94-102421 °�
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33530oFirs�EWay sout� MEC ICAL PEl�:MIT ���Ifss���= 1�;2�;���°
Fedaral Way, WA 98003 Suilding Inspection Requests 661-4140 BY: FC
661-400Q EXPIRES: 06/19/95
ADDR�SS:27923 22ND AVE S
NO. : 757561-0490
QROJECT DESCRIPTION:HVAC - INSTALL 6AS LD6S 6 6AS AIPE.
OMNER COMTRACTOR LENDER
PETRONILLA BENNETT NORTHIIEST MATER HEATER
21923 22ND AVE S 8201 DURAN60 ST Sii
FEDERAL MAY MA 98003 TACOMA IOA 98499
984-64t14
� NURTHbiN103tt2
FUEL TYPES.:6AS ? FANS..........: 4 BOILERS/CDMPRESSORS fEES:
6AS PIPIk6.: 70 ft NOOD....,,,...: 0 � 0-3 NP � : 0 ���� �.� a �` � � ����` �: MEC PRl4i ISSUAMCE... ; 20.00
FURM<140K,.: 0 DUCT lOORK.....: 4 3-15 HP..�...: ��0 � �. , ��;*��. �:�_�!° � �� � �a` � �MEC��APPLIAk�CE FEES.r S 9.50
6AS_ HMT....: 0 �UUD SiOVES...: 0 15-30 HP....: 4 � � ��a� �� ' '� ' ��
CONV BURNER: 0 FURk>100K.....: 4 34-50 HP....: 4
BBQ........: 0 MISC..:.......: 0 5+ HP .,.: 0
6AS DR7ER..: 0 AIR HAPPDLIN6 UtEITS �� FUEL TANKS ------- ��� �� �
RAi46E...,..: 0 <=10,000 CFM- Q ABOVE 6ROUND: 4
6AS L06S...; 1 > 10,Q04 CFM: 4 UNDER6ROUND.: 0
TOTAL fEES = 29.50
Does the �aater supply syste� contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then Mater expansion tank is required on Hot Mater Tank�
Inspection Record Mater Line OK Mechanical Inspection Motes:
6AS PIPIN6 OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS STARTED. RESIDENTIAL AMD 6RADIM6 PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY TNAT THE INFO AT FURR?SE� BY ME I5 TRUE A�D CORRECT TD THE �EST 0� P9Y KROidlED6E AND TNE APPLICAB'tE Cii Df f RERAI MAY RE9UIREMERTS 4EItL BE PfEi.
Oi�NEk �" 9GF�' ___------------------------------------- ��ATt _
- - -- -------- ---- - � - - �---
FILE COPY
City of Federal Way
C I T Y O F v �"`� ""�" y�,���A��^�i ti"'
� 33530 First Wa South �,..
� � Federal Way, WA 98003 ,
```` i206)661-4000 ;:e� � -; t�4��, �
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APPL/CA T/ON FOR MECHAN/CAL PERM/T,,��.y,aF FE[?E�i4z V�pY
f �atJii.�1��VQ.:� R��������
`�'- � t,-�( (/� ��Day � ,��io
PARCEL�• ��j � /1.,� ���' L � Single Family� Multi-Family ❑ Commercial o
SITE LOCATION: �
. •
Tenant/Owner���(��1��� ����`� ��E�r� Phona
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Address/City/State2ip:�J 7� ��� ��-� `r►� � � ' �� 1 G
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Nature of work: l ' � � Project Valuation: Sc:ZI L L�
APPLICANT: _ � �
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Name: .��� �� tfV�,��
, c-
Address/City/St/Zip: ����)� � �'����'�� ��G+'� ��' � �� ��� � �
Contact Person: � ' - G `� Phone:�C� � �� ' Fax:��"�'� �����
MECHANICAL CONTRACTOR:
� '\ 1
Company Name: ��-j e��L�✓ �'---!�/�-��/
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Address/City/St2ip: � .�- `- C� � '
Contact Person: Phone��z- �"���� Fax:
State L & I Contractor Registration #: J��K-I T l C��»���- Exp. Date• ��
(Card must be presented)
MECHANICAL UNIT COUNT: '
Fuel Type (gas/other) Gas D er Air Handling < = 10,000cfm Fuel Tanks:
Length of gas iping Range Air Handling > = 10,OOOcfm Above Ground
Furn <100K BTU's Gas Log Unit Heater U�derground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Conv Bumer Duct Work A/C TONS Other
:it.� ::'•:iv:.'r.'•3.Y;+ii�l:ka::v<%"r...
OISCLAIMER: I eerti(y Wer paMlty o(palury tMt the Ydorm�Uon fumi:hed by me i�We Kd corract to tha be�t of my knowledpa rd iW+x thd�rn�uthori=ed by the owra�of the�bov�
premises�o peAum the wwk lat which permlt�ppliuUon b m�. I(urthar�prse to s�va hwmlea the City of Foder�l.W�y M to�ny d�im Gndudinp eosts.�zparw�rd�ttor�ey�'lee�
. incurred in investq�tion aW deferra of�uch d�4nl.wNeh m�y be m�de bY MY Pa��.����0��«�+p�d.�nd(ibd�p�ifrt IM Cky ot Fader�y W�y buc only wMn wch ddm arises
oue of the rNi��ca of the City,kiclud' .hs offiun ployee�.upon[he�eeur�cY of tM iMum�tion�upplied to tM Ci[y a�pwt o(Ws�ppUutlon. -
/ � .
Owner/Agent: Date:
q /O f
CITY OF FEDERAL WAY MECHAl\TICAL PEIZMI T PERMIT NO: BLD94
12/21/9014
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 06/19/95
ADDRESS:27923 22ND AVE S
NO. : 757561-0490
PROJECT DESCRIPTION:NVAC - INSTALL GAS LOGS h GAS PIPE.
CANER -----
PETRONILLA BENNETT NORTHWEST NATER HEATER
27923 22ND AVE S 8201 Dl1RANGO ST SN
FEDERAL. NAY NA 98003 TACOMA NA 98499
I984-6404
.......±.„..._NuR1NWN1 1.
FUEL TYPES.:GAS ? FANS ... +0 BOILERS/COMPRESSORS
FEES:
GAS PIPING.: I0 ft HOOD__,. : 0 t,-3 HP......: 0 =ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT MORK. .. . C 3-15 HP.....: 0 M f.cANCE FEES., i 9.50
GAS NWT • 0 WOOD STOVES... 15-30 HP...,: :
CONY BURNER: 0 1URN)01.... .: ° s0-51. Hf..,.: 0
880 • 0 MISS:. .. .... 0 5#,HP LT
GAS DRYER..: 0 A"L NAPKIMG I'NIT1 TUE! F t "— -
RANGE.. . 0 10,u000 cEN- u ABOVR GROUND: O
GAS LOGS...: 1 > 10,000 CFM0 UNDERGROUND.: 0
TOTAL FEES S 29.50
Does the water supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (if 'Yes' then water expansion tank is required on Hot Nater Tank)
Inspection Record Nater Line OK _w______ Mechanical Inspection Notes: _-,_._______
GAS PIPING OK _. ___..__... Date _____ By -_-_ __..____ ___. ______
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE 11 NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORNATIOM FURNISED BY NE IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE, CITY OF FERERAL NAY REQUIREMENTS RILL BE NET.
OWNER AGENT ,'' , ' t ' -�'`J tar*..---- DATE _-)Z_ �_ � _.
FIELD COPY