96-102514 94 ff025fif
Cl 1Y 01- I I IA.Prii 1,1:1‘, 1)1. 14111 Pt!• III , :)" 11..1 !JI
A-35"30 In i % t. Way oil! li hi::"C.: niNHICPitt... P C ft,11 I T 1 , ,,,1 li
F ede r a 1 Wwv., WA 'A t1 i‘i , fo 6 1 il 1 Mvg it l'I,peC €I Oh PeCitiecAc., r.f,.1 /I i :+ft P t • I I '
661 4000 ! 1.. II'I ! , Il '/2'../91
_,.
AMPS.SS:8'30 S 326 FM `; I
140. : 326070-otvo .
PROJI ( 1 Drr,(rk 1 P r 1 oti •titeHAHICAL - 1 1-08 AIC 'OHM (GAS)
LEWIS PISC101TA 1 NORTHWEST WATER HEATER ' 1
850 S. 3261H SI. 1 8201 DORANGO SI SW ,
I j
FEDERAL WAY WA 98003 I (KONA WA q8499 / 1
1 i
cr?7-3O98 I 984-6404 1 1
1 808148810382 1
*n CONTRACTORS,,E1440 Ig,Lour , . , , TING SALES fAX 10I PINECIS WITHIN INE C111 Of [BERM VAIL (AX elm : 8.25 sst
PROJECT VANAlION 813 ft MIWYJIJe, -i,'....---, f.-.... ..ItI FEES: I
ox
FUEL TYPE.:GAS ' FANS 'i'.144) 80IL' i t -=---... ----'11..t-.'s: '4,...' 1 Mechanical Perli t I $ 30.01.1
GAS PIPING.: 0 tf HOOD ILI,
FORW1001,.. 0 DUCT 11061.41***-0e4,..t -n IP. 4:. I-.— "' - -- - - -' '''
114***Iteci -,,,,,,, ' -*'tip 4ie. . 1 ,14.,: ..,.- ?.•,-..-- .0..v.tp ..,,!..,,.... .„,...4i 1,,;„ , ..,,r,e
(ONV BORNII: 041)!?.... ,.. _ .-_, . _ . ,-- ,-...„.- ,....-
1380 • 0 ti •.- • '-, .A 0,,t,, •
. (--,
GAS DRYEP : 0 A111104D7'; 1: S -, ',, t.'''','! , 11i!illrlr q-'1,y,,,,4,,'- i
PANGE.. : 0 '1000.9 : . ,',1,, '; - .E ' ,,JN0:
GAS f0t,S : 0 ) 10.01 hi U ,-_--' ,),' ' DERGROIND.: 0 I IOJAL ILLS i 50.00
Yrik, v,
Does the water supply ystew contain a Pressure Reduction Device or Check valve? il Yes t) No III 'Yesthen water expansion tank i.,,,, required on Hot Water lankl
Inspection Record Water line OF Mechanical Inspection Notts: ,, -øi £) Y6
GAS PIPING Of Date By ,...
, . ., . , ' ,
MMUS EXPIRE 180 DAYS AMR ISSUANCE 111 IS S ' ' i. 1.$1DENtfill AHVGIADING PENAIIS EXPIRE ONE YIAI Allil OAR 'ii ISSOINKT.
I CERTIFY 110 INIORNAIION tURNISILD NY S TRUE . 1 WWI 10 Int 8E51 01 1101111PG
Y 1T AHD INT APPII(ONLE CII? UI TENERAL WM RIOUIRENNIS 11111 PI Nil.
i /7061
OWHIP OR AUtli ( ,-- / ;I
14Aff
/
FIELD COPY
. -
•
CITYOF FEDERAL WAYPERMIT NO: MEC96-0150
33530 Fi rst Way South 011 ';".0.9Pi t414' 'I.0 Phil SIL,.,. 114 4r. int.iti";ua,:. ill" ISSUED: 08/01/96
Federal Way, WA 98003 Building Inspection Requests 661 41.40 BY: FC2
661-4000 EXPIRES: 07/26/97
ADDRESS:850 S 3261H ST
NO. : 326070-0980
PROJECT DESCRIPTION:MECHANICAL - 3 TON A/C UNIT (GAS)
x= OWNER =_______________ __ _-_..-- - CONTRACTOR =_______ :. -------- - LENDER -_. .. ----_____ .... 3
LEWIS PISCIOTTA NORTHWEST WATER HEATER ly
850 S. 326TH ST. 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA WA 98499 (
927-3098 1 984-6404
{ 1 NORTHWH103R2 (
!_............... _ .__.___».._._.. . .1 ._-._a==c====
u * CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
PROJECT VALUATION 813 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 30.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 1 MEC PRM1 ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0
"'S HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 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
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 50.00
_ ==•.-.___.., c=s===____ .. ===== .....:....._..__======== __»__=====1================n==_====c
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
.... c=== ..»-__- ______.. x_. ___ = . -.=_ .i..--______ .____s _.. _-----_________A
del
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF 1 ORK IS .01011 ' DENTIAL AN, GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY M S TRUE •. ''r-.- 0 THE BEST OF Y KNOWLEDGE AND THE APPLIC CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ---- ------ / ___. ._._... 111P 24 --
FILE COPY
City of Federal Way (Y1€0�� 0 1 5O
CITY OF r-- 33530 First Way South
• - Federal Way, WA 98003 RECEw�/E® •
1206)661-4000
WFW AUG ® 1 1996
APPLICATION FOR MECHANICAL PERMIT
CITY OF FEDERAL WAY
PARCEL it. -3 )Ci to gY
BUILDING DEPT,
� Single Family,.o Multi-Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: t 1< / 'J S c I o rr ' _Phone:, r z � �
QSO
Address/City/State/Zip: '
JC � .( - f . A."f -(l C°n-
Nature of work: I IA5AA ( L M ', -t .�
Project Valuation: 5 - '
APPLICANT: PS6'.-tv\
{Name: ;° , - 1 31
Address/City/St/Zip: ��!�� 0 )5 41 St IC / ) )7 7 ,7 77
Contact Person: r-) ET 1 g.n, 6 L P Phone: ZS c 6 ?5 .
Fax: ./6-6-7- 1
MECHANICAL CONTRACTOR:
Company Name: a -Cktiv.lc ( Wtt--rEP-_, - __
Address/City/St/Zip: c� 00 (k-t � (7`l'�� 4/. I/1,
Contact Person: L'$I YJ H Phone: ? &)'CM Fax:
State L & I Contractor Registration #: WT-1'Uv ti I Q.K.?---- Exp. Date: I 1 1c
(Card must be presented)
MECHANICAL UNIT Q COUNT:
Fuel Type (gas/other)-5 Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handliii; > = 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
BBQ's 1 Wood Stoves A/C TONS TLata1 f3niYCdth;rti
DISCLAIMER: I certify under penalty of perjury that the information furnis• • •y a is true a •correct • •. 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. rther agree to as ml—, City•f Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which ma --made by any pers• •the undersi•ned,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 em••yees,upon .47-information sup'lied to the City as a part of this application.
Owner/A ent: 4�
9 .4110111P
Date:
r