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CITY .OF FEDERAL WAY
PERMIT NO: BLD95-0 9
20
33530 Fi rst Way South PE M 1. .-. ISSUED: 11/14/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 05/12/96
ADDRESS: 327O9 5TH AVE SW
NO. : 926491-0070
PROJECT DESCRIPTION:HVAC - INSTALL ONE FURNACE.
F= OWNER ------ -- .- _=. a- CONTRACTOR _.._.._...._..=._....__ __._... -- __..._ T LENDER =_
ELIZABETH NANCE NORTHWEST WATER HEATER I
32709 - 5TH AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499
838-5752 1 984-6404 i
I NORTHWH103R2 #
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 ***
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS 1 FEES: - -
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 I MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 10.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
880 • 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 $ 30.00
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)
� I
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date ------._.. By
_ =;�� ------
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STA' " D. RESIDENT1 / 04.R• , '6 PER TS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND :'RECT TO T��} 0)00: IWLEDGE AND THE APPLICABLE CIjoY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
(( 4.(
OWNER OR AGENT / ...__..._.__ DATE ! /_._.�!(
11111
L
FILE COPY
•
1
City of Federal Way
CITY OF p 33530 First Way South a
• _ Federal Way, WA 98003 ‘•3( � r"� k
F873 (206)661-4000 "'�� y v l Uv s
APPLICATION FOR MECHANICAL PERMIT
PARCEL It. G. ‘,c h(1 V!o 6 -t-U Single Family/O Multi-Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: r_-L__/ ZA 6 F-7—fitAlpA i Phone: _;,7_,1___L_--
Address/City/State/Zip: 3.. . o G - STs A It 5),A1 rLe 'lJf} y 9g6, 3
Nature of work: $ //la 64/16 C.6- Project Valuation: $ (i �d
APPLICANT:
dt0
I 7Name: / e.Fll/t i .i--
Address/City/St/Zip: �8a a- AA 0 /5vA-A.v1 #/d! c)--„0 7 24-I
Contact Person: G rr ,4i(1) 0.4) Phone: 122-2 L' 5 I��ax: 3;'*-e77,2-7 7-
MECHANICAL CONTRACTOR:
Company Name: R(Ask tF� --4--v- -
Address/City/St/Zip: ., n 11-I6,ef.1 `I lcG )G-1\ — 6tg /9
Contact Person: 6r.r. r `f'1' JV n (-I Phone: :I gig-Cc( 7fcax: 3 `c( -7 T
State L & I Contractor Registration #: A1fi AI Ft W 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 Stove.
S
TONS ?Ftat#htCont><»<>[»s»»>2>><_>'
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is tr • 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. .ree to/�'ve harmless the City of Federal Way sato any claim(including coats,expenses and attorneys'fees
incurred in investigation and defense of such claim),which r - .e made by any /on,incl • .•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 ployees,upon the,i, • .inform.'on supplied to the City as a part of this application.
Owner/Agent: Date. ( �/ ,
•
CITY 9F
•
Mjr<fart. BUILDING DIVISION
•N") ■��/ 33530 1ST WAY SOUTH
FEDERAL WAY, WA 98003 661 -4000
NCORRECTION
ADDRESS: -?L221( 5 J %'. S t r _ PERMIT #: g/D ✓ `cc/
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW:
C -
3-V&-Air i/117 c ,,I.;,c%l' 141,1 c 4-
,
T S'G-%1 L- S/A,C;c-cs Pti�l G L [JC-,t11--- eV\flil/4l r '2.
n
66 s'e? [L fl-7 54 mL 7-/,41
YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661 -4140 FOR
RE-INSPECTION.
la -/5- AA-=7---saa/
DATE INSPECTOR FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE