95-103223.•••—".-•—•••—•,•-•.—•—‘—•- C• '—'••--T T •------,•••"*".------10----,•-----— ,
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CITY OF FEDERAL WAY - PERMIT NO: BLD95–0948
33530 First Way South 111. C1-1ANIAL PERMIT ISSUED: 11/27/95
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC2
661 4000 EXPIRES: 05/25/96
ADDRESS:35823 1ST AVE S
NO. : 302104--9004
PROJECT DESCR I P I ION:MICH - GAS PIPING (40"), FURNACE TO 100k BM, GAS NWT, DRYER, RANGE AND SPACE NEATER,
ROBERT COLE PUYALLUP GAS APPLIANCE INC.
35823 1ST AVE S P.O. BOX 95
I FEDERAL WAY WA 98023 PUYALLUP WA 98311 I
I
874-3846 848-1549
PUYALGA28.5RI
I
*** CONIXACTQW, PLEASE OA ( HON CODI lir vont mom oh, AI(S TAX FOR PROJECTS Mill 1111. CITY OF fIDERAI MAY. TAY RATE 7 8.25 SU
5-0 9 itti"IISS°R3
GAS PIPING.: 40 ft HOOD. ''''''2'7 ---::-.-'4'
FUEL TYPES.:GAS ? FANS _ n
ftnfIP . '
RERN<100K..: 1 DUCE Walk—, ,. u 1 E
0 ii - ,- „ ,, ,,,,,,,p , to n ,,, ' UANCE... $ 20.00
3 f' lir ..,' '! , ' ,1 ,,4111' Ali E TEES.* $ 39.00
GAS NWT • 1 WOON*ORE- . It I" lt
CONY BURNER: 0 F :II> ! . $1 Jr., 0 HP....• 0 •.1 d•
,• , -.• _:-,..,„.,.a.-_,-:_._.,-
,
BBQ • 0 II - . .. t,; 1 k 0.... , ty----,
' Al.
( GAS DRYER..: 1rAjj
AIR IL s rut' im,
1 RANGE • 1
<:10, * :,, t;'' t1D: 9
GAS LOGS...: 0 , ) 10,01. M• I ., ,, )fik . I p.: 0
I tOTAL FEES $ 59.00
1
Does the water supply system contain a Pressure Reduction Device or Check valve? 0 Yes 0 No (If "Yesthen water expansion tank is required on Hot Water Tank)
I Inspection Record Water Line OK Mechanical Inspection Notes:
IGAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS ALIEN ISSUANCE II ft9 WORT 15 SIARIED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YENI Al KR DATE Of ISSUANCE.
I CERTIFY till INIOR110:1411 fURNISIILD NY Mt Iti IRK AND C CT TO TIE NEST Of NY KNOWLEDGE AID HIE APRLICAREE CITY Of FIDEPAI WAY REQUIREMENTS WILL Of NET.
OWNER OR AGENT litilf / ( -- 2 /- 2 -
)
FIELD COPY
. I
CITY OF FEDERAL. WAYPERMIT NO: BLD95-0948
33530 First Way South iti E'I,;:,.,: H A M (.1.,fi"'i P ,.'..R M
I. T ISSUED: 11/27/95
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC2
661--4000 EXPIRES: 05/25/96
ADDRESS: 35823 1ST AVE S
NO. : 302104-9004
PROJECT DESCRIPTION:MECH - GAS PIPING (40"), FURNACE TO 100K BTU, GAS HWT, DRYER, RANGE AND SPACE HEATER.
E= OWNER ------• -. • -- CONTRACTOR --- - - ----- LENDER --
ROBERT COLE I PUYALLUP GAS APPLIANCE INC.
35823 1ST AVE S I P.O. BOX 95
FEDERAL WAY WA 98023 I PUYALLUP WA 98371
874-3846 I 848-1549
IPUYALGA285R1 M
----------------- __ _. _ •--• _. - i -. -- _.
sss CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 us
FUEL TYPES :GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 40 ft HOOD • 0 0-3 HP • 0 I MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 i MEC APPLIANCE FEES.* $ 39.00
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 1 5+ HP • 0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS ( 1
RANGE • 1 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 59.00
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)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK 1S STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORM("FURNISHED BY NE IS TRUE AND CO CT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.)
OWNER OR AGENT r _ .-4-- --_. �' `�� DATE L� 2 ?' 7S
.
FILE COPY
City of Federal Way (J 4)6 `-- 0,194.?
CITY OF --^ 33530 First Way South
® Federal Way, WA 98003
_ _
C.�...J (206)661-4000
WFFYECE%VED •
APPLICATION FOR MECHANICAL PERM/T'
NOM � 71995
PARCEL it.
�- '�� dy - / 00 Single Family �_ Multi Family Cl7Y fir ('=5 >on{tof
WILDING
SITELOCATION: �j
Tenant/Owner: 120 E e H Go '-e Phone: 7 3
Address/City/State/Zip: , 013 1 S A-"e- -3-G`^ I k'�
Nature of work: G s rti�hs c Project Valuation: $
APPLICANT:
Pt7hPName: acs /2PPV/C-/ c-C,._ itnc_
Address/City/St/Zip: 7)C ga 24 %5— P(45/c, // ' tv l LC-s 7 I
Contact Person: Acr'k_ 5' " 'y Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: Py, 1/,-,/� Gc S A lopit' 4,-c h
Address/City/St/Zip: fa 6 x '7f- gya, //h. 4 9 ,? 77
Contact Person: ar�'�' g� ' 7'15 Phone: C� f Fax:
State L & I Contractor Registration #: 1)(-vi/(7A, 0 /j'/' Exp. Date: 5 ' C(_ �9
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (has/other) Gas Dryer / Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping ‘f(-__, Range / Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's )0 G ,cvC) Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous P
Gas Hwt A Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
664's Wood Stoves 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,incl�iding its officers and employees,upon the accuracy of the information supplied to the City as a part of this application.
Owner/Agent:
1_,A-1.-------------- Date: