95-100177 41100
95-' goo l77
CITY
33530OF
Way South MECHANICALPERMIT PERMSSUED: 01 /1IT NO: BLD97/90475
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: JTH
661 -4000 EXPIRES: 07/16/95
ADDRESS: 32615 3RD PL S
NO. : 701681 -0970
PROJ ECT DESCRIPTION:HVAC - INSTALL FURNACE AND WATER HEATER.
OWNER CONTRACTOR — LENDER
ANGELINE PAGE C H SERVICE COMPANY
32615 - 3RD PL S 309 S CLOVERDALE #E4
FEDERAL WAY WA 98003 SEATTLE WA 98108
661-6850 767-0681
CHSERC*150DM
1 1
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 60 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<IOOK.,: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 19.50
GAS HWT • 1 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
TOTAL FEES $ 39.50
0 -
Does the water supply system contain a Pressure Reduction Device or Check valve? O 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 —
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT " ,, 7" DATE I""/7'4,5--
FILE COPY
L_.Iiy Ul l UUUIdI vvay -
ci ry or 33530 First Way South D/� — 00c/7
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Federal Way, WA 98003 •
7
(206)661-4000
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APPLICATION FOR MECHANICAL PERMIT
PARCEL tt• i 0 I &O .1 0t1 0--(' _ Single Family VMulti-Family 0 Commercial 0
SITE LOCATION: /�"�G
Tenant/Owner: A n
ILL PCC Phone:Cilf - (,1) C
Address/City/State/Zip: - • Pt S ' / _/ A
Nature of work: i -0 GCV1 A 1:+ i ^ -
eject Valuation: $ , Cn 'Cr..)
Q ln cl wed .w (S i6 1� �J�=j '
9 ' / C -c 0( t ft.
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APPLICANT:
Name: C j�" ' SC r\I t L.k? CC Q
Address/City/St/Zip: 1Y J . 11
-u 1 1 D
Contact Person: L.--till C f f F Phone: —76:2-7 nt'Oc -I Fax: 6'7
MECHANICAL CONTRACTOR: . , /
Company Name: tit-A-y
- 1 • `"" v i C CE IA--',"- -
Address/City/St/Zip: =t 1 r 5s e `1 c10c
Contact Person:- ( (';111 C ( t (Q Phone: .---7(67 0(0%( Fax: -7(c-7-',- 9
Z"--
Ciiii.ii-C*15CiDM -� �(-9�
State L & I Contractor Registration #: Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT: `
Fuel Type (gas/other) , ‘ Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping •( ' Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/1-1 Other
Cony Burner Duct Work A/C TONS Other
684's Wood Stoves A/C TONS <?3`vitali{Aiti<Ciru44.0.......................... •
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 I.made. I further agree to save harmless the City of Federal Way as to any claim Gntdudinq costs,expenses and attorneys'tees
. incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and tiled against the City of Federay Way but only where such dim arises
out of the reliance of the City,Including its officers and employees,upon the accuracy of the information supplied to the City as a part of this application.
Owner/Agent: Date:
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