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SETBACKS''& FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date /O..)(o- , By N1
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1 ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
71LANNsIiNmGasfr
FINAL
Date By
7 ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CD0193
CITY OF FEDERAL WAY PERMIT NO: MEC96-0226
33530 First Way South I1' $If,„p',�'a.,.,.: 0'0'iii 1 0'4' '.r c:el II!,,,,,, rii,iL';:.Ip k II .,;0' "Ir ISSUED: 09/27/96
Federal Way, WA 9800'3 Building Inspection Requests 661--4140 BY: FC
661-4000 EXPIRES: 09/21/97
ADDRESS: 34320 PACIFIC HWY s
NO. : 202104 -9093
PROJECT DESCRIPTION:HVAC - INSTALLING 62' OF GAS PIPE AND ONE HWT.
f' OWNER - - -- -.. ----7-. CONTRACTOR ------- --.. »--- - LENDER ------------
BELOIT MANHATTAN DIVISION 1 NORTHWEST WATER HEATER
34320 PACIFIC HWY S ( 8201 DURANGO ST SW t
FEDERAL WAY WA 98003 ( TACOMA WA 98499
927-2200 f 984-6404
NORTHWH1O3R2
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
PROJECT VALUATION 1000 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 62 ft HOOD • 0 0-3 HP • 0 ! Mechanical Permit* $ 32.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 t
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0 ti
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP • 0 1
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS 1
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1 TOTAL FEES $ 52.00
6
.-.- .---- . ...._ss....... _ _._-- ----.- _
ss»x.._ »�=»ssss=:cc_;sss-s»^z-s»»c:.••^_ � ....__...__ :s.�
Does the water supply system contain a Pressure Reduction Device or Check valve? XYes () 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 THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
u�
OWNER OR AGEN1 _- _ t_ ..� ._...__._......__._._.__.....__._ _.............. DATE -_. _" 2.:::_fiL
ALE COPY
City of Federal Way
41
CITY OF r 33530 First Way South
® Federal Way, WA 98003 (�- 779,c p r
,\ (206)661-4000 MEC -IS - �� L
>,,
�lv v - - 199fAPPLICATION FOR
MECHANICAL PERMIT
"�i U1i DING DEPT AY
PARCEL• _ d Single Family ❑
9 Multi-Family ❑ Commercial 9
/Qu .— c7cj3
SITE LOCATION:
0
Tenant/Owner: -��lr �1tk1'44 q Phone: / 2-? - Z21' 1J
Address/City/State/Zip: -I-- q-3 Z-0 - 1 z---1 t G 0 t1,9 7 5z"-
Nature of work: (5-RS V l QeProject Valuation: $ / --'''900 --
APPLICANT:
Name: F--Z-D L-j
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name:
Ni.. \A , W Pc`(" '.� , l
Address/City/St/Zip: 2e0 0 �^i-ADZ-Nt O V L�- -t�V e_ l.0 ( 6 i 1,)A t is/ cJ i
-,,'Contact Person: --Z-2 y P l R--- ---,S. Phone: `�� -,� b
�, Fax:
(\
State L & I Contractor Registration #: D 12--T VJ 1-1 \0.- R- 2- Exp. Date: (2- - L
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping id"Zt Range Air Handling > = 10,000cfm Above Ground
Furn <1OOK BTU's Gas Log Unit Heater Underground
' Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt i Hood
Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's Wood Stoves A/C
TONS
Rf Un(t t;Dunt.................................
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.
t
( \., ,
Owner/Agent: ''--- .., N, - �,>��^^ Y Date: ( ' ' ` - 1
,7 or 1 1
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