95-100797 1
95-fb-797
CITY OF FEDERAL WAY A A � A
i 1 ! I n n P A I T PERMIT NO: BLD95-0307
33530 First Way South IVI L V [1 M i ' A V I k.!t'% L. r I R IVI I I ISSUED: 04/21 /95
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC
661-4000 EXPIRES: 10/18/95
ADDRESS:859 S 326TH ST
NO. : 326070-0430
PROJECT DESCRIPTION:HVAC - INSTALL ONE GAS LOG AND 135' GAS PIPE.
F. OWNER , CONTRACTOR LENDER - i
HARK CONNOLLYIli NORTHWEST WATER HEATER
859 S 326TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA WA 98499
529-8337 984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 135 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.* $ 11.00
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..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 31.00
4111
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 ORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY/ OF FEDERAL WAY REQUIREMENTS WILL BE MET.
rVI OWNER OR AGENT - DATE P. NS
FILE COPY
illCity of Federal Way
CITY OF(iEE1JEEIZt:.FL _
'- 33530 First Way South
• _ FedeWay, WA 98003WAY (206)661-4000 ��� .J�
APPLICATION FOR MECHANICAL PERMIT
PARCEL l• 774-) O 3D !N Single Family Multi Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: n C�� CO n Phone: Ci✓
Address/City/State/Zip: G `9 `
V
qr- •Nature of work: } Y \Pc-t-N-_-, Project Valuation: $ t" - SD
APPLICANT: �
Name:
N,,c) � e `� ��
Address/City/St2ip:
? (-.1 -.A L6> tr\ Li q, ...__, C7--(j) ci&.1 9c1
Contact Person: A Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: in,(`- --,
Address/City/St/Zip:
Contact Person: ( Phone: l Fax:
State L & I Contractor Registration #: `` � �D('�1����`�S p. Date: \ ? •
l
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Typt ag/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping 1.-3 / Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU'ss.
/Ce5 L 3 )_) Unit Heater Underground
Furn >100K BTU's s Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
..................................................................
.... ..........................................................
BBQ's Wood Stoves A/C TONS Tota1'tJiiitC ii,iti:?: »::>:::i:i:K:< :
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)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,expanses 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 F.deray Way but only where such claim arises
out of the reliance of the City,including its officers and employees,upon the occur..y of the information supplied to the City as a part of this application.
Owner/Agent: ��r. Date:
,
6—i j )
r _ ._ _ - —ar.r—: -
I1d00 C13Id
31+10 . _. _- _______c4/ i A l _r _ , k39Y fig? H3NMJ
. =
'13N 18 11I* S1N3N31110038 kVA 1V8303i JO A1I3 318VOI1ddY 301 ONY 39031MON1 AN JO 1538 301 01 133HH0 ONY 30111 SI 311 A8 03HSINHfli NOIIYN8OJNI 301 A111133 i
'3ONYflSSI JO 31Y0 H31lY HY3A 3NO 381dX3 S11NH3d 9NIOYH9 ONY 1VI!NJOIS3H 'O318YIS SI >IHO* ON ii 33NYflSSI H311Y SAYO 091 38103 SlINH3d
,._. _ _ _._ _ - - �� -
A/ 1.0/4
A8 aie0 >!o 9Nldld SV9
:saioN uoliaedsul iealueyaaN XO am' 4011g pioaaH uoiiaadsul
(yuel Jam iot uo paJInbaJ sl vital uolsuedxa J01e14 uayi ,saA, ii) oN () saA () iaAieA pato Jo astAaa uolonpag avnssaid a uteiuoa uaisAs Alddns alga ayi saoa
"......^.7,...=�.�� = _.....T___________._.................._________. . .._._..___.._._.-
00'IE $ 8331 1Y101
...
;'ON 04 30Nfl t$39 OQ$'01 < I '.S9O1 SY9
ONOat� a !"h, Q0'OI=> 0 = 39NYH
.hllfl$a ,J.IN N ' Y}!1IY 0 83AHO SYS
,' * ......
1I ;. ,.. dt b 4 '� O 1N 0 • 088
', i��i'�V,H+s���01% 1� _ o 1E 0 • "100100,x,_) 0 :$3NHfl8 .NO3
t It
00'1I * �'S33i 3Oi F ' � ai a 0 .... 1H -£ :. � flO 0 100I>NHM
00'01 "'33NVflSSI +i. ' dH -O 0 „d 1' 0000 II SE1 '''9Nldid SYS
S3ii 0g3319d f0O/S1.14i 1338 0 '144*. SW i SV9:'S3dA1 13fli
l+i;0IN liva
t,t9-v4h lEE9 6lS
66t96 VM YNOOYI £0096 YM AVIV 1VH303i
MS IS a9NVHflO I0Z8 IS HAZE S 6S8
H31Y3H HJIV* iS3MHIHON A1IONNOO YIJYN
--_ n r --� _— - --- !130031 rl- s� y-_ r ._� , ,-.._ HO1 YH1NOO =" . �, ._........„........___:00,86
. —_,..._� —..----'',: 83N10
'3did SY5 ,SE1 ONY 9O1 SY9 300 11YISNI - OVAH:NOIldIMOS3Q 133rOtid
OEVO—OLO9ZE : 'ON
IS H19ZE S 698:SS3800V
96/91/01 :S381 dX3 0001-199
O3 :A8 O1? lb-199 si.senbad uoLlaadsul 6ulplln6 £0086 VM 'ARM leJape3
1R-
LOCO-9601S :ONnI 1P483d 1. 11/483d 11A1 y DAVM 1V83o33 c 1O0A11O