94-102213 CITY F FEDERAL WAY
335300Firstt Way South MECRAIsTICAL PERMIT PERISSUED: 61/18/9401
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/17/95
ADDRESS:30807 50TH PL SW
NO. : 112103-9015
PROJECT DESCRIPTION:HVAC - INSTALL FURNACE AND 55' GAS PIPE.
OWNER CONTRACTOR LENDER
CECIL BELL NORTHWEST WATER NEATER
30807 50TH PL SW 8201 DURANGO ST SW
FEDERAL MAY NA 98023 TACOMA NA 98499
927-3081 9 6404
NORI IO3R2
FUEL TYPES.:GAS ? FANS 0 IILERS/C � ` " ��
GAS PIPING.: 55 ft HOOD------ : 0 M
0-1-HP ., �� � „, ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT MOR[. �.e M #
.... 0 3�T5 HP,� �.�� 0 � ; ,, -, . e =r -„a � te �� P � .;� $ 13.00
GAS HE • 0 STOVES...: 0 , , "'� '15-30 HP ..R.' 0 '
CONY BURNER: 0 F U100K. 0, X50;= .: : 0
BBQ - 0 MISC...: 0 5+ Hl .... .0°'
GAS DRYER..: 0 AIR HANDLING WITS FUEL TABS -•
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 ,
>
GAS LOGS...: 0 10,000`CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 33.00
0
Does the Mater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then rater expansion tank is required on Hot Water Tank)
Inspection Record Mater Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSU. IF NO MORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT 401 I RMT IN FUR BY NE IS TRUE AND CO'RECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICAB CITY OF FER L MAY REQUIREMENTS MILL BE NET.
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OWNER �' AGENT / ' __ DATE _____ �Z
% FILE COPY
•
94 109,a/5
CITY F MIT NO: BLD94- 9
335300 First Way South MECHANICAL PERNIIT PEFtISSUED: 111/18/9401
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/17/95
ADDRESS:30807 50TH PL SW
NO. : 112103-9015
PROJECT DESCRIPTION:HVAC - INSTALL FURNACE AND 55' GAS PIPE.
CECIL BELT. NORTHWEST WATER HEATER
30807 50TH PL SW 8201 DURANGO ST SW
FEDERAL WAY NA 93023 TACOMA MA 98499
927-3081
t i r
a ,,
FUEL p'
GAS PIPING.: 55 ft .. 3 I ISSUANCE... 20.00
FURN<1OOK..: t . _,.. I` ,. �. M"_ 'P 13.00
GAS HNT • 0 5 " S
CONY BURNER: 0 400, '00. .. 0 10 ' HP t 43403
BBO • 0 Ms ' aF .P,. vtrOOW
GAS DRYER..: 0 AiR 01( ONTI3141114., *4 4334
'
ti
RANGE .: 0 <-10,: " O ABOVE GROUND: 0
GAL, LOGS...: 0 > 10,''' FR: 0 v UNDERGROUND.: 0
TOTAL FEES $ 33.00
Does the eater supply systee contain a Pressure Reduction Oevice or Check valve? () Yes () No (If 'Yes7 then Nater expansion tank is required on Not Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING Of __.�._ ____ 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 FHRNISEI BY NE IS TRUE ANO CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FERFRAL WAY REQUIREMENTS NILE BE NET.
NOR
AMT
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�LiNEQ M3GNT 1 1 --- ---_- 1 1
FIELD COPY
• City of Federal Way 0 RECEIVED ,
cliv of 33530 First Way South
FETFederal Way, WA 98003 NOV 1 81994
� (206)661-4000 1.
Wi� CITY OF FEDERAL WAY
APPLICATION FOR MECHANICAL PERMIT BUILDING DEPT.
FL_Dq-/ — 0 gOI
PARCEL 1• 11Z-1 (4)'2,7 t5[ '7 b Single Family Multi-Family 0 Commercial 0
SITE LOCATION: �I .
Tenant/Owner: �U•1 e i I Phone: r 3a1 ? f) I
Address/City/State/Zip: 50F<6-4 'PL SW PDQ U)22 l q ico2-
Nature of work: 1 V\(/t-I( JY t(t f f3 p Project Valuation: $ ?t-) )_.___
APPLICANT:
Name: ' el C
Address/City/St/Zip: — - AAA _.,.iAi..,,_�: a 2
z�7.
Contact Person: Phone: � 1 -Vq 1 Fax: (JO )1 e&_—
•
MECHANICAL CONTRACTOR::, ','
Company Name: O 1t'Av' 1- -r-
Address/City/St/Zip: - t) J A _ %)I9
Contact Person: - Phone: D2 - -44-MO Fax:
1V�
State L & I Contractor Registration #: � i4 t 13)4 LO)2 Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Feel Type (gas/other) Gas D er Air Handling < = 10,000cfm Fuel Tanks:
"
Lent, of has .i.ine Ran.e Air Handline > = 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/H Other
Cony Burner Duct Work A/C TONS Other
BBC's Wood Stoves :::::.:::;...;:.:.:.;•.:•:.::*:..:..,. .>::;*E:K<,,;;:::.,;:..::iiiKg
A/C TONS - `:'•Tilts�#f ili•Zoii rA s,':i" :anti»>:
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is tnn and correct to the beet of my knowledge and further that I am authorized by the owner of the above
premises to perform th !.for which permit application is made. I further agree to rave harmless the City of Federal Way as to any claim(including coats,expenses and attorneys'fess
incurred in investigation.,:;i defense of such claim),which may be made by any person.including the undersigned,and filed against the City of Federay Way but enly where such claim ideas
out of the reliance of the City,including its offi end employees,upon the accuracy of the Information supplied to the City as a part of this application.
1
Owner/Agent:11 i .A• ,A 1 . Date: tt ill iq 4