96-100668 , 5
CllY OF FEDERAL WAY PLkilif NJ: HEC96-0046
33530 First Way South MEC HAINICiPtL PERMIT (-k Irckog
i,.....,,, 04/11/96
Federal Way, WA 98003 Blii 'di ng I nspec t ion Requests 661-4140 BY: K LC
661 -4000 EXPIRES: 04/05/9/
ADDRESS:609 SW 2991 II S I
NO. : 233680-0110
PROJECT DESCRIPTION: furnace change out - gas
i- 0100 „----„,-....."...........,....-...:........7 X::
1 ANN VALENTINE CONTRACTOR
INC I
609 SW 299TH ST
P.O. BOX 11145
RAI WAY WA 98003
HI
2901 SOUTH TACOMA WAY
TACOMA WA 98411
941-8827
206-474-8401
I 1
"."'.--"'" ''''''-''''''''''''"4""4""P '''''''"Ml (11.1k'47 SALES (AX FOR PROJECTS MINIM ENE CITY Of MEM WAY. ox RATE - L25 us
CWIRAC/164 1111413( i4t°C4ONI: t44A4 , t. . .......„.......„.....4.....–......_,,,......]
,..4 --,—......._7nr, _ ,., ,,?, , ,,,.# _ , FEES: .
-,,,, ,,,,p;
PFTETTYPES.Vis" ? 21f1A716 4.,,.rA Iii*ERyptq , ''4g-t, i....-,,...,, -.10i 4., - ' ' ;_.'-''''' :1!1111,1* $ 30.00
,.,..f.. ,,,!,., 1!..:-.0ANtt... 1 20.00 I
GAS PIPING.: 0 ft Hoop': 4:-,1:' :, '''Y'-- ...."73 W.••--;'t,°-'attre ,i.-.. 4: retV,i110;4:Z ift1"''',,°,,,,,I,ni,:::_.,g,r44tieii"7 !'c:-:t 4 .,..,_ ,,,,,,0 24.00
FURN<1001(..: 1 P r
Dorf-fotr::::111,11: '0,15ii1P"101941414Iai--t:.. .---g*-40' . .-%..Z..:t,,,,:t.,:,,:21•;!,?4,t,'t't
GAS NWT ' 0 - 1 -4-. 'E :: ' -,' - , -30P , I
, ,..-
CONY BURNER: 0 HP' ''..,,o''k•.'k*, ''§i, lo .; -$`47,,„,----, ,if.
BM • 0 MISC.\ ;,: 4,'0 ''',4110 4 ,, .V''''''''---
GAS DRYER..: 0
. 0
GAS 1.0GS...: 0 AIR HA., ,. . ,: -, AN .„,
RANGE
/ 10,0i0 414, -BOVE GROUND: 0
\ 10,000 0 \'' UNDERGROUND.: e TOTAL FEES $ 74.00 I
I
...-.,twr”,n....,,...,,e....,-x.m". .
I Does the tater supply systes contain 1.a-P;;;;;Z"u;;1707e;744k-WI'veT () Yes () No (If "Yes" then inter expansion tank is required on Not Rater Iank)
Inspection Record Water tine Ok Mechanicad4eccrn es:
I ,
IGAS PIPING Ok 0Y-- Wee; liv
, _ -... ,.:F ,,- 4'.
.... . . ..
PERNIK EXPIRE IOU 0AVS AlIER ISSUANCE il NO MARI IS SIARIED. RESIDENTIAL AND WADI% PERM ' EXPIRE ORE YEAR At([N DATE OF ISSUANCE.
I CERTIFY IRE INFORMATION IURKISNED BY NE IS TRUE AND CORRECT I0 IRE BEST OF NY EMORLEDGE AND INF APPLICABLE CITY Of FEDERAL WAY REQUIREMENTS WILL BE NEI L
!
OWNER OR AGENT 1 Ko..__I.,A:i WI NH I-1 A
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FIELD COPY
4
CITY OF FEDERAL WAY PERMIT NO: MEC96--0046
33530 First Way South M Ef 1r,,,.:: N,.,i fr"T 11'6.1! :, (....:ell ,... IP 1""'''R M II. ir ISSUED 04/11/96
Federal Way , WA 98003 Building Inspection Requests 661--4140 BY: KLC
661-4000 EXPIRES: 04/05/97
ADDRESS :609 SW 299TH ST
NO . : 233680--011.0
PROJECT DESCRIPTION: furnace change out - gas
r- CONTRACTOR __.__,.__._.__......_..____--�::�_ - _..__ ..__::�-- LENDER =:-:==_ ==��
ANN VALENTINE J WESTERN FURNACES INC.
609 SW 299TH ST I P.O. BOX 11145
FEDERAL WAY WA 98003 2901 SOUTH TACOMA WAY
TACOMA WA 98411
941-8827 E 206-474-8401
r WESTEF*05302 1
- - - - 1 -
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
:._.,__.._.. _-___-- :•--.•_-_ ___rte-------.----- r...:.,-...._.."'--_...__-c:::�_.__..::c_.c_:x-..- __ .. ......___..__..:: :'__-.__:i:.. '• .. •- •- -.:__:�
PROJECT VALUATION 2117 FEES:
FUEL TYPES.: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..: 1 DUCT WORK.....: 0 3-15 HP • 0 Mechanical Permit* $ 24.00
GAS NWT • 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 $ 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 __________ Mechanical Inspection Notes:
GAS PIPING OK Date By
1_-.. - -- -------- ------ -- --- . _______ ....... --..__..__.... _ _ __.. _ _...._ _ -- .._.. ._A
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 IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
dt6LOWNER OR AGENT _. -_._-. DATE ._.1.9_ _1i _ ..__.--
FILE COPY
ML6g�- 0a�.6
City of Federal Way a
CITY OF �---, 33530 First Way South
—1---
_ EF--o Fri__
Federal Way, WA 98003 ` °)
(206)661-4000Qe
\Fr
APPLICATION FOR MECHANICAL PERMIT 't 7. :*
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1 CD,- C)11 C Af�y,�` °�°ANG 0C P
PARCEL i . H :2 (� Single Family � Multi-Fa 6� Commercial ❑
SITE LOCATION: /
Tenant/Owner: (tik ft ' Y ei LC l I t �: Phone: (Ili ! " a'>7°--)
Address/City/State/ip: taOq Jw 2_6-1 1
.G C
Nature of work: �`�' I_ r - a o'� r I Project Valuation: $ '''t / / ri
APPLICANT: ,
Name: ?,�)e 'Tj L" '/J r1 n6 'C...P_`;
Address/City/St/Zip: _PO / e y 11 i (4-' t I (tr()f'1 ,F\ A '� 6 11
Contact Person: '---)(:1) (1.1 ' LCN YY1`) 0Phone: t` fl 6Fax: �/
MECHANICAL CONTRACTOR:
Company Name: WESTERN FURNACES, INC.
Address/City/St/Zip: P.O. BOX 11145. TACOMA, WA. 98411
Contact Person: KATHY STEVENS Phone: 474-8401 Fax: 4737149
State L & I Contractor Registration #: W STEF*337 11-1, ri )7'vj K) 2, Exp. Date: 12/31/94
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) kj Cei Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's I(},1"j(` 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 ,'a(-", , (i 0
�Q'4 Wood Stov s A/ TONS Tafat' r'> r 'r' i ;:::':
DISCLAIMER: I certify under penalty of perjury that the information furni.hed by me is true and correct to the beat 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 mad.. I further agree to cave harmless the City of Federal Way as to any claim(including coats,expenses and attorney.'feet.
incurred in investigation and delen.e of such claim),which may be made by any person,including the undersigned,and filed agairret the City of Federay Way but only where such claim arises
out of the reliance of the City,including its officer.and employees,upon the accuracy of the information supplied to the City=a part of this application.
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Owner/Agent: Date:
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