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MC. FEDERAL WAY PERMIT NO: BLD95-1013
3" First Way South M11;T,:, �„,,, H Pt '11 ::1:„::1:„ ��.,,.Pill._ll._ F:, IF:.1';;�, , ' �,,. ISSUED: 12/07/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 4140 BY: FC2
661-4000 EXPIRES: 06/04/96
ADDRESS: 34907 30TH AVE SW
NO. : 279150-0240
PROJECT DESCRIPTION:MECHANICAL - GAS PIPING (401, FIREPLACE INSERT
r OWNER ------..__.._..::_. -- - ---.- ----.--,- CONTRACTOR ---- __._ __..___----- T LENDER --- -
GARY STREITMATTER 1 NORTHWEST WATER HEATER ELEC.
34907 30TH AVE SW 12800 THORNDYKE AVE WEST
FEDERAL WAY WA 98023 SEATTLE WA 98199
1 838-0802 1
_-I NORTHWHO99J1
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 t**
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS I FEES:
GAS PIPING,: 40 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
• ..___-___-----___-._,___ ...___ ___. .._ ._ _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)
1 6
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By __-_•,__
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK ' ARTED. RAL, AND GRADING RMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS T' AND CORREC O��;t ' ° 'F MY KNOWL E AND THE APPLICABLE CITY OF FE RAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT O40.f .. __ __ _..,_._.. DATE --ff Cr
FILE COPY
City of Federal Way 1. 4_0`1 i- — 10 /3CITY OF r- 33530 First Way South
® Federal Way, WA 98003 RECEIVE
(206)661-4000
V V
APPLICATION FOR MECHANICAL PERMIT DEC 0 71995
CITY OF FEDERAL WAY
( �O 0 �,- (4 V1 BUILDING DEPT,
PARCEL �• Single Family Multi-Family El Commercial 0
SITE LOCATION: C �fi ,y
Tenant/Owner: G �'r )� nn 1���-4.__ Phone: .c-5s - 0%-..) ?—
Address/City/State/Zip: -349n-4- J 3 a.1%- A\ St& f 2 W A ( l5 t -3
Nature of work: (1�'1 \L Cab litiseProject Valuation: $ t + –4- r
APPLICANT: (' r� (�/_.p
Name: 1 1.L1 l lit"" /V\ 1 T
Address/City/St/Zip: �f)O 7-- fhA MSO i \ S (0 ( SA
l s'
)/D__
Contact Person: �j 0 r i j r_ki c t'p Phone: D-85---(0 f�=-K /' Fax: 3j-7 TAT T
MECHANICAL CONTRACTOR:' ` :,
Company Name: \ (L hiA V AT S
Address/City/St/Zip: 'Y)6 v t 1-1G'r- Ac 7"W-6 `3e- A q( `Cl
Contact Person: 67 c-c) 1--F /I .-K)- L-D Phone: 5-1)I C� �f�S Fax: 3,)-1'- Ta 1
State L & I Contractor Registration #:l )i�T l+ 03 t` i 0? r 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 4IC ( f 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 rr2,11, I'15 C r-t A
Cony Burner Duct Work A/C TONS Other
TONS .M5ta1'' : '< <itit:> > »»>< »»»»»>
BBQ's _ Wood Stoves A/C TONS
#.fnt t`rtt
DISCLAIMER: I certify under penalty of perjury that the information furnished by is true and corret" best of • owledpe 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 ree to save harm)-. of.-•eral We 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,incl • • .;•red,and filed •ainat the City of Federay Way but only where such claim arises
out of the reliance of the City,including its officers and employees,upop'the accuracy of . • /upplie• o the Cit as a pert of this application.
Owner/Agent: Date: I ( ( i r