94-101280 L
9 y-A1 a O
CITY OF
33530 First Way South MECHANICAL PERMIT PERMIT17
ISSUED: 07/07/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 01/03/95
ADDRESS:32124 32ND AVE SW
NO. : 873190-0590
PROJECT DESCRIPTION:HVAC - INSTALL MATER HEATER & AIR CONDITIONER WITH 5' GAS PIPING.
OWNER CONTRACTOR LENDER - —
J. SANDERS NORTHWEST MATER HEATER
32124 32ND AVE 5W 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA MA 98499
984-6404
N"inAlli 3R2
FUEL TYPES.:GAS ? FARS • '' BC:�ERE COMPRESSORS
-- ______71_ UFf-
GAS PIPING.: 5 ft HOOD........_.: 3 0-3 NP • 1 MEC P MT 'SSUANCE... $ 20.00
FURN<100K..: 0 DUN CORK • 0 T i5 ;R..,..: 0 „,,,e , * , "C An'IJANCE FEES.* $ 18.50
GAS HNT • 1 WOOD STOVES.. : C 15-30 ;' ...:
CONY BURNER: 0 FURN:'004,.. .: 0 70-50 H' 0
BBQ • 0 CSC 5 hP.. ..: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TAMIL
RANGE • 0 <-10,000 1: n ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000CFM: C UNDERGROUND.: 0
410 TOTAL FEES $ 38.50
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes O No (If 'Yes' then water expansion tank is required on Hot Mater Tank)
Inspection Record Mater Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
.'
PERMITS EXPIRE 180 DAYS AFTE' 6' : 1'K IS�'ARTED. ' : 1,,/ I• AN)/"ADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMAT '' F SE' BY NE IS T' AND CO!' T, 8E'' F M (WEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS MILL BE MET.
I'OWNER OR AGENT ��/ DATE _7(71--i�, // FILE COPY
City of Federal Way
r ci' of r-- • 33530 First Way South • -5LNLI D5(7
• Federal Way, WA 98003
"" I-FrE-EliarZFIL__ (206)661-4000
APPLICATION FOR MECHANICAL PERMIT
PARCEL it. 60 5.7* /Uv /3 0 Single Famil
y...a"- Multi-Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: J, CANT),: -.S Phone:
Address/City/State/Zip: Z 124 /Z t/-1 -1 , S Id
Nature of work: 114 S-1--Z(/ /1--` C• I/u c f E`er l i 4'-7 ( Project Valuation: $ q (-)C)L
APPLICANT:
Name: A.ikt P (,F
Address/City/St/Zip: -240)--- L--- MAintrSOY7 �U ( c--e V"/I-- 9N1t-
Contact Person: 24:7C5{F.- Phone: -5-LZ P`i/ Fax: C/ 4712'7q
MECHANICAL CONTRA TO
(Alatrdealer
Company Name: / -�f
Address/City/St/Zip. " DU l u-- 6 V V
Contact Person: At CI- �I C-41 — ,Phone:7-4(7.--7i , -12 Fax:
A V
State L & I Contractor Registration #: 6 ( '1 V `O(()-- 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 I 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-Z. 5 Other
............................................................. ...
.................. ...............................................
BBQ's Wood Stoves A/C TONS 'i'n#at f3nit:Ocuirit :>'.-......< <:
DISCLAIMER: I certify under penalty of penury the • I or• ation furnished by me is ue • correct to the best of my knowledge and further that I ern authorized by the owner of the above
premises to perform the work for which permit •plicatiq• ade. I further agree .save armless the C of Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such aim), 1I' •• made by any•.rson,in•uding the ";reigned,and filed against the City of Federay Way but only where such claim arises
out of the reliance of the City,including its o . -r - players,upon t • a uracy of -inform supplied to the City as a part of this application.
ti,
Owner/Agent: ` 6 Date:
/
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