95-101639 qS /6/((
,,, CITY OF FEDERAL WAY PERMIT NO: BLD95-0554
33530 First Way South MECHANICAL PERMIT ISSUED: 07/25/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661--4000 EXPIRES: 01/21/96
ADDRESS:32536 24TH AVE SW
NO. : 638670-0400
PROJECT DESCRIPTION:HVAC - INSTALL GAS INSERT AND 80' OF }GAS PIPE.
. OWNER a.tma.aa..ata.2amamaa.asaaas3ama3Cam3aaaC2asaCm.Rm. a CONTRACTOR aaa...322.t=amacaaaamaaaaaa3®aa.3raaaaxmcaaaa a LENDER ...........macaaaaamcam:i:mcaam.a.aa.aamaaamma.mm..
BRIAN ARCHER WESTERN FURNACES INC.
32536 - 24TH AVE SW P.O. BOX 11145
FEDERAL WAY WA 98023 2901 SOUTH TACOMA WAY
TACOMA WA 98411
661-6351 206-474-8401
WESTEF*372N0
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sss CONTRACTORS, PLEASE USE LOCATION COVE 173?WW1 REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE ± 8.25 sss
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FUEL TYPES.:GAS ? FANS • 0 =MILERS/COMPRESSORS FEES:
GAS PIPING.: 80 ft HOOD... .......: 0 0-3 HP.. ...: 0 MEC PRAT ISSUANCE... $ 20.00
FURNt100K..: 0 DUCT WORK.,...: 0 3-15 HP.....: 0 Mt( APPLIANCE FEES.* $ 4.00
GAS NAT • 0 WOOD SIOV£s...! n 15-30 HP.., .: 0 MEr. APPLIANCE FEES.* 1 5.50
CONV BURNER: 0 FURN>100K.....° 0 30-50 N.
0 0
BBQ • 0 MTSC..........: 0 5+ HP.......: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ----.
RANGE ' 0 (:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 29.50
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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 1r1/''1 Date/0--/Ally Mk/ _ __.___
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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 IRFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY CNMEDGE AND THE APPLICADLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT i-.) DATE Z ,
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t? ON
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FIELD COPY 0 \O
I
CITY OF FEDERAL WAY PERMIT NO: BLD95-0554
33530 First Way South M E.C H A N.I C A L L R M.•L. "i ISSUED: 07/25/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 01/21/96
ADDRESS: 32536 24TH AVE SW
NO. : 638670-0400
PROJECT DESCRIPTION:HVAC - INSTALL GAS INSERT AND 80' OF GAS PIPE.
F= OWNER == CONTRACTOR LENDER
I
BRIAN ARCHER WESTERN FURNACES INC.
32536 - 24TH AVE SW P.O. BOX 11145
FEDERAL WAY WA 98023 2901 SOUTH TACOMA WAY
lill
TACOMA WA 98411
661-6351 206-474-8401
i WESTEF#372N0
L = _
X** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
F == == _=
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS I FEES:
GAS PIPING.: 80 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 4.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 MEC APPLIANCE FEES.* $ 5.50
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
1 RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 1lill > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 29.50
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
_ _ _ = a
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORE IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT r'`_ DATE -1.17')I1
__,,, e_Q Of-Ck\
ALE COPY
• III
City of Federal Way
CITY of �--- 33530 First Way South • ,
\� Federal Way, WA 98003 •
WFT)r
1 -1 ` (206)661-4000
APPLICATION FOR MECHANICAL PERMITc
C aL\DII
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PARCEL # r!o 868 6 70- Uti-o o
Single Family/4 Multi-Family 0 Commercial 0
SITE LOCATION: �/
Tenant/Owner: 2s' AZ--c A 5 Phone: 66 7 • 6 337
Address/City/State/Zip: 3 2._..s-..3(=, 2(-7;'± ,7v - st() ,C d&g- L. &//79 9a23
Nature of work: S %��LiQc //U�3L- % Project Valuation: $ 9(4)
APPLICANT:
Name: 1.4)114 t 4--s /40 ✓c
Address/City/St/Zip-
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: WESTERN FURNACES, INC.
Address/City/St/Zip: P-0. BOX 11145, TACOMA, WA. 98411
Contact Person: KATHY STEVENS Phone: 474-8401 Fax: 4737149
State L & I Contractor Registration #: WESTEF*372ND Exp. Date: 12/31/94
(Card must be presented)
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MECHANICAL UNIT COUNT: /� % f ''"
Fuel Type (gas/other) r��s LGas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping ,Cj / Range Air Handling > = 10,000cfm Above Ground 1
Furn <100K BTU's Gas Log _ ,t)-5 t=?L"j(i) Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
-
Cony Burner s Duct Work A/C TONS Other
•
• ... • r •► . ;;: s: ::mi:iii>'ii i ii � ':::'' %ii
DISCLAIMER: I certify under penalty of penury that the information furroohed 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■ave harmless the City of Federal Way se 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: �!a ��Zt Date:61// /5