95-103495 4. (15 10305
4
CITY OF FEDERAL WAY u1yI t MIT NO: BL 95-10 7
33530 First Way South '1'i.t...... 11- i °1i k"• .,�I.,. C.f"-'11 ..„, �l° ` 1;",;,;..i''.,,��, I141 .,111, ..i4,., RISSUED: 12/21/95
Federal Way, WA 9800.3 Building Inspection Requests 661-4140 BY: FC
661--4000 EXPIRES: 06/18/96
ADDRESS: 33004 22ND PL S
NO . : 797880-0661
PROJECT DESCRIPTION:HVAC - INSTALLATION OF 2 EACH, FURNACE, HWT, DRYER, GAS LOGS, 100' GAS PIPE. (FOR 33004/33006 DUPLEX)
17^ OWNER - _...:r_._.. -;:= CONTRACTOR _- -____ -_ _:.: , LENDER _�_-_•_ ___:.-w.:___. i
B & C INVESTMENTS MR FURNACE & CO
18437 8TH AVE SW 13915 122ND AVE E
SEATTLE WA 98166 PUYALLUP WA 98374
I
246-6916 I I
MRFURC*066LF
**t CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
V ^ - -^
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS I FEES:
GAS PIPING.: 100 ft HOOD • 0 0-3 HP • 0 ( MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 2 DUCT WORK • 0 3-15 HP • 0 I MEC APPLIANCE FEES.* $ 63.50
GAS HWT • 2 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..: 2 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 2 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 83.50
_ _ .._--1__.- __-
Does the eater 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 Inspection Record Water Line OK Mechanical Inspection Notes:i .
I
GAS PIPING OK Date .....__...._ BY
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NOR IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION RNIS BY ME IS TR ND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT -----.._. ___.. DATE 11 _, g-
FILE COPY
City of Federal Way w
CITY OF____________._-_---: .-r '""'
33530 First Way South
aFederal Way, WA 98003 �, [`�'
v I a r<F i 1 (206)661-4000 &Oft����k`tf�,( '
wi=ry : ,,,,---or
APPLICATION FOR MECHANICAL PERMIT
DEC z 1 1995
PARCEL it CI Ty DF FG
etj+LDINGEpHL WA
Y Single Family ❑ Multi-Family o Commercial 0
DEPT
SITE LOCATION: /
Tenant/Owner: �G,,-(4 A `-�'.4)/ Phone:
Address/City/State/Zip: � )0 ( )3O(0 2Z'— l pi. So
Nature of work: C Project Valuation: $ �,?Ur
APPLICANT: `//
Name: ,7)ei C / 11(, e / .,',1
Address/City/St/Zip: /3 .// - /,7,2, ,,e/ W(/(-.-.-: / 4,i.
Contact Person: ✓ ie-;f•' dd47" Phone: (1// 217 / Fax: ,%/ %,'Y
MECHANICAL CONTRACTOR:
Company Name: /71 / Tc./'i,‘Ue r• / (6'
G
Address/City/St/Zip: / C; Cly' ?3 .)7 %`��'/,io `"�/.�- ��) 3
ni
Contact Person //<�,' kee,^ Phone: 0('''9,/) Fax: IP/ 2/ S'
State L & I Contractor Registration #: l '/(Fil,(*C'i:(/ Exp. Date: '/ j.6
(Card must bn presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) 1u 5 Gas Dryer c;t7 Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping /6C-- 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 Stoves
TONS Vts1#.fret Ctirzt
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 coats,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,including its fficers and employees,upo the ccuracy of the information supplied to the City as a part of this application.
/Y/ i
Owner/Agent: Date: 1/ o�� ,
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•
SETBACKS & FOOTINGS •
Date By
FOUNDATION WALLS
Date By
PLUMBING::GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Datej/ 21/.1% By
MECHANICAL ROUGH-IN
Date / A3/�; By4)
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CD01 93