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CIT' OF FEDERAL WAY „, ;:a ..,.,. ,.. PERMIT NO: BLD95-0965
33530 First Way South a „,,..t4,.,..il i „��r "'f (I...A,.,ar ,,,
1� � �, �,�,.,, � �:°;..,..��, i . ISSUED: 11/30/95
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 05/28/96
ADDRESS: 3031::L 19TH PL SW
NO . : 085050-0010
PROJECT DESCRIPTION:MECH - GAS PIPING, FURNACE TO 100K BTU
F= OWNER ----- -------------------- ---- =-$- CONTRACTOR ----- ------------------------ 7 LENDER •------------- ____ . •--__ -_ ----- =1
SHIN KIM NORTHWEST WATER HEATER ELEC.
30311 19TH PL SW 2800 THORNDYKE AVE WEST
FEDERAL WAY WA 98023 SEATTLE WA 98199
941-9376
!
- -_-- NORTHWHO99J1
t--- --------- -- •_=--�_.-____._ = - ---____.-- -__ -----_-•- ---.-- - _.. -_.
*** 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 FEES:
GAS PIPING.: 40 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 13.00
GAS NWT • 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
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)
Inspection Record Water Line OK __-- -_ Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF : ORK IS STAR cL AND 6' 'INC PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED : EIS TRUE A , i:'•°tr THE ; OF M KNOWLEDGE AND THE APPLICA L CITY OF FEDERAL Y REQUIREMENTS WILL BE MET.
H /
OWNER OR AGENT _ / -__-- DATE �._ ...-_C..._. _....
FILE COPY
City of Federal Way
B1!pg5 — C")gCoC
CITY OF i' '— 33530 First Way South RECEIVED • •
• _ Federal Way, WA 98003
.`Z— -.'— FLTD mr<1=11m . (206)661-4000
NOV WAY3 01995
APPLICATION FOR MECHANICAL PERMIT
iTY OF FEDERAL WAY
BUILDING DEPT.
PARCEL #• n$ (T c L) (1) Single Family/ Multi-Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: AOA A e -- ' • Phone: �y
Address/City/State/Zip: C1// •` 1 L 1 L 1�iv �� " �4 1����
Nature of work: ‘49-1-Au- C U,'i'II ( F 4 ► l ('-. Project Valuation: $ 134 S' ---
APPLICANT:APPLICANT:
Name: l�i v}.i 6 r—AA 1
Address/City/St/Zip: ) c _ _ F PIA 15Z,A) s1 �6 ` SEA i '')(I ""_
Contact Person: C'E G r l'' f(g.N/'►-i1 Phone: . -&')3-1 0C(C tY( " Fax: --)
MECHANICAL CONTRA writ '
Company Name: - SIN TIORNDIKE AVE WEST
Address/City/St/Zip. wrr wi ma
Contact Person: CoL-f f ,4(/Q/-) (A) Phone: ,S5-ttiic."` (/(/5 Fax: 3J-/ / 77
State L & I Contractor Registration #: /4G c tV['` ( 3 ,E-c 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 I 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
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BBQ's • Wood Stoves A/C TONSi:Tinti{thiiti:Cifzifst»:»»»»»>s>>i:>i:>%»»
DISCLAIMER: I certify under penalty of perjury that the information furnished by me i- ue and correct t• • st 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 agr- o save harml -. t' y• ederal Wa - • - claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be made by person,incl . . ,, 'tde, . -• ded against the ity of Federay Way but only where such claim arises
out of the reliance of the City,including its officers end employees,upon -accuracy ,, atio• -d tot -City as a part• this application.
Owner/Agent: Date: