95-101785 95 i017E35
•CITY'OF FEDERAL WAY MECHANICAL PERMIT NO: BLD95-0595
33530 First Way South PERMIT ISSUED: 08/01/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 01/28/96
ADDRESS:916 SW 298TH ST
N0. : 195460-0030
PROJECT DESCRIPTION:HVAC - INSTALLATION OF 120' OF GAS PIPE AND STUBBING OUT 1 DRYER AND 2 GAS INSERTS.
�= OWNER neaax.:mmQamanmaaamml.�amam;ml¢s:llammxaamlallsamas ! CONTRACTOR =axneaaasaaaamasxaec,:M_r:IDaxxea.lmaamxan n= LENDER laaammecslsmlmrlaaematamaamawmalnmama¢M_Qaaaasaxm
LOWELL DAVIS OHMSTEAD CHIMNEY
916 SN 298TH ST 16635 16TN AVE SW
FEDERAL WAY WA 98023 SEATTLE WA 98166
946-2285 244-9251
OHMSTC*1320N
On*Saaamaaemmssz t CaalaaamnmamaamSts,samaaa:%rc:^.xcr::::mae9Si tt*aaaammmam9Caz¢-asaac a::mma:scamaamzsxccaslzl.' axxsxA'ssmala scemmals!!e!lmlmmaG:l exlQaasaaaaQxsaxaQQs¢ml:s:cmammzxms r_cnals
a:s CONTRACTORS, PLEASE USE LOCATION (ODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS VITHIN THE CITY OF FEDERAL BAY. TAX RATE : 8.25 tt$
Jsmmm9mmXMCam3:l:a. SD Sm¢Gxlaaaaa=O�XIt �!¢m'S`Q,:...,.4SG .,ICr _.. ::.Jxi1 J==Sa1':,masammmmamamisca¢a SCfi lsasQaaemassesafl Snma ER'�'mxlSalalmeUQamsmmcasaanSemm:aar�a,�samatmGasmmbtafiamm fl
FUEL TYPES.:GAS ? FANS 0 BOILIFT/COMPRESSORS FEES:
GAS PIPING.: 120 ft HOOD • 0 0-3 HP • 0 MEC PRAT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HD.....: 0 NEC APPLIANCE FEES.* $ 24.00
GAS HNT • 0 WOOD STOVES...: 0 15-30 HP....: 0
CONV BURNER: 0 FURN'100K..,..: 0 30-50 HP,,,,: 0
BBQ • 0 MISC. .....,..: 0 5t HP 0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS--_-_____
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 2 > 10,0010 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 44.00
mrlefi¢mammmamCaamaalmmS:9aSIDlmaalai::C6f„^A:.iCIRmmS xYilmmaSSSm¢Y.alOm?tmYCilxlxaaas:mm est;:2m adexQammllfiam:asmnmpmm¢sss[Ra SlalmmeY2Yxm'� xanaaxmr xma�S¢Sa xaaQxC.'l.'AxK na xC:SYR:."..Rl�lllf:.SCit-:l LS6Qmmaa)�S
Does the water supply systes contain a Pressure Reduction Device or Check valve? O Yes () No (If "Yes” then water expancirn tank is required en Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes: 5"345 Doneciz Ce ,S //.'S�-izec 12) q /
GAS PIPING 06-3- Date By
44
xzmas¢aas :s xmaaaalamaaaasasaar:<ani�mmma aamcxmansaarasrtmmlaxxlnn¢mmamnscaamazascamaamacaaexmzaaxxmacaaaa^auamazamasaQaalzaaCP.ammmeammma�la¢emss9laleQclam¢caaaaamasmalmez::xxaaxraaez
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 NE IS TRUE AND CORRECT TO TME BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY RFOUIRENENTS BILL BE NET.
OWNER OR AGENT / , �I` `�"" DATE er
FIELD COPY
r I
, CITY OF FEDERAL WAY _ ,, PERMIT NO: BLD95-0595
33530 First Way South EC i � N1. 0 L PERMIT ISSUED: 08/01/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 01/28/96
ADDRESS:916 SW 298TH ST
NO. : 195460-0030
PROJECT DESCRIPTION:HVAC - INSTALLATION OF 120' OF GAS PIPE AND STUBBING OUT 1 DRYER AND 2 GAS INSERTS.
OWNER CONTRACTOR LENDER
LOWELL DAVIS J OHMSTEAD CHIMNEY
916 SW 298TH ST 16635 16TH AVE SW
FEDERAL WAY WA 98023 SEATTLE WA 98166
946-2285 244-9257
OHMSTC*1320N
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
_ >
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 120 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.* $ 24.00
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..: 1 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 2 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 44.00
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
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 WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT `
__� "`�` DATE .. ---i-_24--
ALE COPY
w
City of Federal Way
CITY OF/.. b,e...10 33530 First Way South _ \ ���• Federal Way, WA 98003 &pq -
0
(206)661-4000
WRY
�� P°APPL/CA TION FOR MECHANICAL PERMIT
PARCEL it•�` �
1.# 1/-7,
' 00-3r) Single Family cil, Multi-Family LI Commercial o
SITE LOCATION:
Tenant/Owner: Li-�i.- -e..)./d-- .h.. .f'` L4i'7f Phone: /� 2P--Y--
Address/City/State/Zip: /�65 2$p—Z 9c�1; L✓L✓t/.
Nature of work: J ''-' //,_y /r"- - 2 -S Project Valuation: $
APPLICANT: / /J
Name: Z.,.. --",vCV, .'. n ------ 07A I S 7`ao •��-7 (,., Li l tK-f 1 any
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: v)./' . S or" CX
i "-1
/a2S— /c< S�,.r.
Address/City/St/Zip: 4' /� G. ����
Contact Person: `" ''‘ �"'1 Phone: ��92s? Fax: 2 y'�it
State L & I Contractor Registration #: 0//'/-(- .' " /-32 L9 - Exp. Date: 9t- e9-S"--
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type t es�ther) Gas Dryer ) Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping /2 ".. ` / Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log •Z 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
<
» '»>>«>BBn's Wood Stoves A/C TONS 'Y��!tlriitroti��y _ _. >'
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: /-� (l (�� Date: