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CITY OF FEDERAL WAY - PERMIT NO: BLD95-0788
33530 First Way South PI ;;� ��.... it,,.,� "'G thil:11I II t h,.,... ;;:
,,,'' .I t III ..L,. "rISSUED: 09/28/95
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 03/26/96
ADDRESS:841 S DASH POINT RD
NO. : 052104--9034
PROJECT DESCRIPTION:INSTALL NEW GAS FURNACE IN PLACE OF EXISTING GAS FURNACE
i= OWNER = _ = CONTRACTOR = LENDER == ----
ROBERT PERRAS NORTHWEST WATER HEATER
841 S DASH POINT ROAD 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA WA 98499 I
946-8921 I 984-6404
INORTHWH103R2 _
_ -. .. 1 __�
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 **X
------------
1 FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 j MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 10.00
GAS NWT • 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 $ 30.00
1 i
-= = - _ . ..... ________.= _w
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
i
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF KO ''IRK IS . '"_''T. RESIDENTIAL D GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED 8 IS TRUJ• �.4' THE BES OF MY KNOWLEDGE AND THE APPLICABL CITY OF FE ERA NAY RE S WILL BE MET.
OWNER OR AGENT ___.___...________ __.___._._ DATE _-_._---_.-_-�-_-
111111
I
FILE COPY
City of Federal Way
-CITY L7 ar'—'— 33530 First Way South
• �' Federal Way, WA 98003 _
"` (206)661-4000 )1L74:5 �� ��
. er=r),
APPLICATION FOR MECHANICAL PERMIT
PARCEL.0• 0��� DCI qO 3Z Single Family-0 Multi-Family0
Commercial 0
SITE LOCATION:
Tenant/Owner: ,cob T
Phone: 9k, .--391c711
__391 c71/
'
Address/City/State/Zip: giz/ ��c-ii /L /y1/7- '7"-.) /-;--./). /-0"rf)( & _-3
Nature of work: ��lS/i9LZ, /'(/ /V4'c Project Valuation: $ . �_
•
APPLICANT:
Name: /(M 727/ .
Address/City/St/Zip: - - 9 t M4 `So . / ' .././...
Contact Person: (-2 . IX:A/64/-) //S
Gy b/ , -
Phone: l� 1��,c' ��x: �f
4
MECHANICAL CONTRACTOR:
I
Company Name: *)RTHWP T WATER HEATER. INC.
Address/City/St/Zip:
2800 ':r A\ b�:E$ ,Pegd" �c 700
ATfI f, ,,,a 96199
Contact Person: (.-- fir--- -!y .9,,-.1QL0 Phone: '2g5-76/Sf./ lS Fax: �-z - r-2-77
State L & I Contractor Registration #: T ,/6/Z.61/// )J,t"a
(Card must be presented) Exp. Date:
•
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 1 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
BBQ's Wind Stoves A/C TONS
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 t.. ave harmless the City of Federal Ws as to anyclaim(including
incurred in investigation and defense of such claim),which maybemade by costs,but onlyyes anderattorneys'uh fees
an •• eon,includingthein . the pliedt thend fi ag ai rxt the City of Federay Way where such claim arises
out of the reliance of the City,including its officers and employees,upon the ccuracy of the in� lied to
"s�LPPy as a pert of this application. /
Owner/Agent: �/ c'(/ t/ c - r
Date:
•
JFI
f `g
CITY OF oe----
•
EO • BUILDING DIVISION
NN\ Q\
�� ��/ 33530 1ST WAY SOUTH
■■ FEDERAL WAY, WA 98003 661 -4000
CORRECTION NOTICE
ADDRESS: 3V , ,,,,
r '/ 57 Ad nz ` PERMIT #,/,2 10 P 4e,78-E(
VILATIONS OF CITY AND/i' R STATE LAWS ARE LISTED BELOW
) / '1 , a ; yaX � , �
7) fi-dv (44 vi A r% u ;..i0#411 , 4-
0 uffer _...de.4,
k , .,
_.ete,-//id •
4e / c ,
. ° 17/1 147 I/)9
AV S7 / lIe- S / j4/4
You ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE EEN MADE, CALL 661 -41 40 FOR
RE-INSPECTION.
/a -, 1 ...,..- i c
DATE INspEcTolinOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE