95-100561 95- )0 05- /
CITY
335300Firstt Way South F FEDERAL WAY MECHANICAL P T PERISSUED: 03/16 /9595
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 09/12/95
ADDRESS:2121 S 286TH ST
NO. : 422210-0020
PROJECT DESCRIPTION:HVAC - ADDING FURNACE TO 100,000 BTU, & 70' GAS PIPING
OWNER — CONTRACTOR -- LENDER
XVAN PHAM NORTHWEST WATER HEATER
2121 S 286TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA WA 98499
941-2836 984-6404
NORTHWH103R2
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.; $ 13.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY 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
41111 TOTAL FEES $ 33.00
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 PIPiI/ii OK Date By
1AFTER
PERMITS EXPIRE 180 DAY SUTANC IF NO WOR IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATI N F 'NI • . E S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY 0 FEDERAL WA)'/REQUIREMENTS WILL BE MET.
OWNER OR AGENT J DATE V---) A,"
FILE COPY
11 R. iS-9._, WED 16 :51 WLF INC. 286 329 427 RECEIVED---
City of Federal Way
CITY OF 33530 First Way South •
•
i:.r✓ F23dt3r$1 Way. WA 9E003 MAR 161995
{. (206)861,t000 •
WErY CITY OF FEDERAL WAY
APPLICATION FOR MECHANICAL PERMIT BUILDING DEPT.
isa)(45- o 1 15
PARCEL it. '.-J--2-k v. 9.r Z c:' V Single Farnily,..2'r Multi-Family 0 Commercial 0
SITE LOCATION:
tenant/Owner: 'i)+At-a. e AA _ Phone: 9- -2-g,k,
Address/City/State/Zip: _ 2_\j- 1 : - 4.+ S-- • _ sir$ __._ C�3�
Nature of work: '-'^'1/4. `ca--A.\ . ��_�,>,�_ c4,,,.‘ ve-r,--i..Q_. Project Valuation: S.---Lia...
'S
'Y AC ¢ !Q ''', r''"�.t'L
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APPLICANT: IA
cy ..��� c.-� �= Q�Cts '"'_� � '--,-----.)�+*""3 •.a c s,"" .- 4---<)...-114L1-t' -
Name; iNN) ` '__—cam>, , . - s“.....4....., _
Address/City/StiZip: .i: '-lc. t•.., ` _'‘. t A\,1.
Contact Person: �-�.-• M t.��...�1` ""A ____Phone: J 22_-- I t q ‘ Fax: t'e4,..........10,..--A---
roECf1ANICAL CONTRACTOR:
Company Name; -
Address(City/Str?ip: 12--*b" r- . S . 20.1"I''-‘,
Contact Person: k..-__ - , Phone: -3"�-c`3R Fax: -L.C,- __
State L & 1 Contractor fiegistration #: — Y'`-} :�'. t_.._, Vi, `off r
Exp, Date; 11 .,•, yi-"
!Gerd must be pr496At0d)
MECHANICAL UNIT COUNT: •
___ - —rrter Type tg9slotner) � Gas D er
Air Nandtin < .- 10,00OF frn • Fuel Tanks:
Len th of as iptna 0 .'At Ran . Alr randlina > t. 1D,000ofm Above Ground
Furn <10CW BTU's ..._.---" beg Lo Unii Heater
_ • Underground
I Furn >iOQK BTU's Fens - Boiler
BTUJH Miscetlaneoua
(-Gas Hwt !food •
Boller 87U111 Other
�I Cony Burner Duet Work IIf0 7ON9 Other
n ++ — es Az a 17`
Dlsclwu opts t.eni.y.+mete pcnelty or pecuty that tar Intertnetitel furnished by tar i true vat format to the beet et my knawIMpe and hath r Ma t am mithariatal by ftp Owe"et the ebeva
erteusea to perform the Wb ter which Peret*arOk.tion i Md.. t rvth.,o.,..t.set.i ho ent..r en Clty oo r.neret Way M to any palm rutdtdIN tette.■epena.s we Wortley.'f..e
IrICUIred ret mtettiQKion.nd Waned et Gaolh da4nl,wtiith may be mole by any• .on.Inducting the uelsewened,eete filed nrwt the Gey v FI....Wey but tee,wr.r•auah cletre emelt
..,t.1.h.rentne..4 et.,der.tncluev'q he etttcare 'od tehpteye 5e.!,pen the WAX y et the tae+rnetion'upend to the cats M a pin Of elk wpecetten.
•1
Owner/Agent: .__- Date: 6/4. a
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