95-100123 ,L
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CITY
33530OFirstt Way South F FEDERAL WAY MECHAN i L P ERM I T PERMSSUED: 01 /10/IT NO: 9525
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: JTH
661 -4000 EXPIRES: 07/09/95
ADDRESS: 521 SW 320TH PL
NO. : 926490-0520
PROJECT DESCRIPTION:HVAC - ADDING GAS FURNACE TO 100,000 BTU, GAS HWT
OWNER — CONTRACTOR LENDER
4111[
D. JOHNSON
521 S320TH PL
FEDERWAL WAY WA 98023
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<IOOK..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 16.50
GAS HWT • 1 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
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
•
TOTAL FEES $ 36.50
• 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 IR ION FURNI D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPL?C BLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
CANER 0 0 CIA- --
-------------- --- DATE
ID 1q5
FILE COPY
1- )061/..)CITY
335300Firstt Way South F FEDERAL AY MECHAN I A LPERM PERNISSUED: 01 /10/9525
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: JTH
661-4000 EXPIRES: 07/09/95
ADDRESS:521 SW 320TH PL
NO. : 926490-0520
PROJECT DESCRIPTION:HVAC - ADDING GAS FURNACE TO 100,000 BTU, GAS HE
-- OWNER a..._..----.__-- _ CONTRACTOR --------._ .—._ ._---_ ...LENDER —__.- ---------:----- _--............._....__-_: -_
D. JOHNSON
521 SM 320TH PL
FEDERAL MAY MA 98023
FUEL TYPES.:GAS ? FANS ; 0 BC,.ERSCOMPPFSSOPS FEES:
GAS PIPING.: 0 ft HOOD.. ... .. 3 1-P„..,.- 0 ISSUANCE... 1 20.00
FURN<100K..: i DUCT WORK...-: r 15 Hn 0 C A P� 1NCE FEES.x $ 16.50
GAS NMT • 1 W000 bIC,t,,..._ 5-30 MP.. 0
CONY BURNER: 0 ‘ RIouo.... : G .i3-5O HP....,. O
880 0 ing, ......... .. 5+ iP.. 0
GAS DRYER..: 0 AIR-#4111 ,, i11 W TSS F.'EI TANKS - ---
RANGE......' 0 <=10401,' AEOYE GROAN : -0
GAS LOGS...: 0 > 10,e '61 rNCERGROUND.: 0
TOTAL FEES $ 36.50
—. ass- .--._..._ _._._....„._._. -- ._._ ._-_. __ .._--_ _. ...___4.-s-..a,.-..._._Z.x_.... . - .....
Pots the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is recuired on Hot Water Tank)
Inspection Record Nater Line OK Mechanical Inspection Notes: _
GAS PIPING OK -_ Date -___.�_ By __ ...
C e-- .5 -11//2/ ' / G�5-c15. mA/
�___- _- _-_..M _ ___---__-- - _. - _ —. ..__._.__.. -, __ �..�,y— - . ._,..:_
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 N NATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPL,IC OLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
1 VI
OWNER 0 AGENT _. -` -__ �� DATE Q�`�_
FIELD COPY 1 a'1 �Iv
f
City of Federal Way RECEIVED
CITY OF if— • 33530 First Way South
FE-El Federal Way, WA 98003
(206)661-4000 JAN 1 0 1995
WrifY .
APPLICATION FOR MECHANICAL PERMIT CITYFo I a AY
PCr. ,--1°C)-2 -5
PARCEL it• ,�L/y /00-5:1)0—(%4•-'/ Single Family Multi-Family 0-1 Commercial 0
SITE LOCATION: y,
, _ )6)11►1n1�
Tenant/Owner: bJ -� �'n /Pho/ny
Address/City/State/Zip: 5th` SC C 7/U PL J ' `� tar,c
04___
Nature of work: i! ' A (I SZ ✓ai Cf2_ Project Valuation: $ 07,:-. -
•
APPLICANT: -
Name: H u.' 'i m-c't
n
f" Z
)
`k -Address/City/St/Zip: 4- -- 1- c ` - „
Contact Person: .-6-A-41/1 (1111 G IA) Phone: qik— ?O'Scl Fax: (--0-(453
•
MECHANICAL CONTRACTOR:
II . \
Company Name: lA` L,j.. jGe--e✓ •-1- L( K
Address/City/St/Zip: , /-O - -1
L i/•,,`v.t 1y f.{A---1 �-(_ 9�II 1
Contact Person: l - Phone: OI—( O" Fax:
State L & I Contractor Registration #: PC42-114 L.)1--11D3'Z Exp. Date:rZ/C-19
(Card must be presented)
MECHANICAL UNIT COUNT: `
Fuel Type (gas/other) LI Gas Dryer Air Handling < = 10,000cfm • Fuel Tanks:
Length of gas piping Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's 1 Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt f Hood Boiler BTU/H Other
Cony Burner ( Duct Work A/C TONS Other
BBQ's _ Wood Stoves A/C TONS <�:�'Duet%£)•iiitfi.;iiztEA><::<......................
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 Wil rs and employees,upon the accuracy of the information supplied to the City as a part of this application. -
Owned' •- i'171-outs— Date: 110 I