95-101043 — — -- --- - ------
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CITY OF FEDERAL WAY PERMIT NO: BL D95-0382
33530 First Way South MECHANICAL PERMIT ISSUED: 05/23/95
Federal Way, WA 90003 Building Inspection Requests 661 -4140 BY: FC2
661-4000 EXPIRES: 11/19/95
ADDRESS:2729 SW 331ST ST
NO. : 894530-0230
PROJECT DESCRIPTION:MECHANICAL - REMOVE WOODSTOVE & ADD GRILLS
LOIS REICHER *** OWNER IS CONTRACTOR ***
2729 SW 331ST ST
EDERAL WAY WA 98023
*61-3772
1 .444 NONE ttt
*** COITRACTORS, WAS! USE LOCATION (OK im witi Rtpuliss SALES TAX FOR PROJECTS WITHIN THE CITY Of FEDERAL WAY. TAX RATE 2 8.25 ft*
FUEL TYPES.:? ? FANS . 0 KOPERSPAHRRISCARS FEES:
GAS PIPING.: 0 ft ROOD ....: 0 03 lif, . ...: 0 * ,, ** *--, . 7 :.' :-. : :',--o' :',';', ' Z4 Ag(C#MO401$SUA4([-• $ 20.00
FURN(100K..: 0 DUCT WORK .. ,: 0 3 6 HP ...... U '''' '' ' M'O'' '',,'„ AciflUICE FEES.* $ 13.00
GAS NWT 0 WOOP 7'77. .. r 15-30 4..... 0
CONY BURNER: 0 flov4C0i, .... C 30 50 HP ' n
BBQ 0 MISC.—. .... 2 S4 HP ......: 0
GAS DRYER..: 0 AIR HANDLIK UNIV) FUEL TAUS--.-..---
ii RANGE ' 0 <:10,000 CFR: UND
0 ABOVE GRO , 0
GAS LOGS...: 0 > 10,000 (FM: 0 UNDERGROUND.: 0
TOTAL FEES $ 33.00
Does the vater supply system contain a Pressure Reduction Device ArC4eck valve? 0 Yes () No (If *Yes" then water expansion tank is required on Hot Water lank)
,
Inspection Record Water Line OK HecnanicOpection tes:
GAS PIPING OK Datke, By Mip-d-I2i7/144._kawkt,714,a I/ '4t-pii-4#--
PERAITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIN-1111AI AND GRADING KNITS EXPIRE ON YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY NE IS TRUE AND CORRECT TO THE BEST Of NY KNOWLEDGE AND THE APPLICABLE CITY Of FEDERAL WAY REQUIREMENTS VIII. BE NET.
.,/
OWNER OR AGENT ._„:7 -0-t...4 L3..„,r.._ 4, 2 DAIE
p..------ 1
FIELD COPY
CITY OF FEDERAL WAY dd �., ,,,. y,� �y ,.,,.. „ 11„„„
d..,. „ •� PERMIT NO: BLD95-0382
33530 First Way South II E (7: HY II N ..N,.. Ce. IL... P E.R _0,, p ISSUED: 05/23/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 11/19/95
ADDRESS:2729 SW 331ST ST
NO. : 894530-0230
PROJECT DESCRIPTION:MECHANICAL - REMOVE WOODSTOVE & ADD GRILLS
= OWNER CONTRACTOR LENDER
LOIS BELCHER *** OWNER.IS CONTRACTOR ***
2729 SW 331ST ST
EDERAL WAY WA 98023
661-3772
( * * NONE ***
_
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 ***
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 13.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 2 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 FEES1110 $ 33.00
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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
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 APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT , --7 -,- ✓,6_ � DATE V--7, _. S
FILE COPY
• City of Federal Way • C
CITY OF i''' ..-' 33530 First Way South L r
�_ Federal Way, WA 98003
Wirr" `� F R. (206)661-4000 RECEIVED
Y
APPLICATION FOR MECHANICAL PERMIT AY 2 3 1995
PARCEL CITY OF FEDERAL WAY
Single Family 0 Multi-Family cPUILDINGLDFp1ercial ❑
SITE LOCATION:
Tenant/Owner: ( �`' t ci4 � lee � � // 7-
/ .E
r j - &. , 3- 5 f. -
1 Phone: Cp �rJ
Address/City/State/Zip: - y ,- .G .Alb' _1M'""iDw"'.4:
Nature of work: X-e--1"-ri---b--t-L-C- (t.' -"-(' - Ci-e.d yl-e-BA Id Project Valuation: $
APPLICANT:
Name: : )A -c �) 1-/-C---e- 1- J -, 1
Address/City/St/Zip: .- e( Q .--- -D -17//(�, , C7i r — /,�
Contact Person: r•%)x- L r 6,44,1---/, a I Phone: 6 61 "-3/
Fax:
MECHANICAL CONTRACTOR:
Company Name: r't' 2-i_et— ,
Address/City/St/Zip:
Contact Person: Phone:
Fax:
State L & I Contractor Registration #:
(Card must be presented) Exp. Date:
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 ``L's j z C L�
Gas Hwt Hood Boiler BTU/H Other ) ,
Cony Burner Duct Work Jr� � y✓i tats- - �'��
A/C TONS Other
BBQ's Wood Stoves A/C TONS
CiEsE f3riiYauita:`:r; _......
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the 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. I further agree to save harmless the City of Federal Way as to any claim(including costs,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 as a part of this application.
Owner/Agent: v `-<--4 %1) ZZ----e---4---/-_-;---(-_ ' Date: J ;