96-100961 . . t /CC% /
CITY OF FEDERAL WAY ifiLkr111 Nu..: HLC96-0071
33530 First W. South MEC: tiri 11 I CAL PC:111111 I issuED: 04/11/96
Federal, Way, WA 90003 Building Itpect ion Pequest,_-; 661-4140 BY: KLC
661-4000 EXPIRES: 04/05/9/
ADDRESS:415 S 3061H Si
NO. : 241330-0820
PROJECT DESCRIPTION:HVK - INSILAL ONE GAS INSERT.
ANITA HOLLIDAY WESTERN FURNACES INC.
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4IS S 306111 SI
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P.O. BOX 11145
FEDERAL WAY WA 98003
2901 SOUTH TACOMA WAY
TACOMA WA 98411
206-414-8401
so CONTRACTORS, PLEASE USE t0081011 111, ; 11431004,4914A0c SALES TAX FOR PROJECTS MIININ INE CII? Of FEDERAL WAY. TAX RATE : 8.25 $U
PROJECT VALUATION 1937
101,10,N,
FEES:
FUEL T YPES.:GAS ? FANS 'rr'i AL sh litiposseutvA-rig,i,,g:igg,,,g,,,!,,,;-,. . g_rtgeggg- --1,:g.5. ., ,OAK t... $ 20.00
GAS PIPING.: 0 ft HOOD.....0 0-3 HP ...„: Jig% g, '-igr g.gg,1 ,g;„i, , „ ggs., .,.,,,,,,4-1--.- 44',it, ,..;I,* $11j* :4114V60$102 O * ' '4-i,...,. 143* ,,...--;-- ,...,:‘• 4, c'"1' • 52.00
FURN<100K..: 0 DUCT IT.:_ t
„— • 11 -„,, 1,15 H' ' ,17,. 4 tg,
=-*---"k-ww'i'-= ''.,
I GAS NWT ' 0 '' 4W(E.'1,;..„: * la. *30:H1-4:: 9,,v,\,,,,,,,
I CONV BURNER: 0 F 1 1',(li'',N.N-t Gi ,3,0*:lik,,'"4i!'-'244°4--„-kekttk.,
I BBO 0 -',-4,, -,x , 4* 14, Ai,' ., „,-2--
tiEr...'t- ' ,'''',` ,--tl-0 '',4,-*If sir ,,-.,\ W44,01/4,. 4---,-',---- 1
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1 GAS DRYER..: 0 AIR HANi-1,, _,- ‘,.',' If '.', ';'- AN ,;', -,---- ,k
1 RANGE ' 0 <=10,011% 0 -,': -BOVE GROUND: 0
1 GAS LOGS...: 1 > 10,000 ‘,, : 0 lt UNDERGROUND.: 0 TOTAL FEES $ 72.00
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes (I No (If "Yes” then water expansion tank is required on Hot Water Tank)
Inspection Record Water tine 01 Mechanical Inspection Notes:
GAS PIPING 01 . Date By
PER811S EXPIRE 180 DAYS ATTER ISSUANCE II 1' PORI IS STAMM,. RESIDENTIAL ANA GBADloG PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY lilt 1111ORNAIIPH EURNISNLO BY ME IS 1ROt AND CORRECT TO 1111 14(51 01 hi 11011LEALE ARO THE APPIIUME TTY Of FEDERAL WAY RIOUTKENEN1S MILL 81 IILT.
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CITY OF FEDERAL WAY NO: MEC96 -b` 071
33530 First Way South "" :,,:�, �'.. i`!'i ",:�:,. '�,::., f°'"Y .,,... °, ;;.,;,.�` ,��''h '.�::. ..�.. ISSUED: 04/11/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 04/05/97
ADDRESS: 415 S 306TH ST
NO. : 241330-0820
PROJECT DESCRIPTION:HVAC - INSTLAL ONE GAS INSERT.
OWNER _.._.. _ __ ::___::_ __........ CONTRACTOR __. =z ::=_T= LENDER -------- _ _.__ -_.._ _ _ :.===9
ANITA HOLLIDAY I WESTERN FURNACES INC.
415 S 306TH ST P.O. BOX 11145
FEDERAL WAY WA 98003 2901 SOUTH TACOMA WAY
TACOMA WA 98411
206-474-8401
WESTEF*05302
- ____. :--------.,.--.---_.... =_=- -::__=-==m=-
::: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
-PR_--
' -^-
'--_-_193NS • 0 BOILERS COMPRESSORS' ��____. . -
PROJECT VALUATIONN1937 FEES:
FUEL TYPES.:GA5 ___-.• __... MEC PRMT ISSUANCE... ~�$~: `-~20 00 ^�^- ^_ ^~_-__~
BOILERS/COMPRESSORS
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 ( Mechanical Permit* $ 52.00
FURN<100K..: 0 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 $ TOTAL FEES $ 72.00
I Does the water supply system contain a Pressure Reduction Device or Check valve? O Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank)
1 3
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date ..____._.. By ._
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE1CITY OF
FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
)15-jap,p,VJGC6-64L---)
_._.
DATE 'wl I1
FILE COPY
q4_, 1 1(1
City of Federal Way
CITY OF r- 33530 First Way South
• Federal Way, WA 98003 1 / C l (Y — 00 .?.- / '
WiFTY (206)661-4000
APPLICATION FOR MECHANICAL PERMIT
•
PARCEL it. e) 211 3:30 6-7) )`;(--05 Single Family) Multi-Family ❑ Commercial 0
SITE LOCATION: ?
Tenant/Owner: (-/l/7 -ta-_- L �� ./� Phone: "A'6' � ?J
Address/City/State/Zip: 415 �3C�(‘'-CAL, Oj ' L ���� ��• !� /w oos.3
Nature of work: ` i/5 -DL-Lt- f U �79 ( 7"
// - � -LA-Ad Project Valuation: $ / ' f)t*
APPLICANT:
Name:
Address/City/St/Zip: •
•
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: WESTERN FURNACES, INC.
Address/City/St/Zip: P.O. BOX 11145, TACOMA, WA. 98411
Contact Person: KATHY STEVENS Phone: 474-8401 Fax: 4737149
State L & I Contractor Registration #: Exp. Date: 12/31/94
(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 Ail--/7-0J5 LG ) j,tr-
Cony Burner Duct Work A/C TONS Other
....................................................................
...................................................................
....................................................................
BBQ's Wood Staves A/C TONS
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DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the beat 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 further agree to save harmless the City of Federal Way as to any claim(including coats,expenses and attorneys'fees
incurred in investigation and defense of such claim),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 employees,upon the accuracy of the information supplied to the City a a part of this application.
/
Owner/Agent: d-a1` • Date: 6�//q&