96-101433 1 L . k IU'l .
Hill ""- —,. . ..-1,— /9,
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6-) M I T
BY: FC2 - /Q7
- I [-DE 14)1- WAY ,i... Ip c„ ,., . r , ,„
, 11 ICA ... i _,, ,__., ,,„,(; 1. -. I. *'
Plir:C 111('41 ' -1 i on 1-4.:-(11, c.-1,,,,
EXPIRe-S: 05/22, ' •
,...f-A,..
CIEY01 L way sout, , Hui ..1 d i.lig I 11 }.
33530 1 i, m i, wri ,800,1
Fede ra 1 Way,
661-4000
0 ..).1,:z r AVE S
...,..
rcc-.2961c) ---
ADDR";). 5.10-0140
LENDER .4----
- FURNALE
I
NO- : 9'""-- sieR I P r I°N:NECH .- CONTRACTOR ---"" ELEC.
PROJECT DE,
I
r OWNER -----.
1 S SUITEOIcie . ,,.rnm,a.,...m...40.,m110,,..a.. ..Matal,,,tm=0.109UX=..man=a1W01,71,1r,
I DON AMA AVE5
29618 21551 "''''''''''''''''''''''. 112:A5cOR006THWA10(04SAIIII90S4I4.WATERC4 R HEATER.
1 FEDERAL WAY WA 98023
984-6418
-......
•
.141::,,41,..,..
1,9-3138
7- "--V 11 ES (AX
EW PRIM ”....... ..,.....FEES:
''-'. - --7-Iiii,LICAT : In; ., ,„...,..,
24 0
V.222
us (011111 --- . . , .,.
'''""'''''''''''''' ' ' 0(101500L4r4;;;V ---'% -',777- - .1::::s:"..":1-0' ---::::".:1:::
,..-4pi.
NORTHWH°9931 --P'"''''''''' '''' '''E'C't 1111"-lit""'C-1;.;t 1;12.1:::::::n".WAY
;:1"- 1 AilN'Permits 11E ' $ ' ';0":44-.''''''''''
, , .
r;0".l'EW;;;;Al":TON ..> F54701s.
,„.., ,,. ,
...„ A-3 NP.......U
-- -T3'7 B1;14"'-' * ' *1.11'‘'4 4'9'11''1:'1' ' -''''''':'''' l :'''''''' :
FUEL TYRES-G n ft HOOD 2,-_.."1., , ,.:, 3-15 up
10,..464*;•.4
I
I GAS PIPING.: ,u
DUCT 4e4E 7'.4s*-1,44 '..J 15_34 HP' ' ' ,,,
1
FORN<LOOK..: 10
I GAS NWT - ,. , ,, : --;- '4'ii„ 54,4p... 4.''' ,. ')1
CONv WRITER0
'•••-;-,•••- •.1-4;4. '7,54, iiiti TO Z•z'
BEQ.. .....: 0 hi °ffi..** , 0,4: '',I,,, ,.rff,i-,!--- HD: 0 ' '- ------
I GAS DRYER..: I) LW, . '` '. c.„,,wrE
AIR 000t.*---c . 4-- .1,-- ND . 0
'111. -' *..,X't.l. IDEPGROU ..
1 RANGE 00
.,fl --e-,
' 10.004p1k,-,,
1 GAS LOGS...:
At ,
1
valve?
n,.-,,,X.T.
o Reduction De;isc'e-or Check -ic-Y-e:"-- --ii;-.:-Ye'S:"'then';;;;;;;TP°'anh's ----,, ,. ----,----m
1111C-s-the';ater supply sYste0 contain -''.-PressureliolnEEISank 2 2221V is".re. q-u-i-red-onitlot N4.:311.0e0;Tani()
line Ok
.
Mechanical Inspection Notes:
1 Inspection Record
GAS PIPING Ot .eroi/-4- -. ( _,„2,4.----- !
PERI101ift EXPIRE 01:401 cm 01 FEDERAL
,, . ___
Water
Datetirlt , ,-....77..........y.:;20....liji„..0A.... _ Ay ileweimiN:Wil
..1:4::=,,,InstsulANN::....c..un,. wasmat::::::: . ,m.y.,:ijAV...ma,
ttiOM
LROE
_
PERRIN EXPIRE 18fOltDANAYISIovAlt:LovItilliSsSitrolICREy IL
1101,,7$101i 0SNDSIAR0R741/E1Da::1:0_ntlisi 01 01 nu
Dhif / ' --
I (ERIIIT IR IR
V.
I ' " ' -- RiSr"-trirklip 41j1DIK‘LEDGE 0 THE APR' ,r, __, j__.. ,,,,, —
1
OWNER Ok AM!
FIELD COPY
•
CITY OF FEDERAL WAYPERMIT NO: MEC96-0097
33530 Fi rst Way South 1�'M' F r 1.1i('" I H I ft i'l"' �,»,. '`'�. '1 I. ..,.,,,. ISSUED: 05/28/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 05/22/97
ADDRESS: 29618 21ST AVE S
NO . : 931510-0140
PROJECT DESCRIPTION:MECH - FURNACE TO 100K
F= OWNER =___=.._ _. .. ____ __ _ = CONTRACTOR - LENDER
I DON ARTH NORTHWEST WATER HEATER ELEC. �
I 29618 21SST AVE S 2506 104TH ST,CRT.S. SUITE "A" I
I FEDERAL WAY WA 98023 TACOMA WA 98444 I1
529-3138 I 984-6418
NORTHWHO99J1 i
kk
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
PROJECT VALUATION 571 # FEES: 3
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS I Mechanical Permit* $ 24.00 4
GAS PIPING.: 0 ft HOOD...,......: 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00 6
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 .3
GAS NWT 0 WOOD STOVES...: 0 15-30 HP 0 I 3
CONY BURNER: 0 FURN>100Y • 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 3
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 44.00
I
_.-.___..._._.-..__._.__
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
__----...._____ ._ -_.....____- ,__ -------- ----- ---- •-___ -- ----- ..__:_�
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WO' IS SFARTED. ' I ir'GR.IING PERMI S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS ' E AND CORRE 1 OF MY KN$ LEDGE • 'D THE APPLICABLE CITY OF FEDERAL WAY jREMENTS WILL BE MET.
OWNER OR AGENT DATE ,..Jt •
14 ---"
FILE COPY
mEcce(p - dcg9-
City of Federal Way
r OF IItEcI1Ercn...... 33530 First Way South
- Federal Way, WA 98003 RECFRs -"
(206)661-4000
WRY
APPLICATION FOR ME MAY 2 8 1996
MECHANICAL PERM/T
q-315- I o 0 J/JCITY I i
PARCEL # r BUILuio;�
Single Family Multi Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: Do/`t /1r-----ft Phone: -.-(3 ,-)t
Address/City/State/Zip: 2C:)((n 1% a\ j\J 1
Nature of work: /A)517111- /' U le-AAC Project Valuation: $
APPLICANT:
Name: rki (id 19L f F r 3 D--D __,- 1 q/
q
Address/City/St/Zip: 2--S07\.., -C-:-- VAA D Cj6J\,., ST #t i 5c-,1 ?o,. _,
Ka-7-74 K/
Contact Person: g-Da ./.00/2._2 :-
-/S Phone -CI /-3 0 Fax: ).2--� -77
MECHANICAL CONTRACTOR:
Company Name: 'M ii/A' 7,<ille-AT�,�
T - -
Address/City/St/Zip: g 00 i1 /.� A. `' �;
Contact Person: eq) i 4- 7)-2(//�/2 LS. Phone: 2�)- V ZOO Fax: g
State L & I Contractor Registration #: /V0142- 774 Algi $ 'x D— 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 1,1 Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
a ;✓ » ;> »BBQ's Wood Stoves A/C TONS Tei# #)rit< ari[ >< >> !> >
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct t• 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 say mless ty 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 per ,includi • ••ersi•r••,a •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,upon the ac acy oft on:••plied to he City as a part of this application.
c--- .)_- c. ,
Owner/Agent: /�
9 �� \,... illrDate: