95-103496 4 /.s ir.5 41‘,
CITY OF FEDERAL WAY PERMIT NO: BLD95-1048
33530 First Way South t r, 11',�� �w,..(,.•.... N ,,I�'l� ' N .;;N:;. I;.,,,.:,, �I P 1 ,t �
� � ..,.., �,.,,, �P,,,,r ��M� �;.;�; I7'�"�� � 1,;: I ISSUED: 12/21/95
Federal Way, WA 98003 F3uild ng Inspection Requests 661-4 40 BY: FC
661-4000 EXPIRES: 06/18/96
ADDRESS:33010 22ND PL S
NO . : 797880-0661
PROJECT DESCRIPTION:HVAC - INSTALLATION OF 2 EACH, FURNACE, HWT, DRYER, GAS LOGS, 100' GAS PIPE. (FOR 3010/33012 DUPLEX)
= OWNER — _ -____. _ --- ____; ___ = CONTRACTOR :- _.---._ __ .___... f LENDER = P
B & C INVESTMENTS 1 MR FURNACE & CO
18437 8TH AVE SW I 13915 122ND AVE E
,SEATTLE WA 98166 I PUYALLUP WA 98374 ' •
246-6916
MRFURC*066LF 1
..-__. _ ..._ -- • ........ 1 -- . -_.--• ..-_=s ..... . _--,__-.____-__-___
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE IITY OF FEDERAL WAY. TAX RATE = 8.25 ***
T- _
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS 3 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 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 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: j
GAS PIPING OK Date By
____ _____ _ _, •-____ ........_ ---- -- -. ------
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE I NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
D 2
I CERTIFY THE INFORMATION FU ISHEIS TRUE AND CORRECT 10 THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT r DATE ��
FILE COPY
CITY OF FEDERAL WAYPERMIT. NO: OLD95 -1048
33530 First Way South MECTIANI CAL WAY -,
I ISSUE D: 12/21/95
Federal Way, WA 98003 Building Insp,.. ction Requests 661 . 41.40 BY: IC
661 -4000 EXPIRES: 06/18/96
ADDRESS: 33010 22ND PL S
NO. : 797880-0661
PROJECT DESCRIPTION:IIVAC - INSTALLATION OF 2 EACH, FURNACE, NWT, DRYER, GAS LOGS, 100GAS PIPE. (FOR 33010/33012 DUPLEX)
B & C INVESTMENTS MR FURNACE 1 CO
437 8TH AVE SW 13915 122ND AVE E
EATRE WA 98166 RUfALLUP WA 98374
246-6916
sts COIRRACIMM, 2i I:, USE L0CAOON C001 1732 IMEN REPONIING SALES TAX EOR PROJECTS WITHIN IRE CI1Y Of FEDERAL NAY. TAX RATE = 8.25 ***
FFUELTYPES.:GAS ? FANS,*.;,,. ..31cYf',.- „,,,BOJIER$1(OmPRL. -' T
GAS PIPING.: 100 ft HOOD.: :'n-n-ti.r";k.--- ''i,,,,,, O'3 0._ii,..* ° lf- DRN' 1S$UANCE... S 20.00
J.[4*..&,., liE( 1,i00 1,141" erre * :$ 63.50
FURNi,100K..: 2 DiTC,T Mr...,1.--,..t-:4 ,V5 11 . , n _ . , „,,:,,__„,,_,, ,
GAS NT • 2 HOElkSTOk!'.,;% Ikt,,,, '1,,,,,1 "430 ' :',...: 0
CONV BURNER: 0 FORN*4,,,,..-e4l';', , ":40 50 O.....
B80 • 0 MIS(., 4, e 4,-, ' 1 WH
I GAS DRYER..: 2 AIR HANK* UO't, E, FARTS
RANGE • 0 <40,000 trt 0 ''':::',"' ABOVE GROUND: 0
lif LOGS...: 2 > 10,00U CFN: 0 UNDERGROUND.: 0
TOTAL FEES $ 83.50
Does the eater supply system contain a Pressure Reduction Device or (heck valve? 0 Yes 0 No (If "(es" then water expansion tank is required on Hot Water Tank)
Inspection Record Water line OK Mechanical Inspection Notes:
GAS PIPING OK Date By .
FERRIES EXPIRE 100 DAYS NUR ISSUANCE II NO WORE IS STARTED. RESIDENTIAL AIM CRANK FERRIES EXPIRE ONE YEAR AMR DAIL Of ISSUANCE.
1 CERTIFY ME INFORNAIION fUlt BIND is TRUE AND CORRECT 10 1111 BEST Of NY KNOIREDGE AND IRE APPLICABLE CII? OF (Mill WAY REOUTREMENIS VIII BE 1111.
OWNER, OR AGENI r- .- DATE /...2/)/i')/
FIELD COPY ')/- e
City of Federal Way
;:;;I--,.. of �—` 33530 First Way South
---9---
Federal Way, WA 98003
bIte4.5-
%� / %(��WiFTY-
(206)661-4000 ( `�v
REC �rfE
APPLICATION FOR MECHANICAL PERMIT
ULA 2 1 1995
PARCEL ft. CITY OF Fclf�' AL wA , Single Family ❑ Multi-Family ❑ Commercial ❑
BUILDING DEPT.
SITE LOCATION: / /
Tenant/Owner: {-r0.cle. 0 .>/ Phone:
�i ? L, Ir. 1 �`� 1 7�Address/City/State/Zp: -)
Nature of work: Project Valuation: $
APPLICANT:
7)41 -t ; t / ( /1-il/-
r -'f
Name:
`f `�`
Address/City/St/Zip: /3 C>/S 7_,9.2_ ,�/ AA &-- Gam- �G// i ��)2/
Contact Person: y()Err" l7/;j',769/: 21/ r ,%/-/' /4'y
Phone: Fax:
MECHANICAL CONTRACTOR: r
Company Name: 4 /� l Of7'`L'cP / L G
Address/City/St/Zip: , 0-"' ()Y 219* ) _ /�,o /�- goo23
Contact Person: ../:116 i., /-/-0,44e'^ el "%,/) P/: .%17
Phone: Fax:
State L & I Contractor Registration #: /7/(F' c 2KeV: `/ Exp. Date:
C715-7 :O
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) cef Gas Dryer c? Air Handling < = 10,000cfm Fuel Tanks:
piping of
Length
9 gas /go Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's tas' 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
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,including its-//9J(1 officers nd employees,upo t ccuracy of the information supplied to the City as a part of this application.
Owner/Agent: Date: i/'''? 6-