. ___._..____.:: = LENDER == 1
RAYMOND CRAIG NORTHWEST WATER HEATER
3632 SW 328TH 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499 1
874-2509 984-6404 I
NORTHWH103R2 i
tS* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 us
PROJECT VALUATION 700 FEES:
FUEL TYPES.:GAS GAS FANS 0 BOILERS/COMPRESSORS '1 Mechanical Permit* $ 26.00
GAS PIPING.: 5 ft HOOD • 0 0-3 HP • 0 1 MEC PRMT ISSUANCE... $ 20.00
FURN<10K..: 0 DUCT WORK • 0 3-15 HP 0 }
GAS NWT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 1 5+ HP..,....: 0 F
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 ::10,000 CFM: 0 ABOVE GROUND: 0 i
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1 TOTAL FEES $ 46.00
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 Water Line OK __________ Mechanical Inspection Notes: ___•_,_
GAS PIPING OK _,_______-___ Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. ' ' . NT.' : ' ,RADING PER. TS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME 1S TRUE AND CORREC 0 1, ✓ OF MY + IWLEDG AND THE APPLY E CITY Of FEDEY REQUIREMENTS WILL BE MET.
i (
OWNER OR AGENT DATE
FILE COPY
City of Federal Way
CITY OF �-- 33530 First Way South �,," r
0 - Federal Way, WA 98003 )1"-- c-96 —c-z)-
(206)661-4000
WFW
APPLICATION FOR MECHANICAL PERM/T Ree, 1Vpr)
PARCEL ft. !� �3 l 5 l` oo 1�Q�*
)
Single Family, Multi-Family Qtry c; Commercial 0
EUIi_DIW ~p 1;T✓AY
SITE LOCATION: #� AID Tenant/Owner: /1 /��!/
� Q (2v„ )�� Phone' $ �S'O 7
Address/City/State/Zip: �� -,___, _ SIA-' 3vy- /�/)'74 M Y (1ge - -)
Nature of work: (1,1iS IAL C 664 /1±5`C I — Project Valuation: $ 7 cz' `
APPLICANT: t
Name: 7—V1q inC1(V �f tet
Address/City/St/Zip: 5 kL 3 5Lf 1 ??-8 F-i) -t4 c'1 l "l go, •-3
Contact Person: C.%riOI J--- /41(2 Ul Q cn Phone: ).W -101%( / Fax: ,:e-c<21-77
MECHANICAL CONTRACTOR:
Company Name: I,.\) [A) 64 ` rt'
_ fl
1.
Address/City/St/Zip: �� �t j/�-n� ��C
Contact Person: 6'e-d�(� r.toi7D Phone: • ) �'��� Y1 Fax: ?--7-) -1.)---7
n 1 \�
State L & I Contractor Registration #: /`�C1� I fl (�I ��'� �- 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 <100K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt ) Hood Boiler BTU/H Other f/LfL f.J Ef(
' Cony Burner Duct Work A/C TONS Other
BBQ's
Wood Stoves
A/C
TONS ;>:>::�>:;:; »�> 2i>>i:z>># < » > >
T�al#.)ntt t;ount
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 1 am authorized by the owner of the above
premises to perform the work for which permit application is made. I further agree to says-:ml •- i--City of Feder: Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be made by a:pyre n,m •..A'* rsigned,and fled 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. curacy••-�� ••lied tot -City as a part of this application.
z}3--,,7,
Owner/Agent: / Date: 7,,,