95-103025 •
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CITY OF FEDERAL WAY . . PERMIT NO: BLD95—0906
3530 First Way South (..-.: FIANICAL PERM1* *T
i ISSUED: 11/07/95
Fede ral Way, WA 98003 Hui 1 di nq I nspec t ion Reduec ts 661 -4140 BY: FC2
661-4000 EXPIRES: 05/05/96
ADDRESS:31244 4 / IN P1 SW
NO.. : 211570-111/0
PROJECT DESCR 1 P("ION:Hi/AC - INSTALL ONE GAS FURNACE AND 00' GAS PIPE.
1. "g" —.."......,........--...,.......,—....,... . millm" _ HEATER s=nyre,nom,meutrAm=x.44Lmrs .-...,...,
CLARA JACKSON NOR I AWES! PIER
I 31244 411K Pl. SW I 8201 DURANGO Si SW
I FEDERAL WAY WA 98023 TACOMA WA 98499
I I
874-4525 984-6404
(--114;ACT'' RH—S7P-1"—EAS"i''U'Stf0C
m"" '
AX RAIL
0 4110N COI 173? WA PRAM Tilt SATES TAX IN PROJECTS WENN flt CItY OF.....E_EDERA.I.,11A,Y,:....T,...:,,,,,...,..............,1
FUEL TYPES.:GAS ? FANS , i :•,, E., ; . . r.-..,•vgw--- -,, , ,, FEES:
GAS PIPING.: 60 ft HOOD ..,,,, '':, ..44SUANCE... $ 20.00 1
I EURN<TOOK..: 0 _ ,..
DOO ,I1044140;;;44,4 , ,' -•.-., 1 .7'' P• ' 1- -4 I
50
GAS NT • 0
CONY HUMP: 0
BK. ......: 0 , — _,
4kfl .-•• HP .,. I
WOO,itall,okt'''' ' N' 6.,' ' ' r'tt.''''!': '114-4.141 ? %"-i, .4••771-,Z ,.,,:4.1,-.
F f 011,11h`r 1;.'.4''''• I. HP-- •
•‘ tt., '14;
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.*4,„k, 1T1,),
I GAS DRYER..: 0 AIR' D ' , , ' S ‘0- L
1 RANGE • 0 ,(:1(. ei : ND: 11*
GAS TOGS...: 1 N 10,i 'c(ttfn‘k 4. DER.'1 ND.: 0
IOTA! F EES $ 29.50
.,..
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I'Do—e; ;;;;;;';;;;;;;;;;1co —in-'3'"'1;;;;;;;;";;;;;;;;;;';`;'C't;;;—;ai;-e7747e: () ;471r;%;;;":;;;;";ater expansion tank is required on Hot Water Tank)
IInspection Record Water Line OK Mechanical Inspection Notes:
I 1
I GAS PIPING OK Date _ Ily, , ___ . __ ,-..,__ _ I
I --
I
—sra...-A, A,...w
MINNS EXPIRE 1:'I DAYS Af IER ISSUANCE IF WAIF IS STAR itestoilillV AND WAIIIIKAIRNI IS IXPIIII ORE YEAR AfIER DATE UI ISSUAN(E.
I CERTIFY IRE IINORNATION FURNISHED BY IS lkilt AN 4 TO Mt DEM Of NY)NOVIIIRI)AkD mi :PPWAIII -CIEf OF,Lly.RAOIAY ItL3tUIFIttitNIS VII! HI NIL
OWNER AR AGENT - .
FIELD COPY
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CITY OF FEDERAL WAY _,. � PERMIT NO: BLD95-0906
33530 First Way South Nw�h E.1,,.,,,. ...Nil!,,.!� N I. dII: .,..!,r w,L., P �..,.ii"i Nl ...N.. N ISSUED: 11/07/95
Federal Way , WA 98003 Building inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 05/05/96
ADDRESS: 31244 47TH PL SW
NO. : 211570-01/0
PROJECT DESCRIPTION:HVAC - INSTALL ONE GAS FURNACE AND 60' GAS PIPE.
F= OWNER .. _ . .-_--7- CONTRACTOR ..»=--_._---- LENDER -------- .. _ .. » »»»»»=»=1
CLARA JACKSON T NORTHWEST WATER HEATER I'
31244 47TH PL SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 I TACOMA WA 98499
� , I
874-4525 1 984-6404
NORTHWH103R2
------ .------------ -----»-- -----------_.__=_-----»----• ----- _ _ ::__._ - -. »---------- »»
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS I FEES:
GAS PIPING.: 60 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.* $ 9.50
GAS HWT • 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 29.50
»»-- ___ ____.. . - _ _J_---__-_ 1 ---- -- __ .- »-..-------:--... _
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 .__-- --
. _____r._____ __..---. ...... ....... ______ ............ a»:: •• sr»ccs»»cc,:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF .: WORK IS STARTEI 'LI • AND GR•DING ' RMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY IS TRUE AND :",401,8 OF NY, i, AND THE APPLICABL Ij4.OF F AL Y R 9VIRE-IIHITS WILL BE MET.
OWNER OR AGENT .---_--____-_ DATE
/ ( (i: 7
FILE COPY
City of Federal Way •
CITY OF f---, 33530 First Way South
• S Federal Way, WA 98003
(206)661-4000 6(_-/ C — (71q0 ri( •
v O,�\9' �P�
0APPL/CA TION FOR MECHANICAL PERMIT
PARCEL:4;14 »-) Te'CJ / /
/' Single Family 0 Multi-Family 0 Commercial 0
SITE LOCATION: > C7-.- /</-1,4S---
�
Tenant/Owner: eL414J4 ,)/'�Sd./�l Phone: 0 / C r -,4S
Address/City/State/ip:.3i0-V — 5/7 g /�llt
Nature of work: /A(cr/4u /1X! - `A S r V /'4 Project Valuation: $ 6476
APPLICANT:
Name: /A/ Ae717iT
Address/City/St/Zip: c?la -- .,w,,g,a/SO/V /G/ Al ,,,r//,.),
Contact Person: r,',,' .A77/4— /P/1,44/3'/,/.3 Phone:c3fS /e?S X o3 ax: 3 -7"" -1- --
•
MECHANICAL CONTRACTOR:
Company Name: /"�?J /14/1(/7 /wee
Address/City/St/Zip: -tel/,4 /�%.'4/Z))'A-e` fL:¢- 7-*/,
Contact Person: ''6----2)/-2 // / . Phone: i .C.:/t 5 f' AL2 Fax: 3a9 56-7]2
State L & I Contractor Registration #: /rU 77/1t//1//l'_jGe -- 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 II Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other //<2L Z/04<l' /
Cony Burner Duct Work A/C TONS Other
»BB 's Wood Stoves A/C TONS < CtfsftJ{��Caz�t»[#> « >'»>> >
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 ant authorized by the owner of the above
premises to perform the work for which permit application is made. ee to save harmless the City of Federal Way es to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which a made by any r /ncl •"-. - ersigned,and filed against the City of Federay Way but only where such c aim arises
out of the reliance of the City,including its officers a mployees,upon t y yr.,• he informatio,suppliedy part to the Cit a a of this application.
Owner/Agent: , - Date: / ( (G 607----