95-102038 615 /0A03F
CITY OF FEDERAL WAY PERMIT NO: Ht_D95-0651
33530 First Way South MECHANICAL PERMITISSUED: 08/22/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 02/18/96
ADDRESS:33064 35TH AVE SW
NO. : 109975-0260
PROJECT DESCRIPTION:INSTALLING 1 WATER HEATER, 1FURNACE,
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KATHERINE HOLT NORTHWEST CUSTOM HOMES
33065 35TH AVE. SW. PO BOX 885
FEDERAL WAY WA 98023 KENT WA 98035
661-1723 939-2526 995-3014
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*** CONTRACTORS, PLEASE USE LOCATION CODE 1T32 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL. WAY. TAX RATE : 8.25 t;t
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FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 70 ft HOOD • 0 0.3 HP 0 M PPAI NUANCE... $ 20.00
FURN<100K... 1 DUCT WORK ' 0 3-15 HP...... 0, ro A , l E FEES.* $ 19.50
WOOD NWT • 1 WSTOVES • 0 15-30 HP ... 0 ,
CONY BURNER: 0 FURH1.O0r ,.... C 30-`0 HP.. .: 0
BBQ • 0 RISC,.. ..... 9 s, Hp.
. ...... 0
GAS DRYER..: 0 AIP HAHDLTN‘ UNITS FURR. TAW S---------
RANGE 0 <:i0,000 rFM• 0 ABOVEGROUND: 0
GAS LOGS...: 0 > 10,000 WI: 0 UNDERGROUND.: 0
TOTAL FEES $ 39.50
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Does the water supply system contain a Pressure Reduction Device or ;heck valve? () Yes O 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 --_�__- __ _ _w�______._
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PERMITS EXPIRE 180 DAYS AFT2R'ISSUANCE IF NO I ANTED. RESIDENTIAt,,AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE IREORNATION'INtNISHED DY ME,ISI 'AND CORRECT TO THE BEST'OF NY INONIEDGE AND THE APPLICABki CITY Fo R TS MILL BE NET.
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OWNER OR AGENT :r � L__
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FIELD COPY
CITY OF
PERMIT51
Fi rst Way South E. ,_,. II"" �i �p ,,q... L. .•11"'tii' " ISSUED: 08/22/95
33530
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 02/18/96
ADDRESS:33064 35TH AVE SW
NO. : 109975-0260
PROJECT DESCRIPTION:INSTALLING 1 WATER HEATER, 1FURNACE,
iOWNER CONTRACTOR LENDER
KATHERINE HOLT NORTHWEST CUSTOM HOMES
;II1
33065 35TH AVE. SW. PO BOX 885
FEDERAL WAY WA 98023 KENT WA 98035
661-1723 939-2526 995-3014
NORTHCH115NU
*** 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.: 70 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 19.50
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
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 39.50
0
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes 0 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 AFTE' SUANCE IF NO WORK IS '.'D. SIDENTIAL D GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION ' 'WISHED BY ME I ' r D CI' CT TO THE BE OF MY KNOWLEDGE AND THE APPLICAB CITY OFF2 L RE ILL BE MET.
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OWNER OR AGENT ,/ DATE (/ -_
FILE COPY
c)®oF /9' ''
33530 First Way South • 3 '� — 66c. 1
FE-ElEIZFIL__ Federal Way, WA 98003
�Ry (206)661 4000 1
APPLICA TION FOR MECHANICAL PERMIT
CSA
PARCEL #• �� ! �5 /7 Single Family Multi-Family DV Commercial o
AUG2 4 /995
SITE LOCATION: CITY
ATevi r„�,goke-P7t �`r 3Tenant/OwnerA,Q7�i%��/�� Phon�Tf��' - l- � �
Address/City/State/Zip: 3 3 Oep c "33-2---#. /!C/ SLti,' /-- Gu/iii/ '9S4. -'
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Nature of work: �, Project Valuation: $
APPLICANT: ,
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Name: ':u, %J �� j
Address/City/St/Zip: - :216-. - 721 P7S��A X69/ ff /L/ F.'1 (/._
Contact Person: t`>/e",_, / --- /7i; '1l✓ /JD Phone:•;45-776%§ .1--Fax: 3a..ZLV22Z
MECHANICAL CONTRACTOR: �y
Company Name:
NORTHWEST WATER HEATER,
2800 THO"rt1W,:,E AVE. WEST
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Address/City/St/Zipp:, SEATTLE, WA 481' 9
Contact Person: `="' r �� '-re Phone:?YS—'/C �F�' �''S Fax: 3� 1I (-{, -f t
C/.'k ,fI ice- ` d? ,r
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(Card
L & I Contractor Registration #: , /� 3 — Exp. Date: r Z��✓
(Card must be presented) -
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping /1 Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's 1 Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt /""J)f.L,'''; / Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's 4s
Wood Stoves
A/C TONS
DISCLAIMER: I certify under penalty of perjury that the informati•• • i • • by a is rue and c• ct o 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 i- ade. I further;•ree •save h, less t City of Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),w ' may be mad- �son, uding 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 •employees ••
ill 1ura of t .inform on supplied to the City as a part of this application./
•
Owner/Agent: Date: / G 7