96-102801 CITY oF FEDLUAL WAY
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30 FrWay sou
:335i. south
ede r al Way, WA 98003 81.11141i1 l!t7J1Fivi"firil rv.--.1':4-;PI; itritP1111-Regtios Ls', 661- 41/40
6614000 I XPIPFS: 08/16/97
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ADDRESS:a 4421 25 I ti WA. ', W
° - 011470 -00'30
NPR0":f EF DrscR T P1 ION:MECN - FURNACE 10 100K
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i- OWNER ,..............,.„. . wAprowt4, wA
GLADYS WILLIAMS
8201 DURANGO SI SW
34421 251N AVE SO
FEDERAL WAY WA 98023 ACOMA WA 18499
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984-6404
814 4108
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FEES:
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PROJECT
VAtUATI°N 580 741' °*41.1 ''.71R -: °M;:6:':* V „,-,0 ' „ .11111i '4111114 :1- ” le.tIFI: r.. 1 2240:1())°1-1.
FUEL IVIS,:GAS ? "NC A, *.471 . .: "" ;3 --- , ' ...,t- ::'''':':-.7,..:, ,,,,-
GAS PIPING.: 0 ft "1)(1°''"1 :-'''''' _ f 15:, ** !--- 'T" SNybeep rol., -- - -
FURN 100L.: 1 , I io * . .- - 1 -3f,HP ,,,,,,,, ,4,,vr
GAS HUI ' 0 i 1 , , i-,,,,,, , -I ,Hp was ' -0 ,
COIN BURNER: 0
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BOO........: 0 MISC:fIi - , e0 I - ,,,-) AN
GAS DRYER..: 0 AIR KRA k..,;,‘ , ' 4% 4- 4 .
I RANGE......: 0 0 -1? lOVE GROOM). 0
''1°,01 - ' UJ
(ROUND . 0 101Al ItL(., $ 44.00
1 GAS LOGS...: 0 , 10,000 , : 0 \„,-- ORDER, ..
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laC,..,',..r t,....Mt..5,,,111,7t,Z•,...1,191,P=4,, Sr, .t,,„^MT,G.t1).".:;s.'1')WM110",rtii,f.,-:.ye,..s.,.„..1,,h„e„6.u,,a,..t;r.,„e.x.p,3,11,s..71;,.0 tank is required un Hot tote, 1301
valve.
ilito-es"'"-tlie-v-a;e-r.s-up'n'iy 'sy-s-te'w-co-ntain a Pressure Reduction Device4 (oroli
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inspection Record Water tine Al Mechanical 1 ectitn t s:
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I 6AS PING Or tkit P)Ie 0/ BY 411'
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LIS IXPIRL 100 DAYS AIILN ISSDANU II 30 WtrI'LX IS S(Iont€0.1 NESE ' SI Of
.111INGt'LNelmittP.iltNXEPAIRvipiOui4uNt itai'ot:11,11.01W DA, It 01 1 .174.1
PILMCERTIFY IR INHOSEION RIRNISION NI hi IS MI A " tOkkAl. WAY NLONINEUNIS VIII III NIL
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OWNEP OR AGLNI - ,,..
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FIELD COPY \
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CITY OF FEDERAL WAY PERMIT NO: MEC96-0173
33530 First Way South N'4 i�:::4:::::: til el; Hi . ,. k::::::evL Ft r:, rtkt 1I ., : "!.,. ISSUED: 08/22/96
Federal Way , WA 98003 Building Inspection RequcsLs 661--4140 BY: FC2
661-4000 EXPIRES: 08/16/97
ADDRESS: 34421 25TH AVE SW
NO. : 011470-0030
PROJECT DESCRIPTION:MECH - FURNACE 10100K
F= OWNER ..... •-_ ,= CONTRACTOR _.._.- - _. __--- r- LENDER -----------
� -~.
GLADYS WILLIAMS � NORTHWEST WATER HEATER ^-__.________ __�----�--•^^^----�_-,
34421 25TH AVE SW 1 8201 DURANGO ST SW
FEDERAL WAY WA 98023 1 TACOMA WA 98499
874-4108 t 984-6404
_ I NORTHWH103R2
._ -------------- ___ __..-_..__.___... -
=;3 CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ;+_
PROJECT VALUATION 580 $ FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 24.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
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 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 $ 44.00
._ .__.,_.._r.s -- .._
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
I___.. -- _ - _ -- -• . --------- .-.. ___.__..____.._-____----- _ -•- _.. __
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS ST:' D. RESIT.t ND "•DING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE A CORRECT 'f m LEDGE AND THE APPLIC CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ell10- DATE _ 45;;) ,
RLE COPY
City of Federal Way (t Cq 69" 01 ( 3
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CITY OFr-- 33530 First Way South
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'WRY
j—lef- Federal Way, WA 98003
(2061661 4000 RECEIVED
APPLICATION FOR MECHANICAL PERMI UG 2 2 1996
�' I I " -� �l 0 CITY OF FEDERAL t:'.r„'
PARCEL Single Family Multi-FamilfOWLDING:D.ECommercial 0
SITE LOCATION:
Tenant/Owner: (LA .')4P (Ai 1 C il1\AS Phone: 10C\
Address/City/State/Zip. `1 `1 a ' Ad J IA i
Nature of work: / A 5 --IR L L C L 16'1 (i- 4-elA ",�Project Valuation $
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: - Phone: Fax:
I
MECHANICAL CONTRACTOR: .��
Company Name: �a ,us ( kp•C� _ l N��
Address/City/St/Zip: c� 0 (t-t� D��� Af. V lL
Contact Person: `r F ' Phone: ? 4 1--'_-_ Fax:
State L & I Contractor Registration #: b ► Exp. Date: / �•lc:
(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 Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's _ Wood Stoves A/C TONS Tutsi Untf Gaunt
DISCLAIMER: I certify under penalty of perjury that the information furnis• • •y e 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 sa •mle 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 undenb 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 •
' information sup•lied to the City as a part of this application.
Owner/Agent: /_ _ Date: v -277 '