96-101705 9 (, / / 7C,
CITY OF FEDERAL_ WAY PERMil NO: MLL16. 0116
335'8.0 first Way South Ill" C 1 Mil I CAL PERMIT ISSUED: 06/18/96
Federal Way, WA 98003 Building Inspect ion Requests 661 -4140 BY: FC2
661-4000 EXPIRES: 06/12/97
ADDRESS:915'27 2/11I AVE. SW
NO. : 122103- 9157
PROJECT DESCR I P T ION..HVAC - INSTALL TURNANWHFIT iti PIPE
TUY NGUYEN NORTHWEST WATER NEATER
31527 27TH AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499
815-0155 984-6404
*as CONTRACTORS, PHASE Ra tOCATON CekItitifinittPOITING SALES TAX FO PROJECTS WITHIN ENE CITY 01 FEDERAL NAY. TAX RALE : 8.25 ***
PROJECT VALUATION 146042ttk, tiO 17441zdte-z.f ,=4-7.7= -77- '.-,y , FEES:
FUEL TYPES.:GAS GAS FANS
-14-01- 4-7 •I
I ER*,,,,, 00emit* 42.00
GAS PIPING.: 89 ft HOOD *•' -. T ONCE .. $ 20.00 ,Ii
I FURN(100K..: 1 DWI-8SV. 0 7' 15 , 44" i
I GAS NWT • 1 WOO STOVES.. : 0 '' " -3 1110.1 -
CONY BURNER: 0 11014. I , ..‘,1, &-i •1,.3 i' 4 HP „
RN • 1 NIS(/c , ,-t.,0' ,,, '10,01004
a* ',0, 51' k*,
GAS DRYER..: 1
E......: 1 AIR NA „t :1' I ,‘„,. ,, '-‘ AN
RANG ''' ' •--`
<40,0W,,, ,,-1 ''.;4 c NA ‘ROUND: 0
GAS LOGS...: 0
=I
) 10,000 i' . 0 TI. UNDERGROUND.: 0 TOTAL TEES $ 62.00 I
Does the water supply system contain a Pressure Reduction Device or Check ttalK, Yes ej r,,.NoclireYes v7tmedr water expansion tank is required on Hot Water TanE)
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Inspection Record Water tine OK Mechanical Inspection Ndtes: /-1'b- -1V '- - -
•--cr t 5
GAS PIPIN -914.____ '-'7DatOkAy W
[-,
..----
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE II NO WORK 0.81AR1ED -firfTiAt AND 6U01116 PERTH'S EXPIRE ONE YEAR AFTER WE UI ISsUANCE.
I CERTIFY THE INFORIVITION 1118DISKO BY lit IS JW AND ENT4-0",10110 HEST OF ITY ‘140111.110 AND TM APPLKARIE CRY 01 WARN WAY 1110010111115 11111 RE NU.
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OWNER OR AGENT _.......,,,,,------ ' --
FIELD COPY
--——--——-- ----
CITY OF FEDERAL WAY PERMIT NO: ME 96 01 6
u F rst Way South ,,.,; fi,,..r ,,,..:. ,,,, �� �,".,i, ,r
'� „ "" ' ,.�,,. ii a°'�` t 'li ISSUED: 06/18/96
Federal Way, WA 98003 Building Inspection Requests 661--4140 BY: FC2
661-4000 EXPIRES: 06/12/97
ADDRESS: 3152'7 27TH AVE SW
NO. : 122103-9157
PROJECT DESCRIPTION:HVAC - INSTALL FURNANCE/HWT/W PIPE
:. OWNER - -----__::__-__ CONTRACTOR ____._____-_:,,-__.. T ..==I
LENDER _._.___.__:::.-- _. __....___.._ .._ __.___
TUY NGUYEN NORTHWEST WATER HEATER
31527 27TH AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499
815-0155 984-6404
NORTHWH103R2
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 1460 I FEES:
FUEL TYPES.:GAS GAS FANS • 0 BOILERS/COMPRESSORS i Mechanical Permit* $ 42.00
GAS PIPING.: 89 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 ,
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0 1
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 1
BBQ • 1 MISC • 0 5+ HP,...,..: 0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS
RANGE • 1 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 i TOTAL FEES $ 62.00
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;
i t
GAS PIPING OK _.___.._____. Date BY _.._.-._.
I Ade
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WURK I •RTED. e'r-► GR - NG PERMITS EXPIRE ONE YEAR AMR DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS 1', AND C0 *0' 0 " IF MY NOWLEDGE AND THE APDL CABLE Y OF EDERAI WAY REQUIREMENTS WILL BE MET.
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OWNER OR AGENT, /
FILE COPY
City of Federal Way
CITY OF , — 33530 First Way South
0 Federal Way, WA 98003 /� 6c—?- 07/.6
V V �/ (206)661 4000 div
V�
APPLICATION FOR MECHANICAL PERM T
8 1996
PARCEL # ,0� \ 1S Single Family ' y)�FED ti4M lily 0 Commercial D
LAING. EP,T.
SITE LOCATION: 1 NI
t
Tenant/Owner: (IA \l 11 ( 1)(\l 1\1 Phone: 4 .—.0(CC
Address/City/State/Zip: 3(C Z A4 S 1A) EC--1,i) 1 k73
Nature of work: /J' / LL eU KNAG- F/49.--".: A Lith--1, rum.m.ft�� Project Valuation: $ `C
PLV/f /4J 14 .—•---__. vJoet p2\qe1- fig s .
APPLICANT:
Name: A\ e&i?Ki !-1 •
Address/City/St/Zip: - A. • 11 A L. ` 'ii
Contact Person: el, Yr APA,)v Lip Phone: V.3 22.4 (/ Fax: '522— '—V a 7.
MECHANICAL CONTRACTOR: '
Company Name: A6,) / /�uA Tom ' / .6,7C2
a
Address/City/St/Zip: '66 <./' 'c.'
Contact Person: ,--11' -e-- -0‹' rs Phone: Z-F2 qGn Fax:
State L & I Contractor Registration #: /XOX "6-2/4/&93 -.)---- Exp. Date:( 27" --C'''
(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 i Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
**:: » ' zf ]»>BBQ's Wood Stoves A/C TONS YtaiJrt i z ` >: z » '_>
DISCLAIMER: I certify under penalty of perjury that the information furnished b - - and c• ct 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 fur - agree to sa NAP— the Ci •f Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be.•:.e by an__ . .t.- •ndersig d,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 emplo a,upon accury, ation supp ed to the City as a part of this application.
Owner/Agent: . Date:
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