95-102908 9 /O2
.
CIlY OF FEDERAL WAY ' PERM11 No: 8LD95-08/7
33530 First Way South 11 E. C I 'I A H 1 C A L. P ER M 'I T ISSUED: 10/27/95
Federal Way, WA 98002 Buildinq Inspection Requests 661. 4140 BY: FC2
661 -4000 EXPIRES: 04/24/96
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ADDRESS:31715 4/FH LN SW Unit: 8 J
NO. : 784301-01 /0 A91 lir
PROD ECT DESCR I Pt ION:RCN - PREVIOUSLY INSTALLED PELLET STOVE (CHECK FOP PROPER INSTALLATION
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OWNER ii t, tu CONIRAC FOP u, lit t,*ntmztpr:cttn LENDER
KARYN DOSER I *** OWNER IS CONIRACTOR ***
31715 B 47IN LANE SW
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FEDERAL WAY WA 98023 \,
661-7420
I: "
;** CONIKAtIORS, pails! 01. fOtAIION (or 1?1? MR REPORIENG SALES IAX fOR ROAM WITHIN la (IIY Of ILIUM WAY. TAX ,L 7- 0.25 *ss
FUEL TYPES.:? ? FANS...... .....:. .0 vOl!F0S/COMPRESSORS -11574:-:,,OZP.,,, i FEES:
GAS PIPING.: 0 ft ROOD... ...: 0
0 PI -. u _14„,.,.. ,,110, , ,,edge114 $y;Avi,, 1 XS 411' -- $ 2"
FUPA<1001..: 0 DWI I100 .. : L 3 1') V _ - 0 '.=-?---- 'Y'') r'.4' dit - alt-,;,IF C, ES.* $ 6.50
CAS I041 • 0 4001, '104‘.. - t
h tO :T
CONY BURNER: 0 10:',' lav ., ' °J 3,1 0.) 0,
BBI • 0 mil;‘,. 0 '-,i Iv ...,:
GAS WM.: 0 AIR *NW OW for
,
RANGE • 0 ,-100U0 014' 0 „430,h
GAS LOGS...: 0 > 10,010-(IN: i! UNDERGROUND.: P
'--,--f.
V TOIAL FEES $ 26.50
I
Does the water supply systei contain a Pressure Reduction Device or Check valve? 0 Yes (1 No (If "Yes" then inter expansion tank is required on Hot Water lank)
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Inspection Record Water Line OK Mechanical Inspection Notes: ' AP,
GAS PIPING OK Date ....,.. By
PENNIES EXPIRE 180 NAM AIM ISSUANCE IF NO VOR IS STARTED. litsiOtAllAT AND (MOM PERMITS EXPIRE Off YEAR AIM DATI 01 ISSUANCE.
I CERMET IRE INF TION FURNISHED OY 41 IS 100t AND COMM 10 1111 VLSI Of NY KNOWLEDGE AND IHE APPIICARLEiCIIY 01 UEDA WAY REOUIRENENES VIII RE NEI.
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OWNER all AGENT _.-(7Ak._ 71. -' --3....A.,. .1.
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FIELD COPY
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CITY FEDERAL WAY
PERMIT NO: BLD95-0877
EC
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33530 First Way South �'����;w;�:.��," � ��'� '� � ,,. �,;,... � .,. .,., ISSUED: 10/27 95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 04/24/96
ADDRESS:31715 47TH LN SW Unit: B
NO. : 784301-01/0
PROJECT DESCRIPTION:MECH - PREVIOUSLY INSTALLED PELLET STOVE (CHECK FOR PROPER INSTALLATION
r= OWNER --_ . _.- ____ _____.____ CONTRACTOR •• -• --I- LENDER
KARYN BOSER *** OWNER IS CONTRACTOR *** 9
f 31715 B 47TH LANE SW
FEDERAL WAY WA 98023
1
661-7420
*** NONE *** I
I __._ .. -,
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 U_#
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS I FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 I MEC APPLIANCE FEES.* $ 6.50
GAS HWT • 0 WOOD STOVES...: 1 15-30 HP : 0 1
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 $ 26.50
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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
,.._.-_. .. _ ._ _.....___3 _. ii- i. .._S-'SSS-3
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.
OWNER OR AGENT -- _ 'I-N 4 DATE \q9-1,..0Y.
FILE COPY
City of Federal Way RECEIVED
CITY OF 33530 First Way South 7 1995® Federal Way, WA 98003 OCT 2 r"'
(206)661-4000
WFin,'
CITY BUILDINCi DEPT.F FEDERAL AY
APPLICATION FOR MECHANICAL PERMIT
PARCEL it. Single Family 0 Multi-Family El Commercial E
SITE LOCATION: ,^
./1XYIY\� �o5r Phone:Tenant/Owner: _
Address/City/State/Zip:
? iI.6 41 SW ) t clkrct U Jcuj I iA , g �c ,2)
Nature of work:
\nsi-al,It`c.4 \ic Project Valuation: S
APPLICANT:
1(_11AX _- cieveti tklat)Name: r p �,
Address/City/St/Zip: I��
Contact Person:
Phone: (p62 -ILFC)0 Fax:
MECHANICAL CONTRACTOR:
Company Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
State L & I Contractor Registration #: Exp. Date:
(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 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
BBa's Wood Stoves 1 A/C TONS ......
',i*aie)nit i✓tni
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
he City of this of
aplc eretaynWay but only where such claim arises
out of the reliance of the City,including its officers and employees,upon the accuracy of the information suppliedCity part
V---g.-L1--\-- �I U Date:Owner/Agent: