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CITY OF FEDERAL WAY PERMIT NO: BLD95-0771
33530 First Way South #1 E' . : 'ie) iNi.., ':'ws.i l i,..... p ':RH 1". 'I ISSUED: 09/21/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/19/96
ADDRESS:32719 40TH AVE SW
NO, : 873195-0160
PROJECT DESCRIPTION:NEW FURNACE < 100,000 BTU'S GAS TO GAS, AC UNIT AND GAS PIPING
r OWNER -- __....____...- =xxxx___.--____ --- CONTRACTOR -...__._.. _.._----- = -- T- LENDER x__.._. .
I NORTHWEST WATHER HEATER I NORTHWEST WATER HEATER
I 2800 THORNDYKE AVE WEST 1 8201 DURANGO ST SW
SEATTLE WA 98199 TACOMA WA 98499
ill
984-6404
-NORTHWH103R2
____
- -- -_---. _ ===__ _ _ .. _ _._. 1
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.25 ***
-.. x------------= . .. -. r---...,--z-
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 10 ft HOOD • 0 0-3 HP • 1 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 22.00
,GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV 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 $ 42.00
I 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:
I GAS PIPING OK Date By
tx __ =========xx xx ===a ==x=mx .. .. c--=---x =
r
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS ST D. RESIDE Al AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I.CERTIFY THE INFORMATION FURNISHED BY ME IS,TRUE 1 RECT TO,,INE BEST OF MY KNOWLEDGE AND THE APPLICBAECITY OF FEDE L WAY--REQUIREMENTS MILL BE NET.
-
__- , \-__--- -'(.. ...____.._..__ iI
OWNER OR AGENT DATE
FILE COPY
N. City of Federal Way O -7-7(
CITY OF f'•• — 33530 First Way South L_/)t-5
_ _ _ Federal Way, WA 98003 //
(206)661-4000
WFrY
APPLICATION FOR MECHANICAL PERMIT
PARCEL it. 9)-I3 Lf l (o C Single Family,D Multi-Family I Commercial ❑
SITE LOCATION:
Tenant/Owner: P® L/1165 g
���+ H Phone: .``) ) �,
Address/City/State/Zip: '2 "41.9 — 1-4 01— Ad Slid
Nature of work: ,— /- liZN/7L C f 10 ®/�� /76071 Project Valuation: $ /75'9-J
APPLICANT:,
Name: /illi �? 1/'f% /
Address/City/St/Zip: ,-).151)a- g M14P/` O'',11/ Cr- °/G/ ) /�Z/-
Contact Person: (=7)�� /k 4,4) Phone: - S`l 6 'C f:-.y it/CF-ax: , 01-°1-Y•g-? /
MECHANICAL CONTRACTOR:
ItiRTHWEST WATER HEATER, INf"
Company Name: t800 T;IC•,Nr+XF AVE. WEST
Address/City/St/Zip: SEATTLE, WA 9199
Contact Person: G��� �I, /ems/U
(%' Z./) Phone:. S r/6/ cc(T/cFax:.3-- 9- ')-•-7
State L & I Contractor Registration #: ,J o,e- /1/1//7 /4311e---)- Exp. Datcol- U.--
(Card must be presented) •
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping /t,; 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/H Other
Cony Burner Duct Work A/C ,.;,: ' ,r TONS f Other
....................,,,:.........................................:
•
..................................................................
BBQ's Wood Stoves A/C TONS i t E 43 Y`tta ;< :»>;>[>: ;;<;;i; ;;;
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. - r agree to say armless . Ly of Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which • made by any pp"'I •• .•the und-signed,and filed against the City of Federay Way but only where such claim arises
out of the reliance of the City,including its officers a • - ployees,upon t� the informatio _upplied to the City as a part of this application.
/
Owner/Agent: —%'�• Date: ! �
S
1 l
CITY OF to--
•
ED • BUILDING DIVISION
W ■ ■ 33530 1ST WAY SOUTH
FEDERAL WAY, WA 98003 661 -4000
CORRECTION NOTICE
ADDRESS: i 41 S:-. 6-e) PERMIT #:
VIOL•TIDN - OF CI AND/OR STATE LAWS ARE LISTED BELOW: �����
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i_ / ( .Q, A_/ y/ !/ i. ' e_'-/ '? ___ '
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You ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661-4140 FOR
RE-INSPECTION.
/0/
'LL; .
DATE ` I S -EC OR FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE