95-102944 f ,- ,- •--,
• . 95 /0. 94ic-/
CITY OF FEDERAL. WAY PERMIE Nu: BLD95-0883
33530 Fir.-A Way South IMECI.IANICAL PERMIT ISSUED: 10/31495
Federal Way. WA 98003 Buildinq Inspection Requests 661. -4140 BY: FC2
661.-4000 EXPIRLS: 04/28/96
ADDRESS:35606 13 EN AVE (..;W
NO. : 713 7130 -0315
PROJECT DESCRIPEION:GAS PIPE PE)0111
ç' OWNER nt,w rn&an .Mtitetrrunfv (Ofl RAC 4) ,-* n LENDER
1 ROBER1 ;,•ICHELDER JR I OWNER IS CONTRACTOR I
1 35606 13TH AVE SN I
1 FEDERAL WAY WA 98023 1
1 1
1 874.8388 1 . I
" 1196'''' '- iIiiiikir :-'' SALES TM
AX FOR DROJECIS NI* IR CITY Of FLORAL WAY. TAX RAIL : 8.25 Ps:
*** CUTKACI4144 IltaSt 44' '' :!. ' aMt ' Ii ... ..„..,..—....,„__......— .,,,,‘ ....
I FUEL TYPES.:? ? FANS y 1 : .-ii E,,f,I , -r-lq,,,..t, io.,!. FEES:
7 •k
1 GAS PIPING.: 99 ft HOOD 'elIi1 WAKE... $ 20.00
FURH<100K..: 0 DUO WORtogiVol ,...,..--rz*,. i-15401). .4.-f; 14°51 1 Mt f FEES. $ 3.00
. _
1 GAS HWI • 0 . . ..
f ;fa... -f-.. . .,.-..
WO S1OVEC ' 0' 1530 HP : I _ _ .4 , , , e?`";:,
1 CONY BURNER: 0 FEN1)1110K..„ : 9 JO 50 HP..:.-
1380 • 00 ,,,,,,,. ii iv *, t 0 1111111116, 4,-
GAS DRYER..: 0 Alp filth— ;t*iN. ijiS':" FUll I 1i1/0"77T77,- 717810.
RANGE • 0A E HI.> 10.06#on: -fl 40 DER0- ND.: 0
10,000 mt.... .-,,,,., , ,, 14
GAS LOGS...: 0
101A1. FEES $ 23.00
1
...m.......e.......w.rua....nem.....,===ma=mmar,,
'1;;;';--t1; ;;;;';;;;;;";;;;;;';;;;;;;;;;;;;;;;I;;;;;;;;I:e';;'"C;;Ck valve? () Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank) I
Inspection Record Water tine OE nechanical Inspection Notes: /-46t174; e4--_—y/5•22A;r7. (77145 I
GAS PIPING OK i_34-q Date By .... ..,../4/(12 OodC."/.. j177- /4/vP OX-- t'fl)
t-z,rt,t, trCrCCt:t.,;CaC, rtnr..OW.M12=
PERRI'S EXPIRI 180 DAYS NEER ISSUANCE It NO WORK IS STARTED. RESIDUUM]. AND GRADING FERMIS IXPIRE OWE YEAR MIER PAIL Of ISSUANCE.
I CERTIFY INL 1 ,.1 1 ORR SIIL 111.-X_Z IRO AND 110 TN KS Of NY KNOWLEDGE AND IR APPLICABLE JR Of DERAI-IIWILINIIRININIS WILL TIE WIT.
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° OWNER OR AGENI ii 11, . CZkGku,_ ( r° ) 1 0 3 ( 9b
MI[ L C/•
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FIELD COPY
JI -t . . q5 ,/,0 _ 4./q
CITY OF FEDERAL WAY � .„„. PERMIT NO: BLD95-0883
33530 First Way South 111S`;;;;.I,„, H PtIN .,,I,,. >C.,.$�„'�,li ,_ �,,,.;� ",;,.l,.,,,ill .I. ISSUED: 10/31/95
Federal Way, WA 98003 Building Inspection Requests 661•-4140 BY: FC2
661-4000 EXPIRES: 04/28/96
ADDRESS: 35606 131H AVE SW
NO. : 713780-0315
PROJECT DESCRIPTION:GAS PIPE PERMIT
r OWNER =_---__. _-______ - -- - F CONTRACTOR = -- LENDER -.__..
ROBERT BATCHELDER JR 1 OWNER IS CONTRACTOR
35606 13TH AVE SW 1
FEDERAL WAY WA 98023 1
1 ! I i
874-8388 i
I N/A
.. ----- .. _ .._.. _-__ - __.. __.. ____
XXX CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 X*X
- ..
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 99 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 3.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP....: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBO • 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 $ 23.00
-- -- .. .._====__::..__..__.. -- _•-^-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)
1 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 1NFIi;AI0N FURN NED BY , IS TRUE AND,CORRiii 0 THE BEST OF MY KNOWLEDGE AND THE APPLICABLE TY OF DERAL..WAILREQUJREMENTS WILL BE MET.
ii...,...),OWNER OR AGENT \I ' 17 >-- DATE L0 ZS t
FILE COPY
City of Federal Way
CITY OF i'' — 33530 First Way South
•
_ re.-TD
Federal Way, WA 98003
WiFr, (206)661 40003U�� VO3
API3465TION FOR MECHANICAL PERMIT
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PARCEL #• 00 9 1 1995 Single Family 0 Multi-Family ❑ Commercial ❑
SITE LOCATION: c:t`C BUS D NG DEPT•AY
Tenant/Owner: Phone:
Address/City/State/Zip:
Nature of work: Project Valuation: $
APPLICANT:
Name: A b \ft.— " IL_ k &'E-
Address/City/St/Zip: ? _� (;).'`.) > S- 4\-- =� k_ J :(1 \ --A--c --1- "�_714 - r�
ky
;Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR: i ' �n
Company Name: t�'A) of 0 r IJl dr •'
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
BBQ's Wood Stoves A/C TONS ```1'b$1vnf
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 t . accur_cy oft ir\ormation supplied to the City as a part of this application.
11-7-k
[- . •(,-;
Owner/Agent: _ - `�� - ` Date: l U(�'
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