96-101228 . . . ,
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CITY OF FLDFRAL WAY 1,,LRMIi Jo: MEC96-00E15
:.13530 First Way South 111(..(...- I Pi 1"1 1 C. ri I., P t:R M I T ISSUi I.): 05/06/96
Federal Way, WA 9EIOCK.-- Ili:i lding I tv. pec Lion Requests 661 - 4.140 BY: FC2 ,
661 -4000 LXI-)110-:1: 011.00/9/
ADDRESS:32104 2ND AVE t.',W
NO. : 926490-018()
PROJECT DESCRIPTION :HVA( - CHANGEOUT ONE GAS FURNACE
I HEATHER CAP I OWNER IS CONTRACTOR
I ...1
I 32104 2ND AVE SW I I
I FEDERAL WAY WA 98023 I I
.874-9987 I .
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us CONIRMEADU KEW. Rif tikkj, . Tv---, ING SALES TAX FOR PROJECTS UNITE IRE CM Of FEDERAL WAY. TAX RATE : 8.25 sts
PROJECI VALUATION 1000 4- FEES:
FUEL TYPES.:GAS ? FANS 0 :,1 ER ON ,, .. uwi. $ 20.00
GAS PIPING.: 0 ft HOOD...i,..°..,,,,,444.40,,,,,,:tom ...,., 3 ... I 11111 deI,,„ dr= c lreit$ $ 32.00
PAN'100K..: 1 T. - i .-,...t.7,'‘''' ' ;151
GAS NW! • 00 , ,,,,or .. , . , _3 Alip— , I
, , '
COO BURNER: 0 F , I. ., 31 HP I
' ANN
BBO • 0 MM. .. 0 --?-,..------
GAS DRYER..: 0 AIR • . 1i, ,‘ AN ' . r
RANGE......: 0 <:10.11, 1 0 :OVE GROUND: 0
GAS LOGS...: 0 > 10,000 . 0 ' UNDERGROUND.: 0 TOTAL FELS $ 52.00
I Does the water supply system contain a Pressure Reduction Device or Check valve? 1) Yes ll No (if 'Yes" then water expansion tank is required on Hot Water Tank)
I I
I Inspection Record Water Line OK Mechanical Inspection Notes:
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I GAS PIPING 01 Date By
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PUNTS EXPIRE TOO DAPS At IIR ISSUANCE It :K/ W01 IS SIARIED. RESIDINNAL AND GRADING PERNIIS EXPIRE ONE YEAR MIER DATE Of ISSVAIKE.
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I CEPITIY 101 IlerORNATION IIIIIIISNED BY At IS),101:00-40114ECT TO Int 111.51 OF NY KININEEDGE ARO 101 APPTICADLI CITY OF FEKRAI WAY REQUIRED'015 VILE BF Nil,
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FIELD COPY \
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CITY OF FEDERAL WAY PERMIT NO: MEC96--0085
33530 First Way South t l Ew. ;"'' Ht° H ." /,„:.Pi 'itil
Federal Way , WA 98003 Building inspection Requests 661-4140 BY: FC2
661 -4000 EXPIRES: 04/30/97
ADDRESS : 32104 2ND AVE SW
NO. : 926490-0180
PROJECT DESCRIPTION:HVAC - CHANGEOUT ONE GAS FURNACE.
= OWNER q_ CONTRACTOR -;- LENDER
{ HEATHER CAP I OWNER IS CONTRACTOR - B
32104 2ND AVE SW
FEDERAL WAY WA 98023 1
874-9987
t._____-..:_-.__..._.::::_..�_.__.._._._... -- •- .._._._...:a zs::::erre'r z,, ::_.:wr.rrra_nw• -•.�r-'--_ ._ .-_. __... -.._ ...r.r._ __'- rr ---.`.__._ :•
sx: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 :a
PROJECT VALUATION 1000 € FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD - 0 0-3 HP......: 0 Mechanical Permit* $ 32.00
FURN<100K..: 1 DUCT WORK 0 3-15 HP . 0
GAS HWT....: 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K 0 30-50 HP • 0
BBQ......... 0 MISC • 0 o 5+ HP..,.,.... 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 (FM: 1 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 ' UNDERGROUND.: 0 TOTAL FEES $ 52.00
_._. -..-..-. __ ____- -----------•- _-; -=__ __::_=_-__t- --_--__.__.----••----___.--__..._ .--___s=--_;___.__=:•:.-___
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Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes O No (If "Yes" then water expansion tank is required on Hot Water. Tank)-
Inspection Record Water Line OK Mechanical Inspection Notes: ._ ___.,•___,__._____..____._. _._.__.___ 9
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 1NFOR ATION F iiISH 1 BY M S T: : ' TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT . 1,.."—, g A1DATE �`— ..(e_.,..1,Vs.
FILE COPY
City of Federal Way ' -
CITY Of: r- 33530 First Way South
•� Federal Way, WA 98003 r KC 14
r-L.-131 .--r<F11-- (206)661-4000 ► COD
s\>/k)/Fry
APPLICATION FOR MECHANICAL PERMIT
PARCEL #• Single Family,tst. Multi-Family ❑ Commercial ❑
a
SITE LOCATION:
Tenant/Owner: \-Aczci-c-ker Ce4) Phone: —7(.1.-- ‘(C; 27
N Address/City/State/Zip: ,' ‘ C_, _ nA e Si res---, C .._ A—( 4 r-oa:
Nature of work: ,,,1 Zcp(ac e G Cit.\ (. ( -e Project Valuation: $
'C)C--
—
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR: L -
Company Name: 4)C s Q + �SJ�\ CSC C? r\� ( �(,�1� 1�
Address/City/St/Zip:
Contact Person: 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 <100K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's I Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
itKK :> »BBG's Wood Stoves A/C TONS C t frit ta * <<< » .»: >
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 arty 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 officersrsand employees,upon the accuracy of the information supplied to the City as a part of this application.
_ r _
Owner/Agent: 1 '� \-c----- Date: r 'C L l� •