94-101417 9y.0) 417
CITY 335300F FEDERAL WAY Firstt Way South MECHANICAL PERM' T PERISSUED: 07/28/9483
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 01/24/95
ADDRESS:32404 29TH AVE SW
NO. : 873190-1400
PROJECT DESCRIPTION:MADDUX (HVAC) - FURNACE < 1000K, GAS LOG INSTALLATION
OWNER CONTRACTOR LENDER
DAVE MADDUX
32404 29TH AVE SN
FEDERAL NAY WA 98023
FUEL TYPES.:GAS GAS FANS • 0 B:._EF":J.OMPRFSSORS ! qrs.-`' '
GAS PIPING.: 0 ft HOC') 0 -3 ':` 0 PIEC f'"MT ISSUANCE... $ 20.00
FURN<1O0K..: 1 =.�4T 4i itK_..._: --r` ° "LW : ., ., $ 16.50
GAS HNT - 0 VON S'TYES....,; .1 5-7,1 n
CONY BURNER: 0 FIIRN>1 ,K..,,.: 0. 30-':0 HP., 0
BBQ • 0 NISS. •., 0,: 5+ -IP • 0
GAS DRYER..: 0 AIR MOM II S '#REL TANKS
• RANGE • 0 <:1O,OM: �0 �ar ABOVE GROUND: 0
GAS LOGS...: 1 ' 10,08CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 36.50
Does the water supply systen contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Nater Tank)
Inspection Record Nater Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNONLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS NILL BE NET.
OWNER OR AGENT , _ l -2 g -r
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• City of Federal Way
CITY OF �— 33530 First Way South
• Federal Way, WA 98003
(206)661-4000
wFr -
APPL/CAT/ON FOR MECHANICAL PERMIT B Lbq Q 5V
PARCEL it. ? '/ 5 0/ 1/6t) 0 t1 Single Family 2 Multi-Family 0 Commercial ❑
SITE LOCATION:
Tenant/Owner: 1l.°N_✓e-- /1"1 A' Phone:
Address/City/State/Zip: 32— ��c/ I A
Nature of work: Project Valuation: $ .3' -
APPLICANT:
Name: /17. 64-/ ?-e--'1' \,-'`,-
Address/City/St/Zip: 2Z 2. £ /f1cc C /i. o iA i'6/0/ g-t-e_ A_M-- Fe/(Z
Contact Person: `5 A ✓ .K,ii Phone: 1722 Si q I Fax: 3`-1c - VZ 7
MECHANICAL CONTRACTOR: /
Company Name: Ai� t-A.)0C7 � v- /4 a-7.1; '—
Address/City/St/Zip: 2 cam) !G`)I 1/4-C(l/ke-- S e.ni.h- %C((/
Contact Person: , 1 0 r Rim- Phone: 2c,(2 - V7e9e-) Fax:
State L & I Contractor Registration #: /VG,"tkk. ( 1+ jU S )/ Z Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) cj.q.. `3 Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's / 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 Cheff) t>Ctsi > <'? >=> >_ri>
DISCLAIMER: I certify under penalty of perjury that the information furnished 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 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 employees,upon the accuracy of the information supplied to the City as a part of this application.
Owner/Agent: � .-4---i- f-\, Date: