95-102248 CITY OF FEDERAL WAY
p PERMIT NO: BLD95-0715
33530 First Way South ti I 4," �,1 g,IIq, . C,...A y U . P ERM .. . I ISSUED: 09/05/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: RM
661-4000 EXPIRES: 03/03/96
ADDRESS: 424 SW 297TH ST
NO. : 720510-0100
PROJECT DESCRIPTION: NEW WALL FURNACE AND FP INSERT
g= OWNER -• ----_--_ __ __y= CONTRACTOR =____
--______-___,._ LENDER _
NW PERMIT *X* OWNER IS CONTRACTOR #$*
2802 E MADISON #101
SEATTLE WA 98112
I
! *** NONE ***
==t CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
I' •• _. ______=__= -•••-_ . ========= _ .. = .__ __= •- -. _ ===
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS I FEES:
GAS PIPING.: 41 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 • 0 WOOD STOVES...: 1 15-30 HP • 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBO • 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
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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
. •• __________ .. ..____••-_ .... =A
PERMITS EXPIRE 180 DAYS AFTER ISSUA., NO WI' `p ARTED. RE DENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FUR D BY ME ' `A0r"Eq TO HE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT //- ._.-__ __. DATE c S_ I
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City of Federal Way
• CITY OF ,--, 33530 First Way South
` 0 - J Federal Way, WA 98003
= y I
�\�Fr
(206)661 4000
APPLICATION FOR MECHANICAL PERMIT �—
1)L. /)
C.77's r 7 lJ
PARCEL ,• .s.• •0 • ' Single Family/0 Multi-Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner: PictV I P 6,---E--(71- 4:4Phone: ILj` L—O CA
Address/City/State/Zip: Li a-4 Si6 _.61-i' $Y - (An\I q0D-- )
Nature of work: L _/. aST •roject Valuation: $ lC)(�n
APPLICANT: t^`
Name: ��U V \ P 1T
Address/City/St/Zip: -)---50L% Mrs b IS(5/k ,CU/ 9A- ( (I 4 ctst l
a__
Contact Person: Vl_! rf ie.AG L-D Phone: ).- -5<141 i Fax: 3 LE D-- t 3
MECHANICAL 1 1 CONTRACTOR: �j
Company Name: f\1 \UvA I %2- A Tc
Address/City/St/Zip: ?50O mi/,,e- J1K . E-Y`l 9gici�
Contact Person: 6�c-- -- 4 -N4t D Phone: D''45-(eaQ4 (11S-Fax: 3?-`-/ - V-j-7 7--
State L & I Contractor Registration #:/ kie-ThL iAll11ly�/C..)- Exp. Date:(Z( c I
(Card must be presented) •
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping e...'4,/ " Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log mn1i he Yter -it, 1 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
BBQ's Qs
Wood Stoves
A/C
TONS 7otafE1`riit'Cazrit»><»> _<» >>
DISCLAIMER: 1 certify under penalty of perjury that the infor.. on fu nished • •e is true - • •rrect 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 applicati• is made. I fur •r agr- to s -e harml.-s the City of Federal Way as to any claim(including coats,expenses and attorneys'fees
incurred in investigation and defense of such claim • hich may be •e by a • :on,includi • the undersigned,and filed against the City of Federay Way but onl where such claim arises
out of the reliance of the City,including its offi rs and employee-, •• t u . of the inf•rmation supplied to the City as a part of this application.
Owner/Agent: � 0 Date: if--- ti