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94-102258 le CITY 335300First Way Sout� H F FEDERAL MECANICAL PER1VIIT PER ISSUED: 11/23/94MIT NO: 23 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC 661-4000 EXPIRES: 05/22/95 ADDRESS:31OO1 39TH AVE SW NO. : 758200-0120 PROJECT DESCRIPTION:HVAC - INSTALL 2 GAS LOGS AND <99 FT GAS PIPE. ip[ OWNER — CONTRACTOR — LENDER ELLIOTT SIMKINS t** OWNER IS CONTRACTOR ttx 31001 39TH AVE SN FEDERAL NAY NA 98023 927-5751 itt NONE :xi FUEL TYPES.:GAS ? FANS - 0 BOILERS/COMPRESSORS FEES: GAS PIPING.: 99 ft HOOD 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00 FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 NEC APPLIANCE FEES.* $ 16.00 GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0 CONY 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 Ash GAS LOGS...: 2 > 10,000 CFH: 0 UNDERGROUND.: 0 MP TOTAL FEES $ 36.00 Does the mater supply systes 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 MORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISED BY ME TRUk AND ORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT ga(/‘.474 /1/1 DATE 1112-711 /__ FILE COPY T 3CITY 3530©First Way South MECHANICAL PETIT PERMSSUED 171/23/9423 Federal Way, WA 98003 Eiuildi'?e ,143pect -p . tuts 661 -4140 BY: FC 661-4000 /�/�ri7/1 EXPIRES: 05/22/95 ADDRESS:31001 39TH AVE SW NO. : 758200-0120 PROJECT DESCRIPTION.:HVAC INSTALL 2 GAS LOGS AND (99 FT GAS PIPE. mut _ CONTRACTOR -^-- -,_._ ._ �_..._ -� TENDER �z � . . . ELLIOTT SINXINS •;= OWNER IS CONTRACTOR so It31001 39TH AVE SN FEDERAL MAY NA 98023 927-5751IC �� aa v -` FTYPfS.:GAS ? FANS 0 IIa S/C� , � . �a - IPIN6.: 99 ft �x... .. � 01NP. :,,,7 f ' n ISSUAIIC .. $ 20.00 ,,,,,,::: II 0 " 3 H R s 3 16.00 MT 0 �._ " , ' l a0 ° r,,, BURNER: 0 >� �� 11, -T 1 ti �,a. • 0 NISI ��: i M� TO RYER..: 0 AIR L�It ,S ' -�"L S-- 44, „� �ifkM4'4 '� • 0 I0” f I: z ABOVE GROUND: 0 OGS...: 2 -. 10,000 CFN: 0"v UNDERGROUND : �) TOTAL FEES $ 36.00 _ . � ._.___ `w_ __ _ .� -------------------- -- .. _ . -..__. -._ ...._ .......-(--------------"------ . . .� _�. - Does the rater supply system contain a Pressure Reduction Device or Check valve? () Yes {) No (If 'Yes then rater expansion tank is required on Hot Mater Tank) Inspection Record later Line OX Mechanical Inspection Notes: GAS PIPING ; /`/7-95 iia: / /7-55 /474/ /,,r/ PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORE IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISED 8Y NE TRUE AIN) ORRECT TO THE BEST OF NY KNOWLEDGE AND THF. APPLICABLE CITY OF FERERAL MAY REQUIRE MFITS MILL BE MET, 1 0WHE4 OP ;,SEN' .___._ r 9C/y1.r6r`_ __--__....__..__..__ [BATF iiJ . j _ _._ FIELD COPY Y1 \�.(1' City of Federal Way f CITY of ie---- 33530 First Way South -______ tra-TE) .1"CF111__ Federal Way, WA 98003 IIII0 elOqq-m wfa-)- (206)661-4000 e APPLICATION FOR MECHANICAL PERMIT PARCEL It. Single Family❑ Multi-Family ❑ Commercial ❑ SITE LOCATION: ! -/?7 5'751 Tenant/Owner: : 11 I V G 5 ( /v6 C<( `v " Phone: 17V-1/56 Address/City/State/Zip: , ' J 06 1 3 l '` J" v V" Nature of work: G tfc Y(i"J •- AISf ' I f-'i-1 7) G/4/ Project Valuation: $ g, 6 V O' APPLICANT: /�/ ,� Name: E1 / Idir C ./ 51 M"I l ,N$ Address/City/St/Zip: 3 / Uo i 3 gni eve S u Contact Person: Ai (A f/ioll-- Phone: q 13 7✓C. 7S / Fax: MECHANICAL CONTRACTOR: Company Name: 0 we 4 — (v 4./7x, E.-ail/2- Address/City/St/Zip: Contact Person: Phone: Fax: State L & I Contractor Registration #: Exp. Date: (Card must be presented) MECHANICAL UNIT COUNT: Fuel Type (gas/other) �y Gas Dryer Air Handling < = 10,000cfm Fuel Tanks: ` l Length of gas piping `� Range Air Handling > = 10,000cfm Above Ground I 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 A/C TON atiti✓azz > ? <>><` BBQ's Wood Stoves S 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,including Its officersand employees,upon the accuracy of the information supplied to the City as a part of this application. - 0 / , Owner/Agent: � " V� Date: I/ 3 3