96-100255 CITY OF FEDERAL WAY " PERMIT NO: MEC96-0019
33530 First Way South M ,'::::.'(,, MPM 3.,.Ci(''w''t „,,... P !A,„•RhI .. . T ISSUED: 01/25/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 01/18/97
ADDRESS:2647 SW 350TH ST
NO . : 502945-0740
PROJECT DESCRIPTION:MECH - FURNACE TO 100K
.- OWNER - .---- - LENDER - •
x CONTRACTOR -- - -�-- --.-=•• - .
RAY 0' GRADY NORTHWEST WATER HEATER I
2647 SW 350TH ST I 8201 DURANGO ST SW
FEDERAL WAY WA 98023 ) TACOMA WA 98499
838-8723 1 984-6404 I
I NORTHWH103R2
, ____--..__.. _ _ _....... __..._ 1 __.. __ ..___.. -- ___-- _A
*x= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 i#
- -^-
PROJECT VALUATION 503 FEES: 9
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 24.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0
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... 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 44.00
_ :._-__.. S :-____.. __. .__.. • ___.. ----- 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)
Inspection Record Water Line OK ___________ Mechanical Inspection Notes:
GAS PIPING OK .__.._______ Date ..._-.-_- By ___._-__
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK ARTED. RESIN a•'"" AND .'ADING P 'NITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS T:. AND CORRECT �r'�� ST OF MY OWLEDGi AND THE APPLICABLECITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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City of Federal Way (11EC q6, -06 ( '1 , ,
CITY OF
�'� 33530 First Way South
® _ ( Federal Way, WA 98003 RECEIVED
I �---� (206)661-4000
WAPPLICATION FOR MECHANICAL PERMIT
JAN 2 5 1996
CITY OF FEDERAL WAY
2 � � � U� � l BUILDING DEPT.
# 5. Gf
PARCEL - J Single Famil Multi-Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: R CI e\_.\-> I' Phone: ( l a - . --4_'-z. -5
Address/City/State/Zip: (e S.W. fi V 5T
Nature of work: I rl42 ` cirli _C .. Project Valuation: $ 5 (`) 3 -
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:/�/ /�j / �j
Company Name: t�G V G "V �' /
Address/City/St/Zip: 2--r CO � ���r-_ A ,
Contact Person: �� Phone: 9 6 • --7-3 Fax:
State L & I Contractor Registration #: ( U ---- wt-t-! _C512-77---- Exp. Date: l2 (.,,
(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
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BB4's
Wood Stoves 1
t ves A/C
TONS <Y to fJ' iti ax s #«>[>> ; < >_<:K:K
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 an - sonittcluding t •ersig.• .-, 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 -occur. • the i 4,....- .upplied to the ity as a part of this application.
Owner/Agent: - Date: ` i