95-100059 .ci /00059
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CITY OF FEDERAL. WAYPERMIT NO: BLD95-0887
33530 First Way South MrCHANICAL, PERMIT'
ISSUED: 11/02/95
Federal Way., WA 98003 Bui ldi nil Inspection Pequo' 661 -4140 13Y: EC?
661'-4000 EXPIRES: 04/30/96
ADrRE SS: 1205 SW 3601H SI
NO. : 218000-0490
PROJECT DESCRJ P f ION:HVAC - INSTALL ONT PELLET STOVE.
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1205 SW 360TH SI
FEDERAL WAY WA 98023
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8384788
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F' E -I'Y-PE'S:D:;'0W-47-"--1-'Ai'S---4-414619 POTEEPS/fORIPCFSSI - --- ” --I. FEES:
1
GAS PIPING.: 0 ft HOOD -44,A 0
-3 HP ..: (..) ' ;; •°;° '' '' '''i1:' 1!IV ''''14''''': 2.11;- illign1/1. ' .9EAPFICEEES:i $ 20.00
I FORN<10(K..: 0 $ 6.50 1
DIKT MAL ka.,,a 04A 3-15 lif.' -•' u ,.., c.:', ...,-,f ''''' "'-','." '''''''• r''','C• ', _,,_. „1';,,'„' ,f,.. : •,. _, ,,,_ 1
I GAS NWT • 0 1,5_,,,* ILA, Hp . 0 Al',1j
W6"1"4111:4 - ' --- ,
DSO • 0 ,L,
CONY BURNER: 0 0) 0 , HP * IY
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I
GAS DRYLR..: 0 AIR 1 1 S I 'A
RANGE • 0 c.,10: i' . 4 , ,,, : E IID: u
GAS LOGS...: 0 > 10,01 _ F, 110 , , DERGROUND.: 0
TOTAL FEES $ 26.50 I 1
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-D:eS-the'rw*a't'e'r';;;;"I;-'s;;;;-c:n't'ain-a' P're 's- sUre Reduction Device or Check valve? () Yes () No (If "Yes' then water expansion tank is required on Hot Water iV ) 1
Inspection Record Water Line OK ,_ .. Mechanical Inspection Notes: I
GAS PIPING OK Dat,./1-6451 AV
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-D. RESIDENIIAl AND GRADINC KNITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE. WILL Si_ nu.
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OR AGENI ( (1 (LtsLit-- PATE
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FIELD COPY
_
CITY OF FEDERAL WAY „„ HPERMIT NO: BLD95--0887
,�� .�,,•.,
33530 First Way South .,: e.,,t H ::,t d::,.,.['...r N 1,3 ;w.:,.R.ill I, ISSUED: 11/02/95
Federal Way, WA 98003 Building Inspection Requests 661- 6140 BY: FC2
661--4000 EXPIRES: 04/30/96
ADDRESS : 1205 SW 360TH ST
NO. : 218000-0490
PROJECT DESCRIPTION:HVAC - INSTALL ONE PELLET STOVE.
= OWNER =--- = _c^_
---• CONTRACTOR -. •- - LENDER - ------ -- --T
_
DENNIS AUSTIN I --OWNER IS CONTRACTOR
1205 SW 360TH ST 1
FEDERAL WAY WA 98023 6 )
838-6788 1 1
..
---------------------!__NIA _ __ __-__.._.._ _ . —
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
__FUEL TYPES.:WOD ? FANS • 0 BOILERS/COMPRESSORS I FEES: 1
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 3 MEC APPLIANCE FEES.* $ 6.50
GAS HWT • 0 WOOD STOVES...: 1 15-30 HP • 0 i
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 I
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 I
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 I
I TOTAL FEES $ 26.50
__.... _ __._ __.. 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:
� - 9
GAS PIPING OK Date By -_
--`--""'---._._.. .____••---cscc cac. .... -. ••_ -. ..._- -- -. -- .. _. s--__^c....—
PERMITS EXPIRE 180 YS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INF RMATIOW FURNISHED BY ME IS TRUE AN CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ 10/1' 2) 6 DATE 11 /2—)7
FILE COPY
City of Federal Way
CITY OFG 33530 First Way South
(..--
Federal Way, WA 98003
W
� �"— �� (206)661-4000
APPLICATION FOR MECHANICAL PERMIT q 5-o r
71j
14,nV 011995
PARCEL vel
'-'4„644) f w Single Family, Multi-Family 0 fiCGommercial 0
�t'BUILDING 1 I (/(0 --- -
SITE LOCATION: ( 7 R
Tenant/Owner: 1l C' :-S C ` 4-"51-1Y\ Phone: g3 C l E`"
Address/City/State/Zip: l ac SS C� ��0 I�'`C/
l S -/l( wc9doIS °V 2 /67C)
Nature of work: �'1 � Project Valuation: S
APPLICANT: /�
Name: de VIGIL Cr 04-cd-4)-‘
Address/City/St/Zip: / aC)--S s- 36 O `S.- CJ
Contact Person:
AeontS c - kus- (,-)f rrPhone: i� .� —( l v�' 11e ( SS`r`oSZ
.
MECHANICAL CONTRACTOR: l
cgZ
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
BBQ's _ Wood Stoves L 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 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 i iters and employees,upon the accuracy of the information supplied to the City as a part of this application.ent: � th- Date: f/� /95
Owner/Ag