94-102357 A
9v./oa357
CITY OF FEDERAL WAY MEC �,ICt1J PERMIT PERMIT NO:
BLD94-0979 9
33530 First Way South 11 ��
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 06/12/95
ADDRESS:33753 31ST AVE SW
NO. : 954280-1.440
PROJECT DESCRIPTION:HVAC - INSTALL 1 FURNACE.
= OWNER -- CONTRACTOR — LENDER
JOHN CROLL NORTHWEST WATER HEATER
33733 31ST AVE SW 6201 DURANGO ST SW
111ERAL WAY WA 98023 TACOMA NA 98499
984-6404
NORTHWHIO3R2
FUEL TYPES.:CAS ? 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 NEC APPLIANCE FEES.* $ 10.00
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 $ 30.00
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
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE.. 0;,•ATIO FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF F RERAL WAY REQUIREMENTS WILL BE MET.
OWNER
, AGENT 90 1. 1 DATE _ 1_ - --- ----
FILE COPY
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CITY OF FEDERAL WAY MECHANICi � 1 I PERISSU D: 12/14/94 NO: BLD94 9
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 06/12/95
ADDRESS:33753 31ST AVE ,W
NO. : 954280-1440
PROJECT DESCRI PT ION:HVAC - INSTALL 1 FURNACE.
JOHN CROLL, NORTHWEST NATER HEATER
33 31ST AVE SW 8201 DURANGO ST SW
F.RAL NAY WA 98023 TACOMA WA 98499
984-6404
NOREHNH103R2
—. . _.--, .w_. . ,.,. ,.IT. ._ _..
fUEI TYPES.:GAS ? FANS ..._ 0 BOILERS/COMPRESSORS 1 FEES:
GAS PIPING.: 0 ft 11000 . ... - 6 0-3 CP.. .: 0 I t SIT TSS1I1NCL... $ 20.00
Nc1100k..: DUCT NORK....
3-15 HP., .: tl HfC APP :NCE FEES $ $ 10.00
GAS H'1 0 DUCT
15-30 .. .: 0 '' . , , .,
CONY BURNER: 0 NPR*@k.,, .: ° . 95'5° HP ...; 0
BRG • 0 Iti;�C .. .,...: 0 54 1!P.._ ..
GAS DRYER..: 0 AIR HANDLIK UNITrFUEI !ANY ,_--- _.__-
RANGE - 0 <:10,01+0 CFP: 0 JOVE 001010
GAS LOGS...: 0 > 10,000 CEN: 0 1141DERCRIii1ND..
TOTAL FEES $ 30.00
•
Does the water supply system contain a Pressure Reduction Devic r Check valve', () Yes () No (If Yes then water expansion tank is required on Hut Nater Tank)
Ok
Inspection Record Nater Line Ok Mechanica J4stspe ti, Notes:
f
GAS PIPING Ok1 Date _ /_ By vw,
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
1 CERTIFY THAT THE INFORMATION FURNISED BY NE IS TRUE AND CORRECT TO THE 8151 OF NY XNONLEDGE AND IHE APPLICABLE CITY OF FERERAL NAY PFQUTRFNFNTS NTE1. RE" VT
OWNER 9P AUNT . ",- r DATE 7'`_l ;____ .1 /11\2), "
FIELD COPY
City of Federal Way
CITY Of' r------ 33530 First Way South • ..
® Federal Way, WA 98003 • I--
- I `/ 0 .. V f
(206)661-4000 . v
WILT'Y' i
APPLICATION FOR MECHA N/CAL PERMIT
CY Sl � 01 1 (10
PARCEL 1t• � C Single Family Multi-Family El Commercial 0
SITE LOCATION:
•
)''
Tenant/Owner. - -��1). 1 � / I Phone:
Address/City/State/Zip:k 73 .3I s7 Tl` ( NO FA) 62/Ss2L�
Nature of work: ri {'1lli/LQ__ Project Valuation: $ /
El-)6
APPLICANT:
Name: �O � i f
Address/City/St/Zi • c UZ (1,1c_ --(Clitje, (Ai/2'
Contact Person: ( Lt.( ) Phone 7- ,- )Cl 1 Fax:L-P-3)—U%
MECHANICAL CONTRACTORI: f
Company Name: ALO C �1� iy"`�`'ir-
Address/City/St/Zip: �W( �(
M -1)( . \&111-44__ 1I 'I
1
Contact Person: Phone: 7C�j Fax:
State L & I Contractor Registration #: 14( -) •r-if N03 -7 Exp. Dat r /
(Card must be presented)
MECHANICAL UNIT COUNT: -
Fuel Type (gas/other) C1 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 �" hal�fnt r
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,inxkdi .,its offic and employees,upon the accuracy of the information supplied to the City its a part of this application.
Owner/Agent: 14 O Date/Cl/6/A/`6/