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CITY OF FEDERAL. WAYPERMIT NO: MEC96-0094
33530 First Way South 1'1 f"
,, �;;;..' ,,.
IC Hi H .f.: d;,,�..if�'°t .,... '";a, ..,II.
H M .. ,, "' ISSUED: 05/23/96
Federal Way , WA 98008 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/17/97
ADDRESS: 518 SW 326TH S.f
NO. : 926490 -2050
PROJECT DESCRIPTION:HVAC - INSTALL ONE HWT AND 35' OF GAS PIPE.
OWNER --».- --- -- ,--.-------- -----.=--------:. _- = CONTRACTOR r-=-::- -- - --- --x :__ ___--== = LENDER = :__ .. ----_ _
r..
DONALD BLUE 3 NORTHWEST WATER HEATER
1.
518 SW 326TH ST 8201 DURANGO ST SW i
FEDERAL WAY WA 98023 TACOMA WA 98499 1
9
813-0577 984-6404
j NORTHWH103R2
-_.»._____--_-_ -------------.--•-_-...__-----_:'_ ------------------------------ ., ---- ------1 -- --.____._------------__.-.-----..----..
ttt CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 tit
PROJECT VALUATION 341 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMI ISSUANCE... $ 20.00
GAS PIPING.: 35 ft HOOD • 0 0-3 HP • 0 Mechanical Permit* $ 22.00
FURN<100K..: 0 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+ HP. ,.....: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS s g
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 42.00
o 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)
i f
Inspection Record Water Line OK Mechanical Inspection Notes:
f �
GAS PIPING OK -__-• Date By ____.__ _.. __,_ » ---_-•-__-_
----------------------- __ _.._._-___..__.:::: ._....___...___.x..
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STAR I. RESIDE.,:c' �'eDING PER. IS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND :'BEET TO --M K i LEDG AND THE APPLICAB OF EDE t AY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE
FILE COPY
r
City of Federal Way
CITY OF r-- 33530 First Way South inr I
n eCq� Dq
•_- re.-o Federal Way, WA 98003or
r<FIIU (206)661-4000
RECEIVE
WiFTY .
APPLICATION FOR MECHANICAL PERMI y 2 3 1996
026,d (-----)
- t. r tY �EUE�IA%wk,
PARCEL it. L Q ''-'4.C---) ? C) Single Family Lad Multi-Family EPIN(3 DE Commercial ❑
SITE LOCATION:
Tenant/Owner: 5(-At (-- �0 C)/\111 CD
Address/City/State/Zip: `7 18 �,A(n ST D-' .n( 1� 7 Q .!D; .
/''//.¢Ce
Nature of work: / y G(�/rtr " C G' Project Valuation: $ ��
APPLICANT:
1- Pre-t,-) r M.1 !
Address/City/St/Zip: G / E MTA L�IS((/6 c-rit 1 A( e_A -! g1/.-)_--
Contact Person: -lb E,L b ''/Q l,S r g y 7C� ,3 )-C� - y, 2
l,Y Phone: Fax: �
MECHANICAL CONTRACTOR:
J�I if
// [f f�
Company Name: -i<'l 1Cf}•/T
i-'
Address/City/St/Zip: , e)C-3 /116,/V1--)Y/c-:-(`" )(":77 9fi l
Contact Person: ,,1j` /. fwe e.e /S Phone: �J
�g�- V�C� Fax:
State L & I Contractor Registration #: A/ , -72 ��/Z)riA ,- --- Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping'- ) i ... 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 I Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's
Wood Stoves
A/C TONS ;:Yt3Ys1<f.)iiif:'iCsiiME':::` <`.::...........:>....;'
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowled.e 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 say en the Ci of . ral • - as to . y claim(including costs,expenses and attorneys'fees i
o
incurred in investigation and defense of such claiml,which may be made by anyn,incl nett,.-arid filed again the City of Federay Way but only where such claim arises
out of the reliance of the City,including its officers and employees,upon • accurac . o. . .ed to the City as : part of this application. _
Owner/Agent: _. waftDate. / Z