96-100510 .4 oto — 1005 O
'CITY OF FEDERAL WAY1.�„4 :,. � PERMIT NO: MEC96-0032
33530 F i rst Way South M ��:.,.., ,. II'Inh��ll •i I t,,,.,.H ,,.,,, P a:;;,;,.�'' .���"i ,,,., ISSUED: 02/22/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 02/15/97
ADDRESS: 2034 S 308TH ST
NO . : 053700-0295
PROJECT DESCRIPTION:HAVAC - INSTALL 112 GAS FURNACE
r OWNER -. - CONTRACTOR LENDER •... _:�M.-
GARY DOXON NORTHWEST WATER HEATER
2034 S. 308TH 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA WA 98499
839-1296 984-6404
NORTHWH103R2
*1* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
PROJECT VALUATION 875 FEES:
FUEL TYPES.:GAS GAS FANS • 0 BOILERS/COMPRESSORS Mechanical Permit* $ 30.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K,,: 0 DUCT WORK • 0 3-15 HP • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 4
CONV BURNER: 0 FURN>100K • 1 30-50 HP • 0 1
. _ 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 $ 50.00
Does the water supply system contain a Pressure Reduction Device or Check valve? O Yes O 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 ORK IS ,,;'? 'IDENTIAL D GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY N. IS TRU '. TO T. BES OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT •�/ ._._ _____,._._..___.___..__._ DATE Z, 2:Z„.9 .
FILE COPY
City of Federal Way
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CITY OF ,- 33530 First Way South
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Federal Way, WA 98003 *a
(206)661-4000
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APPLICATION FOR MECHANICAL PERMIT
PARCEL t n��a� C 0 2-9 Single Family Multi Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: �`'t ' v� Phone: --)-)Ci �c1`�
Address/City/State/Zip: 6
/4 e__•1 7)o t a t l
____ -
Nature of work: i Vi ftU 4-1-1(Af (2-.— Project Valuation: $
APPLICANT:
Name: \\"'i, 2c ��M ��
Address/City/St/Zip: Z 9z>7, i
MAPiSa Simi 5 -,AV!ik Cis< 1V
Contact Person: (`) `-tel; r t A4.1 ..L)( D Phone: 5/1 C(S 4-) iV5- Fax: 32c! i`2- 7-
MECHANICAL CONTRACTOR:
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Company Name: / V LA, Ii( _� � 4(6 T-E--,(__
Address/City/St/Zip: (---0uG —111.6i P S-ce\ ALA t i(T
Contact Person: b Ate-400 LD Phone: C' I 3� --' ?-
State L & I Contractor Registration #: i .bk ti kit-\-- (u56.-- Exp. Date:
(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
F"'^ 4011413 ,...,- ,,,...4-- Gas Log Unit Heater Underground
Furn >100K BTU's 1 Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBO.'s
Wood Stoves
A/C
TONS 7tafUritiftun » ><»»>> ><>
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is// and correct to the best of my knowledge and further that 1 am authorized by the owner of the above
premises to perform the work for which permit application is mad- urther agree t•..ave 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 m--be made by n,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 e• •loyees,upon - acy• the info r•plied t•the City as a part of this application. ,/n l)
frlif
/ n ✓'�I
Owner/Agent: Date: