95-102215 CITY OF FEDERAL WAY w,, E. ,,. .,.,, PERMIT NO: BLD95-0706
335110 First Way South i'ab ;...d, 11 t „ � hr . P 4 RM .,�,,. ISSUED: 08/31/95
- Federal Way, WA 98003 Building Inspection CI-0.1
661-4140 BY: FC
661 -4000 EXPIRES: 02/27/96
ADDRESS: 33403 41ST AVE SW 95 iiCX;/5—
NO. :
s"NO. : 327900--0190
PROJECT DESCRIPTION:HVAC - INSTALL 1 EACH HWT, FURNACE. ALSO, 80' GAS PIPE.
OWNER =- = =f- CONTRACTOR = --T- LENDER =_ _
PATRICK SAGDAHL 1 NORTHWEST ENERGY SYSTEMS INC
33403 41ST AVE SW I 1045 W MAIN
FEDERAL WAY WA 98023 AUBURN WA 98001
I
838-9372 1 735-5410
NORTHES066DN
411
__ = i -- __z _ 1 = =-==
xxx CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.25 xxx
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS I FEES:
GAS PIPING.: 80 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 I
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
1 TOTAL FEES $ 39.50
1
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)
IIIIPspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date BY
= ______ _ _ __ = - I
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 MILL BE MET.
OWNER OR AGENT _ _ ___ c ', DATE __ A11(15
FILE COPY
City of Federal Way ,
CITY of r""'— '' 33530 First Way.
Q_ t t
^e1?�• Federal Way, WA 9$O E
\ V (206)661-400
ANUG 3 1 1995 T3 J1-'
APPLICATION FOR MECHANICAL PERMIT
CITY OF FEDERAL WAY
C� BUILDING DEPT.
PARCEL ff••3D7 9 DO 0l [ Single Family 1 Multi-Family El Commercial D
SITE LOCATION: `�
Tenant/Owner: Pa• y- 1( ( �, Phone: �3�- ?3 /
Address/City/State/Zip: '-3,---)L1(-)--, LI I -J We-'r
Nature of work: {\ fi x-C ,U 1 `t'( Lr-11(1 .JZ._ Project Valuation: S
APPLICANT:
n
Name: -QA Lam,
Address/City/St/Zip:
Contact Person: Phone: Fax:
•,
MECHANICAL CONTRACTOR:
Company Name: N • I JO • �, ;ry .. �t,fY)71/
Address/City/St/Zip: ){11--) u 1-L1) 'A±-
Contact Person: C .! O4 Ift()dO Phone: -735 51/0 Fax: .7::- .---57/
State L & I Contractor Registration #: 0c' O_s ( OtUA
/ Exp. Date: 3-42—
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping w F Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's I Gas Log Unit Heater Underground
Furn >100K BTU's (‘"i()� Fans LUI17�" W V Boiler BTU/H Miscellaneous
Gas Hwt--i -,1-LC Bfl tk. Hood ecl V\ Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
....................................................................
...................................................................
....................................................................
BBQ's Wood Stoves A/C TONS ::Totai'tJriif' oti it?>::>:>::::::::::::« :::
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 end employees,upon the accuracy of the information supplied to the City as a part of this application. �'y //J))
r f / ` /1
Owner/Agent: -�'� LA ��1r��� Date: / / Y
MOO 0131d .. • -
0-I
A'S.
\ '
1 1R iiN C. 1Y07) - ) 0 " .154 40 43444
1111 14 11111 $11131114111014 1411 1411343] $0 All) 31143111144 1111 444 194310011/ A4 .10 1534 141 01 113440) 444 3441 SI 111 AI 01451, 1 1141 4111413 I
1)11405S1 10 3144 43114 11411 1114 141411 3114414 3414449 4114 141111141S14 131441S q 1404 ON 11 33444 ' '1 . VI 48 . 1. ' 114434
. AR 0E0
0 5141 5
;spoil uo!i)adsui lemetpa A u. po)aw uowedsul
owl loom low uo papnbai 4 4uel uolsuedxa Jaden uaqi .saA. 10 ow (1 saA () 34Epato ik. _ A i'Lii ielu vaisAs Aiddils .181t11 aul saoi
4"..Y.I,L•ritt 41047:0—"0...14,,r 0.4.•'0,0,..{M•rs.}PeVA.0,
•..1" 1••,,ti t
OC'6E $ S331 14101
, c\ ,
A\)-\
i \ t
_
0 . "III IL,
0 :'"5501 SV5
0 . 15NON
0 ="43Asa sti5
maw , \ , ,iiitwobliiikiii-„itiv
,1 7..-tv- r,-)s114 0
, 114ja•*300INVAJ 0 :4311808 A110)
7
, 1
A '
, 1 iiirIeS3A01 S 00014 1 :'"•1101 St's
-w-
OS'bi $ *'S33J 3)101I1ddil )3W r „
, ,, citil_i, 0 • ASO l'i0O 1 :"AOOPIIlli
00'0Z, $ 33NOOSSI Iltdd )3W • • °A ---„, .. .9 L,.. 4,1.t;**I' o o t i 14 08 :'941141d SO9
=S33.1 '-,-I ,,,t ' '''''' It,:' '''''0 '`;'""'"" 'SIIV3 i, SV9="53dAl 1311J
..,e_ ,
,,„ ,'!044'wAwa'''Z.,...............................................,,
us SCR : MI XVI "MIN Wit$11 10 kW int - - 'i" 1 Siltts tl0d1 NMI ZELI WO 110I8001 ISA 39/11d eStenntlint) to
t NO99053846014
I Oiti-SEL ZLE6-818
1
1 10086 1141 N11118fltt EZ,08t, ON IH 1V8303J
. I NOW ti WIT NS 3M1 ISD EWE
I
)NI 9131SAS 5 3N3 ISM/1180N . 1HVOSOS Untlktd
sr: ; n ::tssrts*s,unsrgaS.'runnrsrs:.UwSuss .K4 3N$O
341d SO9 ,t; 'ASIV '3)V118111 'OM H)93 1 littISHI - NAN=NW I dl dDS3Ct 1,J3POZ.Jd
OA TO-006./..ZE = '04
MS AAV 1SP, E0'76E:S538(1at)
0007-T99
99 ,...)1.,i);:inApo,d (Jo!-I.)act 1 T bti FPI"nR E.:0086 VM ''Aem T ed ape j
9f -56 I I W U"1 d 1 WI I Li 11 D -3 lel
.. 1 _ innos Aem 1 I i OESEE,
40/0-Sh(118 :ON I iWd., 51-el ' AOM Ikrz44(.13.3 JO Al 'ED
{
CITY i F
• EO
BUILDING DIVISION
N),N) Fry- 33530 1ST WAY SOUTH
FEDERAL WAY, WA 98003 661 -4000
CORRECTION
NOTICE
ADDRESS: 6 4 ‹tAve- C:Li; PERMIT #• l r ^
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW:
jZ s _ i74;11 voritt ,
&' ,.zw' r-i- lag
z ���ge-7 / < , 71k4/ m 8 c>
YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661 -4140 FOR
RE-INSPECTION.
DATE INSP CTOR FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE