96-102030 C 11Y OF FEDERAL. WAY rt PHI r mo: 11ECr)6 • 0128
3:3530 iirt Way South t441(7 C tin FA 1 C el IL Ili r: ft HI T TS0LII: 07/08/96
Fede ral Way, WA 9800_1 liuilclinci 1 tr-per Lic,n Requostr; 661 61411 P,V: 1-C2
661 6000 1 ',isotRE',.: 07/02/97
ADDRESS:29022 18 Hi Asir,
'NO. : 546280-003.1
PROJECT Drscru P r loll :V.EPLACE FURNACE AND WATER NEMER PLOS ADD GAS LOG
REPLACE FURNACE AND PIER HEATER PLUS ADD GAS LOG
1 RITE-WAY GAS SERVICE 1 . 1 i
I PO BOY 994 I I
1 TENT WA 9E1035 1 I
8 1
:1 I I $
I 631-4700
i
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-t—,-, , „ ,,-....---...... ,..--.1„;:ti„',4-Cil - .,.... ',..,' ,= ;-, . ,=.",:,;7,=.,---- - I
1,1* CONNACTOS, Piffkg USE iocAflow,, , * -,- - , SALES IAA FOR PROJKIli 1111111.1 HU tf 0Y ,IT HOrtiii thii. igt. If.iS sts
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PROJECT VALUATION 2989 ... . -,.. ...
14*,, rz, -..- - -- -,:mia- 4, ,,,-..,,,,f,,,, ,,:,. , .,, .. , ,, , - lEt".,.... I
FUEL TYPES.:? GAS /ANS.. -v--...w. . A4f,,4..-- 4...„.kA Su' ER OM::,,,40T. • -,;,,.. 1,-.; --Z. __ '.., ,,,,:s= V It r.bami il P,;,g gut ti $
,,,; ..-: ' _ '... 14 V...,... ,. l .,,- filt$14LISSI,IAIII t 4. "N.00 i
FURN100K.,: 1
GAS NWT • ,C 1 1404` e . e‹.,,, e. 1 . Ap .
CONY BURNER0 10PN 1 . ,• ,..3
BR • 0 Ca• ..ke', ..•';,' '• ,,f ••: 0 -, . '' i
GAS DRYER..: 0 AIR RANI ' ' s ,, ‘-eq, ,. TAN' - --- --- j
RANGE • 0 <:10,000 ,,. . 0 -,,f ABOVE GROUND: 0 1
GAS LOGS,..: 1 \ 10,000 C H: 0 UNDERGROUND.: 0 TOTAL FEES $ 74.00 i
' I
Does the water supply system contain a Pressure Reduction Device or Check valve? 0 Yes 0 II, 'If . 1.-, thenwater expansi n i Int isIm44aireic -n Not Water tank I
i
Inspection Record Water Line or 4 1044e chani( i Inspection °tin: - ckC t)R
1, iz_q
AA I
GAS PIPING (.11/. -14
pd 1 V -' 1,'' A9 Ck / S.--- 6' I
I
;
1 ..
PERNIK EXPIRI 190 RAYS Al Ill BAWL It NO MORK 15 SIMKO. RESIDLIIIIAI AND GRABIN PENNIIS letPik[ AWE ltiUt WEN DA [ NI ISSUANCE.
I CERTIFY 1111 INIORtIA11011 IURNISNID BY NT IS Int ARO 1,ORRI.CI 10 Illf DES1 01 NY titORLEDGE ANO 1111. APPLKAIN I 4.11Y Of ILDLRAI WAY 10.0111RENINIS WM BE litl.
,,f ,,,. .-i.,,,A,,.. K, "
DATE /7:
7-,•-•‘-"'(-2-- ------ ---
'
OWNER OR AGI HI :
:-1----' -
FIELD COPY
CIS Y OF FEDERAL WAY PERMIT NO: MEC96-0128
33530 Fi rs t Way South (},rq!��?`,�+�„:. lli'"tit ii ' i::1 .'+►;,,. ` '?i��I.,,,,. ,11'4' ;;.� ,,' 'r i"3„. "1" ISSUED: 07/00/96
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES : 07/02/97
ADDRESS : 290'22 18TH AVE S
NO. : 546280-0035
PROJEC,T,..DESCRIPTION ;REPLACE FURNACE AND WATER HEATER PLUS ADD GAS LOG
REPLACE FURNACE AND WATER HEATER PLUS ADD GAS LOG
f= OWNER --_..__..----____. __-_-- :____: CONTRACTOR - .__.._._ LENDER --•- d
RITE-WAY GAS SERVICE
PO BOX 994
KENT WA 98035
631-4700
f ,
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
PROJECT VALUATION 2989 ' FEES:
FUEL TYPES.:? GAS FANS..........: 0 BOILERS/COMPRESSORS Mechanical Permit* $ 54.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 2 MEC PRM1 ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK.....: 0 3-15 HP • 0
GAS HWT - 1 WOOD STOVES...; 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP • 0
) BBQ......,.: 0 MISC 0 5+ Ho • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS-
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS,..: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 i 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 Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
1 1
=;:--------------- __.___..
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR Af ER DACE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER (JR AGENT �.._.._..__.... DATE
/ ..
FILE COPY
City of Federal Way
CITY OFr'—'''''', - 33530 First Way South
® (----
^� Federal Way,. WA 98003 `
WiFT5'■ ' (2061661-4000
APPLICATION FOR MECHANICAL PERMIT
PARCEL #• (O e6!Q 0Single Family' Multi-Family 0 • Commercial 0
SITE LOCATION:
Tenant/Owner: 5/J�j
/R1-1Y J O#N&,/V Phone: g39' r0.9,
Address/City/State/Zip: c Q f , , / ? XLe_ SO'
f
Nature of work: '-.1.72S Fh,'/UAl Project Valuation: S R91(9
APPLICANT: 0,
Name: WIT7-bJ1q-Ys /J/
Address/City/St/Zip: Po BY, '7' K -yyr "M - 98:005—
Contact Person: MI9 k /1)1/—K1 .-- Phone: 631-417706 Fax: ‘o'/- 2i1017
MECHANICAL CONTRACTOR:
Company Name: Pi T 1 4 V -)9,..s - U/ j
Address/City/St/Zip: R)).63 `!4 /I2 7v7 /fig QRzZ
Contact Person: m/W1C 1CJ/LK/L-- Phone: C'Z/ 4 7DU Fax: 'awl -413?
State L & I Contractor Registration #: RI —/ &6 -��34,`J--- Exp. Date: 47,--7-
(Card
-7-(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Typ as tither) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping d 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
Cony Burner Duct Work A/C TONS . Other
A/C TONS <: vat[tnt t< ` ri <<<' > i» >s's: >{r
BEM's • Wood Stoves _
DISCLAIMER: I certify undo(penalty of perjury that the Information furnished by me is true end 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, 1 further agree to saw harmless the City of Federal.Way es to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such dakni,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 .�,^oyees,upon the accuracy of the Information supplied to the City as a part of this application.
Owner/Agent: I,00, /',,,,, Date:7 ��