95-103497 s
015 t(5 4q'7
-CITY OF FEDERAL WAYPERMIT NO: BL_D95-1049
33530 First lay
South M " ::CV I ki,ii .1:: ("I r,;,'ti N...... P EI .1�'"''N .,,N::: �,,.. ISSUED: 12/21/95
Federal Way, NA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 06/18/96
ADDRESS:33016 22ND PL S
NO. : 797880-0661
PROJECT DESCRIPTION: HVAC - INSTALLATION OF 2 EACH, FURNACE, HWT, DRYER, GAS LOGS, 100' GAS PIPE. (FOR 33016/33018 DUPLEX)
8= OWNER =-_= - - CONTRACTOR ------- LENDER -------- -••- --
B & C INVESTMENTS I MR FURNACE & CO
€ 18437 8TH AVE SW 13915 122ND AVE E 1
1 SEATTLE WA 98166 1 PUYALLUP WA 98374
246-6916
MRFURC*066LF
::x CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 tt:
[ FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
i 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 t 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 -••--_"---"-�'__-__`•� ----=__.___, ,. _ ..
pp y y 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 IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATIO . RNIS D BY ME,S E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT C,, __ 2' DATE /2M.....__._
FILE COPY
CITY OF FEDERAL WAY PER M I f NO: BL D9 5-1049
33530 First Way South MECHANICAL. PERMIT ISSUED: 12/21/95
Federal Way. WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 06/18/96
ADDRESS:33016 22ND PL S
NO. : 797880-0661
PROJECT DESCRIPTION:HVAC - INSTALLATION OF 2 EACH, FURNACE, HWI, DRYER, GAS LOGS, 100' GAS PIPE. (FOR 33016/33018 DUPLEX)
B & C INVESTMENTS
MR FURNACE & CO
ee437 8TH AVE SW 13915 122ND AVE E
SEATTLE WA 98166
246-6916
PII7v1:1UP21198374
7t
1
1 1
1
i
sss (osimmis, musE ost tooilog (.01, 1132 wit wan% SALES TAX FOR PROJECTS VITNIK ENE CITY Of FEDERAL NAL TAX RATE : 8.25 it*
Zi;W:;;;; 7" 14T ,-...I'' ';li-tifrS'/(6MPREr"-"-- ---'44'"'" -'-''""471''% 'Vr' '44 '"'"'"''''-
GAS PIPING.: 100 ft HOOD. . : o 0-, Hp ..: 0idel4114011r *ONCE....: S 20.00 1
EURN<TOOK..: 2 D9 uct WI, • 3.i RC' ' ° '' 'VY,,W. 4t ,:IW. mu, 4001iitirrnt 63.50
GAS NWT • 1 WOOD ' *4Vt 4 41J'4.,-: U
CONY BURNER: 0 tuposim _ : 0 ww
BBQ • 0 Illg... .. ..* 1 L/OP.O..: n
GAS DRYER..: 2 AIR HANDL* UNITS FUEL TANK-
RANGE • 0 <10,0000,8.: 0 ABOVE GROUND: 0
LOGS...: 2 : 10,000 diOh: 0 UNDERGROUND.: 0
TOTAL FEES $ 83.50
1 1
I Does the water supply system contain a Pressure Reduction Device or Check valve? 0 Yes () No (If "Yes" then mater expansion tank is required on Hot Water Tank)
1
Inspection Record Water Line OK Mechanical Inspection Notes: VV VVVVV , VVVV. VV . [
GAS PIPING OK Date By 1
PERMITS EXPIRE VI DAYS AFTER ESSENCE If NO WORK IS STARTED_ RESIDENTIAL ARO GRADING PERMS EXPIRE ORE YEAR AFTER DAB' Of ISSUANCE.
I UNIFY IN( INFORNA110Nisylo BY ME ) AND CORRECT 10 INE BEST Of MY KNOWLEDGE AND 11WAPPLICABLE CITY Of FEDERAL NAY REQUIREMENTS WILL IL MET.
r
OWNER OR AGENT ( r / --'"
_...gaR
DATE 42/,0; (*)
'\\A (1'/L
FIELD COPY rlY 01
t.
City of Federal Way {�
CITY OFF,""""'''" 33530 First Way South �� ��y�,
- �� Federal Way, WA 98003 �({ /D C,f
r/ .
p12061661-4000Wif:If
APPLICATION F91HWCHANICAL PERMIT
CITY OF FEL
PARCEL #• runs rL*,,Single Family El Multi-Family ❑ Commercial ❑
SITE LOCATION: /
Tenant/Owner: {-r0/--(4"' (O `>
Phone:
Address/City/State/Zip: --(LC / 330 18 r
?
Pi. 'D
Nature of work: V/1 ,? G)s
Project Valuation: $
APPLICANT:
Name:
/11e--i 't t" / ( ���!>X',.4
Address/City/St/Zip: /3 / .- 7,2.2,. r7 I�& G'- --/'� CJS ��)2/
Contact Person: ,�(,/a~' 111.9(/',,, Phone: J)// 217�/ Fax: ,y/ ,w-y,
MECHANICAL CONTRACTOR:
Al �
Company Name: J' lf'../".--Cie,- / (G
Address/City/St/Zip: / )' CSX 73/�� ,,,, �P (. ��) 3
�'6., /-70,67,'� ". -jig OW ;%y
Contact Person: � Phone: Fax:
State L & I Contractor Registration #: /17/(FtY(AV Ci�LI- Exp. Date: /106
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) a j Gas Dryer c? Air Handling < = 10,000cfm Fuel Tanks:
piping of
Length
9 gas /(9-0 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 Hwt3' Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's
Wood d StQY.S c.
A/C TONS VEaf'€stat'Ca4xg»s»>::,:<>;i>::;<:>:i>i:;>::;
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 officers and employees,upo the accuracy of the information supplied to the City as a part of this application.
Owner/Agent: /0 /- >�
Date: //