95-101378 • /O(318
977330FFEDERAL WAY
MECHANICAL PERMIT
530isWy South PE MIT ISSUED: 06/21/ 5
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 12/18/95
ADDRESS:2530 SW 322ND ST
NO. : 132.103--9092
PROJECT DESCRIPTION:HVAC - INSTALL FURNACE AND A/C.
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JAMES MICHELINIE BRENNAN HEATING CO INC
2530 SW 322ND ST 4601 S 134TH PL
EDEPAL WAY WA 98023 2904 128TH AVE SE (BELLEVUE)
TUKWILA WA 98168
838-4409 248-7900
BRENNHCOT7HC
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u* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 **i
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FUEL TYPES,:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 1 MEC PRMT ISSUANCE... S 20.00
FURN<100K..: 1 DUCT WORK.;...: 0 3-15 HP • 0 MEC APPLIANCE FEES.* S 19.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP.,,,; 0
CONV BURNER: 0 FURN\100r.....: .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 CFl: 0 UNDERGROUND.: 0
TOTAL FEES S 39.00
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Does the Yater 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?-/-S-/: ,A/
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO YORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY TRE INFORMATION FURNISHED BY NE IS TRUE AND CORRECT TO TUE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
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OWNER OR AGENT (:;Cra1 G��, (.V l ________ DATE 2.
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FIELD COPY
Y
CITY OF
RAL WAY PERMIT77
Way South M .0 H � .I LA L PERMIT TISSUED: 06/21/95
33530Fi rstt ,
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 12/18/95
ADDRESS:2530 SW 322ND ST
NO. : 132103-9092
PROJECT DESCRIPTION:HVAC - INSTALL FURNACE AND A/C.
p= OWNER =_____=== = = . . ___= CONTRACTOR =_==== _----_-____-= T- LENDER =___ .---i
JAMES MICHELINIE BRENNAN HEATING CO INC
2530 SW 322ND ST 4601 S 134TH PL
IIIII
FEDERAL WAY WA 98023 2904 128TH AVE SE (BELLEVUE)
TUKWILA WA 98168
838-4409 248-7900
BRENNHC077NC
_____ ___ _-----1--= _ _______= _ _
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
= xxx = _ = = = _ = x =====
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 1 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 19.00
GAS NWT • 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
4iil
TOTAL FEES $ 39.00
xxx xxx == = = s xx x=x
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
c x= = == = === = =======___
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 ATO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY/OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT �_ I _,-0(__�`S( �1:!�. `�----- -- DATE (0('V 14c^n n
FILE COPY
•CITY OF r— 33530 First Way South L 1 S-cW f
FEE18..irKFrt__• Federal Way, WA 98003 ,
(206)661-4000
WRY
APPLICATION FOR MECHANICAL PERMIT
PARCEL ,>t- Single Family ❑ Multi-Family ❑ Commercial 0
SITE LOCATION: `,� ( ItO Tenant/Owner: 1 'r , ) < <-- Phone: 3
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Address/City/State/Zip: �
ip: ) Com
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Nature of work: I (V& f C11CCC f V '/C Project Valuation: $ /i/Ze" oe 7
APPLIC T:
Name: 1'117\C'k ti'1erk-'l--1 t'_C,
(DS, ) <' �_� C ' , c 374K
Address/City/St/Zip � I I t � 1 ��� C , `'` � �- /
Contact Person: X1(1 L'\Ck- Phone:(RC f C-- C f ID C)Fax: 9 u8 7 9 US '-
MECHANICAL COi RACTOR:
C ►n��c� \' �`-�-�1�V-1
Company Name. rl.
Address/City/St/Zip---�b1 `-' . , �` — 31 ��� f�-A & IC /Ssi& O
Contact Person: 1-----J")�'"\r\G`'- Phone: tL:k - Z i 0�Fax: �� $- )C/c, <-,,_—
...:) ,, a '-)c/c, . ,
State L & I Contractor Registration #: k.),c A'A--) IN\ 0--r� "? A/Q Exp. Date: (///. -'
(Card must be presented)
MECHANICAL UNIT COUNT:f`j
Fuel Type (gas/other) xi Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's L" 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 ✓— 3 TONS Other
BBC's Wood Stoves A/C TONS >`Fst tJriti' ?n lir „# (Er'<<;<;;;<,.
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 k.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 nd defense of such claim),which may,bamgd\e 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 ity,inciUding its officers and emploIees,upo the accuracy of the information supplied to the City as a part of this application.
1
Owner/Agent: CIA- , - L•- - - Q Date: LICC/l r� S
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