95-103192 qs' ic3fq,2,
CITY OF FEDERAL WAY pf_Rmir NO: 8LD95—0943
33530 First Way South MECHANICAL PERMIT ISSUED: 11/21/95
Federal Way, WA 98003 Buildinq Inspection Requests 661- 4140 BY: FC2
661 -4000 EXPIRES: 05/19/96
ADDRESS:510 SW 293RD sr
NO. : 119600-0306
PROJECT DESCRIPTION:MECH - AM) OSPIPING (M1, RIPMKETOMBM
LARRY HOPSACK NORTHWEST WATER HEATER ELEC.
510 SW 293RD ST 2::104,r:: 98199
946-9210
WEST
FEDERAL WAY WA 98023 S
946-9210
!IORTOW110991/
amsI. ILiS, to,/ 10,AMA UK 11r/ !MO Pf rOlING SALES FAX FOR PROJECTS NIHON HI CITY OF FEDERAL WAY. TAX RATE 7 8.25 It**
FUEL TYPES. AS ? FANS
460(41,TAN FEES:
GAS PIPING.: 38 ft HOOD 47.4774 - $ 20.00
FURN<100K..: 1 DUCT ' 1-70 P. 1 E FEES.t $ 13.00
GAS HWT • 0 WOO-. , ..1t1F41VA I
(ONV BURNER: 0 %41_, mp ",11, 1 - -
A nr
BBO • o H ;4, , .
GAS DRYER..: 0 AIR ) " S -
RANGE......: 0 '11, '4 1 ND: I ,
GAS LOGS...: 0 > 10.h DERG'el ND.: 0
TOTAL FEES $ 33.00
Does 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)
Inspection Record Water line OK Mechanical Inspection Notes:
GAS PIPING O hate By
PERNIK EXPIRE 100 DAYS AFTER ISSUANCE It NO Mt IS STARTED 0t$116I AND ADI* PERMITS EXPIRE ONE YEAR AEU'? DAD Ot ISSUANCE.
I CERTIFY 1111 INEORNAIION tUNNESNED BY DI , 'RUE AND C 10 Nt BES1 Ot KNOVIIDGI AND IKE APPEILAALT/,11Y 01 IIDEPAI WAI REOUIALAINIS Will 81 Ati.
OWNER OP AM(
FIELD COPY
CITY OF FEDERAL WAYPERMIT NO: BLD95--0943
33530 First Way South M111:::. C H Pri HTI:, :;... '",t L. P E....11.°,,�MI II T ' ISSUED: 11/21/95
Federal Way , WA 98003 Building Inspection Requests 661 -4140 BY: FC2
661-4000 EXPIRES: 05/19/96
ADDRESS: 510 SW 293RD ST
NO. : 119600-0306
PROJECT DESCRIPTION:MECH - ADD GAS PIPING (38'), FURNACE TO 100 BTU
r= OWNER ------ -• T CONTRACTOR =-=--:_--- T LENDER -
LARRY BURBACK 1 NORTHWEST WATER HEATER ELEC. i
510 SW 293RD ST i 2800 THORNDYKE AVE WEST a
FEDERAL WAY WA 98023 1 SEATTLE WA 98199
946-9210 !
INORTHWHO99J1
*** 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.: 38 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 1 MEC APPLIANCE FEES.* $ 13.00
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...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 1
I TOTAL FEES $ 33.00
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 NI' S STARTED//moi ' IAL AND ;'ADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY NE , TRUE AND CI,;1l7 ' BEST OF I KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT0
( V Cr()----
DATE !/_..," 7/-
FILE
FILE COPY
City of Federal Way �LD 15 _ 694-3
CITY OF f---- 33530 First Way South
- F Federal Way, WA 98003
I �--�.� (206)661-4000
WFW RECEIVED
APPLICATION FOR MECHANICAL PERMIT
NOV 211999
PARCEL #• I/9 l O 0 l JC'(' Single Family.❑ Multi-Family 0 CINBUILOF P'Id" "�p(q�
SITE LOCATION:
Tenant/Owner: 4 /� AA� - •-- - . 9 j�'C, 0
���� 6�1 �r ,c Phone: {
Address/City/State/Zip: ��n SIMV a9,� S� ra 1 ( oa_7.-•
'-.T Iq =
Nature of work: JA J ,(s El%R A INCE Project Valuation: 5
,
APPLICANT:
t/i t?'L% S(\ \-T'
Name: .
Address/City/St/Zip: iii lj' /11/41) 104 5-r. i o / , ft- /8/1A
/�Al
Contact Person: ( (n tA1�! 1 u LI} Phone: c? S-1 I-C-C t 1 C Fax: -/-f`I -71 7-
MECHANICAL CONTRACTOR: i1
Company Name: 1thA WN" tri- (&TZ
-CC LGA HON-nl. 0 ( �� ` 1-CC LO � ': { / (
Contact Person: l.&E() F- ' AM O(-1) Phone: , l 6 I Cx 7�C Fax:? -17?
State L & I Contractor Registration #: ! 4-'/ IZIJ" glG ..%C �-
,�
Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) S Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping 1 =y, Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's l 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
BB '
Qs
Wood Stoves
A/C TONS '<>t ` : :»»>[ »> >»zz»:> >«
7r4si`tJnt toxtnt
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the beat 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 harml. the City of Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation end defense of such claim),which may be mad- ••any pars•n,incl • •the undersi•-.•,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 ••on the accreac •, . formation suppli • to the City as•part of this application.
/72Jq
Owner/Agent: 'lir Date: I / ,