96-100356CITY OF' FEDERAL- WAY
33530 F i rs t Way South if'")i k, .,Ii.,. ,,,,,,. f"li ,.,,,, 1"„;'k ;,;.;.. f ` , tl
Federal Way, WA 98003 Building Inspection Requests 661--4140
661-4000
ADDRESS:271O SW 351ST ST
NO.: 351800-0050
PROJECT DESCRIPTION :HVAC - INSTALL 1 EACH -FURNACE, HWT, GAS LOG AND 40" GAS PIPE.
= OWNER
JERRY EMMONS & JOANN
2710 SW 351ST ST
i FEDERAL WAY WA 98023
iy
@ 838-5760
CONTRACTOR =________
RITE WAY GAS SERVICE
PO BOX 994
KENT WA 98035
631-4700
RITEWGS236JG
tst CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CI
PROJECT VALUATION 2400
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
40 ft
HOOD..........:
0
0-3 HP......:
0
FURN<lOOK..:
1
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...:
1
> 10,000 CFM:
0
UNDERGROUND.:
0
LENDER
J� /CV35
hIEC96-0025
02/08/96
FC2
02/01/97
PERMIT NO:
ISSUED:
BY:
EXPIRES:
'Y OF FEDERAL WAY. TAX RATE = 8.25 f#
FEES:
Mechanical Permit*
MEC PRMT ISSUANCE...
TOTAL FEES $ 74.00
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
GAS PIPING OK
Mechanical Inspection Notes: -
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 INFORMATION FURNISHED BY ME 15 -IW AND CORRECT THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT'
--------------
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R
c -- I T Y OF F EDE.RAI-. WAY IJE RM I F NO: MEC96 UC:Ia",
33530 First Way South MECIIAHICAL PERMIT ISSUED: 02/08/96
Federal Way, WA 9800a Building Iri pect,ion RCICILK�at.G 661, 4140 BY: F-Ct
661-4000 EXPMES: 02/01/97
ADDRESS:2710 5W c3` 1ST '
NO.: 351800--0050
PROJEC'r DESCF> P'T:ION;HVAC
OWNERnrsan r:am.nm»•n:-:
JERRY ENNONS t JOANN
2710 SN 351ST ST
FEDERAL NAY NA 98023
838-5760
ttt CON
INSIALL 1 EACH40RNACE, HN , GAS LOG AND 0' GAS PIPE.
f
CONTRACT
R11E NAY GAS SERVICE
PO BOD: 994 {
KENT NA 98035
��ua...mr.�.«... ,,,,,,.s xx.sarc:x-rrr:nr..: -r..:; ::at..rn. .i..... ...c :. ,: 1'a:t•::'.L
PROJECT VALUATION 2400
631-4700
LENDER,�R�i�•LR�aR� A06RSS RSiR 4BOA
n�fi"9'�`!f«•'i.^..S•.X4"I::@.T.K..,^. eLXC"Q.21a�.'itSitt i'.�5.4'E;'.l'.•:Citl'itd::'.a.Y.l%A.., t�••:0.lLYt::RkL.^YLE�'I tl'�Ia:Y.R3f'A Y:H:
IIlG SALES TAX FOR PROMIS VIININ It& (ITT OF FEKNI 1MY
FIJEI. TYPES.. -GAS ? FANS...
GAS PIPING.: 40 ft 1100D.. 0 ' Ap
GAS ON t ....: 1 D 1
CONY BURNER: O F A« ��+� , 0
BOO......... 0 NIS(. ` Ht, ..,
GAS DRYER... n AIR HA
RANGE 0 ( 10,0 ME IACIUND: 0
GAS LOGS...: 1 > 10,000' 0 UNDERGROUND.: 0
FAX RATE - M5 M
..... rs-a a>..ri..,..a.n......_.._cna..c^xar <si«..amxncR:;:.a:•-%�
Does the nater supply system contain a Pressure Reduction Device or Check valve? () Yes (} No (If "Yes" then water expansion tank is required on Hot Nater Tank) {
-4 Inspection Record _ Nater Line OK rlechawa Inr., :'tim Notes: �IhGP
GAS PIPING OKDa
. Q ..,.._. i
srr,....;..:;...:�.s.;_�.::_.si,. .x: u.,r: .+.Ka.. ,.. .aa. V:,-.::,:.,: ;•:t ..+lflF--_._.. ..__..' /lK .. /���f � ::-::ns saaa.z;x._a�xwua-�stt.vmt_:a,^aa:ua:xss:uxr-nan�sym�:M.;.,.r.... rrru a^.....,rara9nai:-,...a.....ax:a..s'nuWsra:r:. �,t;aate:rtv:ra^.eazsa•,::.
r
PERNITS EXPIRE 180 DAYS AF11R 1SSUAN(E It NO WMI( IS STARTED, RESIOLNItill ANO 6PAOING PIRNIIS EXPIRE On YLAR AFTER DAlt (*E 15VIII(:E.
I CERTIFY INI: INIORM1104 FUKNI NC V �`Vvl ANP (IiFtRECT JO FIlf R' I SIF III kIMLO6F AND THE APPLICADLE CITY OF FEDERAL. NAY RtoulKINENIS Nlit K NET. L
INNER ORAGLhI _ DAISY''"', f� /7, r'
FIELD DOPY
B
City of Federal Way
CITY OF 33530 First Way South
® Federal Way, WA 98003 fn
(206)661-4000
APPL/CATTJON. F76 NECHAN/CAL PERMIT
PARCEL f �a153 J61'Uysy �� n '� `, Single Family a Multi -Family D Commercial El
Q1 rY OF FEDERAL WAIL'
SITE LOCATION: BUILDING DEPT.
Tonant/Owner: /V VI/C/`ry tl?)"'11?As Phones
Address/City/State/Zip: 1;? -//o SGS)_ 35 r :5-7—
Nature
7
Nature of work:6LI9.5 FOPr .N4ZCC ZA,!LW1_L14T/l�N Project Valuation: $1:N00
APPLICANT:
Name: :R/ IT- '/-,aY'-_V/A�
Address/City/St/Zip: 9/)B �1 �1 �F LJ ")-,': i2e35`'
Contact Person: C�i.W dK Phone: lr._2Z%GU Fax 12 ;�/ `��•�'2
MECHANICAL CONTRACTOR:
Company Name:
Address/City/St/Zip: E IiZ, 36-
Contact Person C f2 721 Phone: �-e31' 4 ielD Fax: 6; Z3Z • q 12j---
State
2jState L & I Contractor Registration #: �1 "72F7b Z " 64 3lFJY Exp. Date: `7-el6-
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type fias other)
Gas Dryer
Air Handling <
= 10,000cfm
Fuel Tanks:
//
Length of gas piping L
Range
Air Handling >
= 10,000cfm
Above Ground
Furn <100K BTU's
Gas Log r
Unit Heater
Underground
Furn > 1 OOK BTU's
Fans
Boiler
BTU/H
Miscellaneous
Gas Hwt 'i
I Hood
Boiler
BTU/ H
Other
Conv Burner
Duct Work
A/C
TONS
Other
BBQ's
Wood Stoves
A/C
TONS
1fZ0'b
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 emplo , upon t accuracy of the formation supplied to the City as a part of thus application. �7 -
Owner/Agent: r Date: %��