94-102142 9y-1041/ (0
CITY 3353O0F FEDERAL WAY Firstt Way South MECHANICAL PERNIIT PERMIT NO:ISSUED: 11/09/9466
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/08/95
ADDRESS:366O6 2ND PL SW
NO_ : 570780-0080
PROJECT DESCRIPTION:MECHANICAL - ADDING GAS LOG LIGHTER
ONNER — CONTRACTOR — LENDER
DONALD ZERO NORTHWEST WATER HEATER
36606 2ND PL SN 8201 DURANGO ST SN
III FEDERAL NAY NA 98023 TACOMA NA 98499
984-6404
NORTHNHIO3R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 NEC PRNT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP - 0 MEC APPLIANCE FEES.* $ 6.50
GAS HMT • 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 26.50
111L—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 THAT T 0' ATION FURNI ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLI BLE CITY OF F RERAL WAY REQUIREMENTS WILL BE MET.
OWNER F. AGENT _-�� A' __-_P. 1AI--
DATE ��- -
r
r .1
FILE COPY
DECEIVED '
City of Federal Way
CITY OF 0,r - • 33530 First Way South IP
4 Federal Way, WA 98003 NOV 0 91994
_____ F ---EliarKFIII___ (206)661-4000
Wrr ''
CITY OF FEDERAL WAY
APPLICATION FOR MECHANICAL PERM/T BUILDING DEBT.
PARCEL it. 5-101 WOnS tD c Single Family 0 Multi-Family 0 Commercial 0
SITE LOCATION
Tenant/Owner: , �%I\la_ 0 0 Phone:
Address/City/State/Zip: 3A-PO Li° D rc( Pb Z,(.} AJJthl 0183---
N ature
1 (j _.Nature of work: 1' `5"Gd-p i_ (v1�t►-1 Project Valuation: $ 3�
APPLICANT:
J
Name: �
41
Address/City/St/Zip: t;-- .-- V' CAt(.,1 -- P 4Ak _ q3 1I Lz
Contact Person: a [1(t-' Phone:31-)----?:i/q( Fax.(1131 1A� Y
MECHANICAL CONTRACTOR:
Company Name: )/4U9 U)e 4'7 ( -P_✓
Address/City/St/Zip: „ - D ---01Cf YYttik ( Lt (ii l QX I 19
Contact Person: Phone: c 47-706 Fax:
State L & I Contractor Registration #: (A1 J )L V 7-- Exp, Date: Ze d
(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 I 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
....................................................................
........................ ......................................
BBQ's Wood Stoves A/C TONS :Tot$taJriif a t >> ,,,
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 is made. I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses 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 Federay Way but only where such claim 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.
MhD.t
Owner/Agent: 17( Date: itr' /011
- 9qmap-IR
CITY OF
LD94-08
33530FirsDtEWay South MECHANICAL PERMIT T�ERISSUED: 111/09/9466
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/08/95
ADDRESS:36606 2ND PL SW
NO. : 570780-0080
PROJECT DESCRIPTION:MECHANICAL - ADDING GAS LOG LIGHTER
- OWNER ====:- _- -_ _ CONTRACTOR ------_—_, _. __ -r- -.-___ LENDCP _..---------
..��...,..4.._ _x—_._----..,.._,_._. _
DONALD IERO NORTHWEST WATER HEATER
36606 2ND PL SM 8201 DURANGO ST SW
FEDERAL NAY NA 98023 .. TACOMA NA 98499
Yw4-Mu4
I ,RIHWH103R2
_.....__ _..__ _ _-_ ... - ti . _..r..,,,,_..,_ _. ...
FUEL TYPES.:GAS ? FAM'S..... ..,.1, 0 40148S,COMPWESSORS FEES:
GAS PIPING.: 0 ft HOOD ..... 0 04 HP.0,0 ,041 :44141, . 6,vhISSUANCE... $ 70.00
FURN(100X..: 0 DUCT WBRR ...t 4E 315P. w . w<. ANCE FEES.$ 1 6.50
GAS INT • 0 11000 ST0441 : 0 15-30 0
CONY BURNER: 0 .FiR10 io 0 - 3R-50 HR
BBC • 0 we ..,,.. R HP "
GAS DRYER..: 0 AIR HAW.111 ` MIES "fle I011""*
'
RADE • 0 t010,000 ;FM: v I"!BO' RO!)NI?: • �a
GAS LOGS...: 1 1,, 00v CFP: 0 UNDERGROUND.: 0
TOTAL FEES S 26.50
-- _--- - -:,=:..*..�..__..._.. s _ ._._ _ . ..._-___-3�._.�.........._.._.... u.�...y_ _
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Ye/s' then water expansion tank is required on Not Water Tank)
Inspection Record Water Line OK _.__ _____ Mechanical Inspection Mote1IL�GG'1 Iti�t�vi �` k94i.. I-1-6itr
i)
GAS PIPING OK _ Date BY
-- --___- .. ...- _.....___. - __ _._ z__ _ - ......... ___________ _._<-._ _a.
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT TILL INI;OPMATIOM FURNISED BY NE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS MILT. BE MET.
OWNER r1GENT /_�k ` '. L ` .. DATE \\„..._ lq L
FIELD COPY