96-103679 v
4 • ..w. 9 Ic367?
CITY OF ILDLRAL WAY PERMIT NO: MEC96-0231
33530 First Way south mccrimili. criu PI C rk 11011 I T 1.YitiLO: 10/03/96
Federal Way. WA 98003 (Wilding InspE,rtioh Requests 661 -4140 13Y: EC2
661 -4000 LXPIRES: 09/27/97
ADDRESS:920 S 315111 51
NO. : 787540-0255 11116
PROJ Er T DESCR I PT ION 7 MECTI - FURHACL TO 100t
, .
DIANE FERGUSON NORTHWEST WAR? HEATER
920 S 315TH 51 8201 DURANGO Si SW
FEDERAL WAY WA 98023 TACOMA WA 98499 1
1
941-7071 984-,
***
us COIESACE0RS, Pita' 11444C011 : it 1f11101r i'''' SALES i OK EWE 11010 1111 CIIY 01 FEDERAL WAY. LAX - 8.25
PROJECT VATUAIION 701 ,0 ,-, 2 q,e' ,v7vAl. ,,g.rIet, FEES:
FUEL TYPES :? ? FANS ''' "' ' '' : t'0 ..... -'.:2 ilgi2-0 '"',0 4-MIRA 4.1 ''''"f"''N'1,''.)-. --Z7?------''''''" ---„,....-- ',' rill 1 t t $ 28.00
GAS PIPING.: 0 ft HOOD.„,a', 4 0'0...----4--? ,: -__ ..„,1 , , -,.'7.'-'; „t, ,, ,,,, , .,,,• 4,41 Jiiii-iss„ I UMICE.., $ 20.00
FIJR14(100f..: 1 .4, .„°•411 *
r.-- . 1'15
GAS HMT....: 0 . , , '' *-", . 1.-3011 ... Ir-4-
CONV MOWER: 0 II i VA ,.iV 'Y 444101 ,ar'
880.. .... : 0lit-- .-T --, -4 ,, ,vtiii
MIS. ,-0 -#1, + . t,,,-,„
-..:*„ ,:,
GAS DRYER..: 0 AIR "*I Ft- ' g'' At -'-- -'--- \-1,\, „6„• )
,
RANGE • 0 (:10, , flUr410 "- IttOVE GROUND: 0
GAS LOGS...: 0 > 10,01 --• : 1 UNDERGROUND.: 0 1 TOTAL FEES $ 41..t.00
1
-..„,,,,,, -Tr 4,4=441,C rta,,ArJficili=igle-rites-1..,F.t...1IIV, . ... ". Trs."-,—a,..^-sr........to,r,4.4.m...exn,.. r+rc ma,r,.1' . .....
Does the tater supply systes contain a Pressure Reduction Device or Check valve? () Yes (1 No (If "Yes" then cater expansion tank is required on Not Wale l Tank)
Inspection Record Water Line Of Mechanical Inspection Motes:
GAS PIPING Of Date BY
- ., .„, ...—..„.„,„,„,. „.- „,------ ,-...„-t,....,,,a.r-1.: .,- -,y— ,..• ..,m+,,,mOt
....,./".... _
'
PENNIES EXPIRE 11W DAYS AtILP ISSUANCE It NO W01& IS SIAN . RESI FAL AND IA DINS PENNIES EXPIRE ONE YEAR AfIEN DAIL. (U IssOANCi.
I CERTIFY IRE INFORNAIION firiNISHED BY NI IS INOt AND ICI 1 Of DY LOMA AND 1111 APPLICABLE CllY 01 IEWIAL WAY REOUIRINENIS W111 OF 1111.
0101ER UP AGENT 4
/
, - /1440
7 1 r---
`,.. _4_----4
__,
FIELD COPY
CITY OF FEDERAL. WAY PERMIT NO: MEC96--0231
33530 First Way South ri "`".w:::: F""Rii'l01 .,!.. y::::::' "1 0,.,,,. Ft i ISSUED: 10/03/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 09/27/97
ADDRESS:920 S 315TH ST
NO. : 787540-0255
PROJECT DESCRIPTION:MECH - FURNACE TO 100K
F= OWNER - ••------ CONTRACTOR
DIANE FERGUSON 1 NORTHWEST WATER HEATER
920 S 315TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499
1
941-7071 ( 984-6404
NORTHWH103R2
un CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
PROJECT VALUATION 701 FEES:
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 28.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRM1 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 9 TOTAL FEES $ 48.00
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
I Y
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STA' 1. RESI' . D GR'DING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND 'i'REC ,r, :. ! MY I. LEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT -- , ey DATE l
�
FILE COPY
City of Federal Way .1(1(\ [C q l! ' — 513 i
CITY OF r--- 33530 First Way South •
0 �c Federal Way, WA 98003 CEIVED a
I Gam
(206)661-4000
Vv Fr
APPLICATION FOR MECHANICAL PERMITIT 0 3 1996
( i t`' OF FEDERAL WAY
Q S-1[ 6'V l
1r,R„ n(�lr DFPT,
PARCEL • ��� Single Family Multi-Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner:
iA� = 1 Phone:
Address/City/State/Zip: t CU-0 5 ' 3( ry_,bdily q cam 3
Nature of work: C.7 -61 P-0. 1Ace iqC /ACe-IYIE/41- Project Valuation: $ _lc
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:` V O
Company Name: c -r
e 11te[iult , ki\--r-Eie_ `
Address/City/St/Zip: c� iiin
� p��c 4v. Y ►/ •
Contact Person: ` " (-1 Phone: ?—g`---'� `(_'C , Fax:
State L & I Contractor Registration #: b ► Exp. Date: 1 -2-1
(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 ?Tntat EJiiit Ceuiii '
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 sa mle-. City•f Federal Way es to any claim(including costs,expenses and attorneys'fees
incurred in investigation end defense of such claim),which ma made by any pera• •the undersi red,and filed against the City of Federay Way but only where such claim arises
.diout of the reliance of the City,including its officers and em••yees,upon • acc al -information sup•lied to the City as a part of this application.
��
Owner/Agent: ��► _'' Date:
r