95-101203 441111111 OIS*A0rIAT
CITY OF FEDERAL WAY PERMIT NO: BLD95-0425
33530 First Way South MECHANICAL PERMIT ISSUED: 06/06/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 12/03/95
ADDRESS:1019 S 302ND ST
NO. : 515390-0240
PROJECT DESCRIPTION:HVAC - REPLACE FURNACE TO 100,000 BTU
T. OWNER = = _-- CONTRACTOR = ____
I GRUBER I NORTHWEST WATER HEATER
t_1.1019
S 302ND ST 2800 THORNDYKE AVE W
FEDERAL WAY WA 98003 SEATTLE WA 98199
839-9682 322-8191
NORTHWH103R2
== __________ __ _ _=
:t: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 u:
=_______________ ___ ________ = __ ______ ___________=====c=====__________ .-
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
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 MEC APPLIANCE FEES.* $ 10.00
GAS HNT • 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 $ 30.00
1111, = ====c aaa= __= cccc ==a==c= L== ___=====---====a== = = ccca=c=
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes 0No (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
___________=====sa=== _ _ ===a== _ . _
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE I� '4 M IS STARKE. RESIDENTIAL A ADIN6, ,+'HITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY�' RUE AND :'R ' 1 HE BEST 1 MY K 1 LE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT Z.. i or ,.�,[ -----_ DA.--- ---( -
FILE COPY 31)I 1?9 73
- ' . ' '
° ,
�
•
CITY OF FEDERAL WAY PERMIT NO: BLD95-O425
" 33530 First Way South MECHANICAL PERMIT
ISSUED: 08/06/95
Federal Way, WA 98008 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 12/03/95
N
ADDRESS:1019 S 302ND ST
NO. : 515390-{]240
PROJECT DESCRIPTI0N:HVAC - REPLACE FURNACE TO 100.00 0N
1019 S 302ND ST 2800 ORND AVE W
rEDERAL WAY WA 98003 ATTL WA 9
839-9682 2-8191
*** CONTRACT Pt L . . ' k 2 NNEN REPORTING !LE' FOR PROJECTS MTN NE CITY Of FEDERAL NAY. TAX RATE = 8.25 ***
CONV BURNER: 0 FURH'100r _. .: 0 ao-so HP, ,.: ; Icki\
GAS DRYER..: 0 AIR %Wilk UNIS FUEL TANKS
TOTAL FEES $ 30.00
Does the water supply system contain a Pressure Reduction Device or Check ve/ ) Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING 0K _______ D�te By
'_-___ _---__-_-_ _ -_--___ ~~w~~~~==~~===~~===~==~====~=~~~
PERMS EXPIRE 180 DAYS AFTER UANCE I4100r1( IS ST-r RESIDENTIAL ING NITS EXPIRE ONE YEAR ATTER DATE Of ISSUANCE.
` j CERTIFY THE INFORMATION FURNISHEDAND NE IlEi Of NY X., 111GE AND TUE APPLIODLE C TY optima NAY REQUIREMENTS MILL BE NET.
' <�- - --
OWNER OR AGENT _ iii�.mowmm 0,*+~� 0A(
^ ~ .'•
/ / -'_.^'
/ '
�
FIELD COPY
.__~ ____~ , .. _.__ __
• City of Federal Way 111 UI r _ ( z
r— V
CITY OF 33530 First Way South
---- -e--- --- r--1:) _.mFit__
Federal Way, WA 98003
(206)661-4000
WFIY
APPLICATION FOR MECHANICAL PERMIT
` _ /
PARCEL ft• )) J 3 1'1 Oz T 6 - t-' •'s\ Single Family.tlf. Multi-Family 0 Commercial 0
SITE LOCATION:
Ei> - .� " .
Tenant/Owner: � � Phone: �� � � — a
/ c
Address/City/State/Zip: / 1 3 2— 72-i- Sr f,..7 /UPJ
Nature of work: /w ) > 4 CG fv,wtII(,'c P/P6 c/X-l/li/ - £' Zvaivation: $
APPLICANT:
Name: (`76.)6 e e
o� 1 S `�� 57 /V /V4 V 7, 63
Address/City/St/Zip: /
Contact Person: G CO iF 4x?4I6,L i) Phone: 5,3-- --S1/6// Fax: 3 A-V)- 7
MECHANICAL CONTRACTOR:/
Company Name: Ali ////0/5/614/;`----,47-C-/Z--
Address/City/St/Zip: „Pyo Q //4),2.'1//) /t6 f--; L/ 7. fi
P7'1 '
Contact Person: /2C-61.13--
X2����✓ 4 ( I) Phone: 3c)-)- ,/ V Fax: 34-/ - 77
State L & I Contractor Registration #: 21C9/' Ill /w1// ' 3 r3-- 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
Furn <100K BTU's f 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
BBQ's Wood Stoves
A/C TONS 'z7itit�Jiti:izfir.>s >»> »>i>><<s
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true . .orrect 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 a e har the City of Federal Way es to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be m by any per •n,includ •the undersigned,and filed against the City of Federsy Way but only where such claim arises
out of the reliance of the City,including its officers and empl s,upo acy of the formation supplied to the City es a part of this application.
Owner/Agent: Date: 6( 5` I