95-103003 96-- lo3coo
. ,
CITY OF FEDERAL WAY PERMIT NO: BLD95-0899
33530 Ii rsf Way South 11 CC UIPINICIAL PERMIT ISSUED: 11/07/95
Federal Way, WA 98003 Building Inspec tion Requests 6(51 4140 BY: FC2
661-4000 EXPIRES: 05/05/96
ADDRESS:34218 31ST AVE `,W
NO. : 294451-0270
PROJECT DESCRIPTION:14E0i - ADD GAS LOGS(BASIC NO. 95-1022-V22).
GROUSEPOINTE II, LOT 27.
CHAFFEY CORP CHAFFEY CORPORATION
BOX 560 I PO BOX 560
1111V IRELAND WA 98034 1 KIRKLAND WA 98083
1
822-5981
441g4
, ,
sis CONTRACTORS, PEFASE USE LOCATION COOL 1/32 NNEN REARIINC SALES TAX FOR PROJECTS WHIN THE CITY OF fEIERAt WAY. LAX RACE : 8.25 ***
FUEL TYPES.:GAS ? FANS * 0 BORERWOMPPESIS , _ .
,.:-.aN4,044.1,1,p§, -A-- _4"-r?.‘-7 k-,,:p.-13k7-r- ...,-; -‘,.;„ pi 01 d',,,,q;,.. q,,A,
GAS PIPING.: 0 ft HOOD..........: 0 0-3 IP„-. ' 0 ''' 44, .. ,4, AI 49.4AN(E... $ 20,00
..
vlo vs-h -:-vh,- vet' It h
FURN<100K..: 0 DUC1 WORK.... - 0 315 " ----' ° ik 4:' - - ' 0 ''''' t;Or " ,I. ' E FEES.* $ 6.50
GAS NWT • 0 10.10V STOW ' 0 1", 10 4r.. . 0
COW BURNER: 0 FORM MOE . .,. 0 10-50 Hr....: 0
BBQ • 0 NISe,.. - : 0 1,4 OP .,..... 0
-4:-*-
GAS DRYER..: 0 HIP ONO" 0N!lb FULL TA4KS--
RANGE • 0 :10,000 IM: '1 ABOVE GROUND: u
il0
GAS LOGS...: 1 ' 10,000 UM- ti 0NDERGROUND.: 0
TOTAL FEES $ 26.50
IDoes the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If *Yes' then water expansion tank is required on Not Water Tank)
1 Inspection Record Water Line Ot Mechanical Inspection Notes:
1 GAS PIPING OK Date By
PERMITS EXPIRE LBO DAYS ATTER ISSUANCE IF NO WORE IS SINNED. RESIDENTIAL AND GRAIING PERNIK EXPIRE ONE YEAR AFTER DAIE Of ISSUANCE.
I CERTIFY IDE INFORMATION fURNISNED NY NE IS TRILL AND CORRECT 10 THE IASI Of MY 1110111100. AND IR APPLICABLE CITY OF FEDERAL WAY REOUIRENENIS RILL DE NEL
OWNER OR AGENI " ,"....,--el.,...... i..------- DATE
FIELD COPY \(\1\
CITY OF FEDERAL WAY PERMIT NO: BLD95-0899
33530 First Way South - ME.1(:: 1"11 Oil " .b., �;' „''i H,..,. F" if::��� i,�'l ..? 'I" ISSUED: 11/07/95
Federal Way, WA 98003 Building Inspection Requests 661. --41.40 BY: FC2
661-4000 EXPIRES : 05/05/96
ADDRESS:34218 31ST AVE SW
NO . : 294451-0270
PROJECT DESCRIPTION:MECH - ADD GAS LOGS(BASIC NO. 95-1022-V22).
GROUSEPOINTE II, LOT 27.
f= OWNER ---- - - -- r- CONTRACTOR _. - ----T- LENDER ------------ •-_-- ----- 1
CHAFFEY CORP R CHAFFEY CORPORATION
BOX 560 R PO BOX 560
KIRKLAND WA 98034 1 KIRKLAND WA 98083
822-5981 ]`
206-822-5981
[ CHAFFC*150HG
! ._....-.- =.___t_= ._____. _- ._ __
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
,...--- ...c.c--------- .._,.._.-, =
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS 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 MEC APPLIANCE FEES.* $ 6.50
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 26.50
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 ,___,.•___
•• .. •^a-a ,..... c '----c -_==ca=mas I
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 INF�ORMATIOONN 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 AGENTGf--K_- _ _ DATE _3/44
FILE COPY
SENT BY:DEPT, OF COMMUNITY DEV; 3- 3-95 ; 5;35 ; CITY OF FEDERAL WAY-) 95370906;g 2
City of Federal Way 600615,_00
/
ofCITY G 33530 First Way South
K(---
Federal Way, WA 88003
V V
(206)661-4000 R EC E I F
APPLICATION FOR MECHANICAL PERMIT
/' ,~� (� NOV 0 6 1995
Single Family �� Multi-Family ❑ CITY
Cottt�`; •WAYAL
SITE LOCATION:
Tenant/Owner; d .I, )271-71c/A__> —
/� 1 Phone: � 0
Address/City/State/Zip; c('' 3 t _ I �(( �J t
Nature of work; , (-) r`rr 2 Project Valuation: $
APPLICANT:
Name: Lt-,A-7 -t--i- CLaA7_71-----) 67L. ..,
Address/City/St2ip: 250\4, <a� 1 . (Gc/1d L,()4 920,
Contact Parson: C4' l �-76°
/ 4P\ Phone: Fax: _ _ _ J d
MECHANICAL CONTRACTOR:
Company Name: -x-143/- Sik.Uf a le-Ea--(
Address/City/St/Zip: [ I C IL(-1 , 170 11-1 I v E . — X/►Zf21A ) 0b4- q0---33
Contact Person:, v A,U Phone; f 23— b UFax; 27O�"
L/
State I & I Contractor Registration #; (P-`- ( A cr-xn 3'-IL
(Card must be presented) Exp. Date;
MECHANICAL UNIT COUNT:
Tu s (Ysalotttefl Gta Dr er10,0
Air Handl! < . 0- cfm Fuel Ter.ke: _
fyea�Ik j.,_- Range Al!Handling > a 10,000ofm Abo•.o Grp ~_
"_, f‘.rn <100K BTU'sGas Log I Unit Heater —�fY. _cr it:_.r. >100K BTU , Fane Boller BTU/i, aoelleneoue.
_. -�;-- .-- _ t�•.7,od Boiler BTU/H C er
Duct Work ACC TONS TONS nor
,i1110E E icy v.
Y'.-&M=,. :.-t ty ander peru-y,•tnrivy that the Ihformati.n rumfeM4 by ma ir truo and.Ducat to the best er my knowledge and f:,a vi- ern autrtertaa.
......u.to pe••>•- fhe work ro•--.:•,earrm t appl,oatlen t.med.. I f.rther cares to save hvmleea the City AD:
•.d.n -r.e•• , of d, ed Way M to any claim!r Leder',
costs,ut t4cr• .f- •+. '.-e
ane • ••. -_n ct Iml,wNoh may b.mod.by any peraort Including the undersigned,Sod(fled epelryt vie City of t.de•r,We• Mt a y.
-±•e a -N -.aft'den and employes,upon the accuracy.f the Information
supplied to the CRY r e pert or tn;e espy.;,"
:..;Ager,,.
Date: .GrlZerP`.'-:::