96-100227 96, /0e,a 7
CITY OF FEDERAL WAYPERMIT NO: MEC96--001.5
33530 F i rs t Way South ''"� ,,.fi°,,.. '" A'kit."�w,,,,. li P �',:. R '`' .,,�.. ..,i ISSUED: 01/22/96
Federal Way, WA 98003 Building inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES : 01/15/97
ADDRESS: 32703 PACIFIC HWY S
NO. : 038090-0040
PROJECT DESCRIPTION :MECHANICAL - ONE GAS WATER HEATER 197,000 MODEL BTC A 0 SMITH
= OWNER ==_ _-_ .. __- - CONTRACTOR -...____. -- LENDER
I1LY'S PIZZA J LANG'S MECHANICAL
32703 PACIFIC HWY S 1142 INDUSTRY DR
FEDERAL WAY WA 98003 SEATTLE WA 98188
839-1056 515-6707
LANGSMI157B5
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.25 **X
--• ----- __.__syr-- .- w..:::..- W -, .__._..__.___.____..-._ ----______....___.._.. ..___..,_.___._ - ___-_._-• - ----
PROJECT VALUATION 736 FEES:
FUEL TYPES.:GAS ? FANS 0 BOILERS/COMPRESSORS P Mechanical Permit* $ 28.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 j MEC PRMT ISSUANCE... $ 20.00
FURN<100K.•: 0 DUCT WORK • 0 3-15 HP • 0
GAS HWT • 1 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 $ 48.00
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 DateBy
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IFWORK ` STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISH D-BY IP fR+rs AMD CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABL CITY OF FEDER NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT --`-�- -- DATE 21 ((/
FILE COPY
• 4, City of Federal Way
CITY OF r- 33530 First Way South
• - Federal Way, WA 98003
— rErnit=rKFIR.— (206)661-4000
wri-).,.
APPLICATION FOR MECHANICAL PERMIT
PARCEL ft. � 'J `i Single Family 0 Multi-Family 0 Commercial I
SITE LOCATION:
Tenant/Owner: IjW •. \',.�> Phone: \ •CC \P)
Address/City/State/Zip: ) •QRS_\ 0.. �N\, -_,
Nature of work: 1ti(-\-tM-L Cck��\\ . KC‘----- \C\\ -1 `� h\\C.\ \\ •k oject Valuation: $ '-•-Y)\ \4'
APPLICANT:
•
Name: \\-- -\' N&-\- -\ \
Address/City/St/Zip: A\ 7 a-\3 ��\ \\ NV A\\\I-\\�i�\ �L �w� �f�J�� I�
Contact Person: ���v� �Q � '� .cv, AM-C-ihone: \;:.'3---\` - C-1Cn--1 Fax: M-C) .. ) >"—Arr: - I
•
MECHANICAL CONTRACTOR: -
Company Name: \\ k-V_ (YQ \ Q\ C \ N
Address/City/St/Zip: \\)\(-1\_ 5.--AA,t �R , \ A 0\ \\ Q_ %\ca
Contact Person•\.\ Y(NO \-\,--\.\\S V-'6,-A-c Phone: --\,--- \ l I Fax: ?J k " 13'1 -612 i
State L & I Contractor Registration #: V� �. (''' 'Al ! k \‘;, -A-‘;, -ANTh
Exp. Dater
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log Unit Heater Underground
Furs >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBO's Wood Stoves
AIC TONS '?Totaf`Uriit totii<E�<>`?`<'•�<>' .:.::.:::::.::
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 officers and employees,upon the accuracy of the information supplied to the City as a part of this application.
Owner/Agent: (`-\&\,L \\C) 1 1� --�
Date: 1.Q