93-103165 93, )o3) ( '
CITY OF
33530 First Way South MECHANICAL PERNIIT PER ISSUED: 12/16/93117
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 06/14/94
ADDRESS:4900 SW 310TH ST
NO. : 184080-0050
PROJECT DESCRIPTION:HVAC - INSTALL GAS INSERT & PIPING.
OWNER — CONTRACTOR — LENDER
KIRK HABERLY GOLDEN FIRE INSTALLATIONS
Ifil4900 SW 310TH ST 1006 N MAIN
FEDERAL WAY WA 98023 PUYALLUP NA 98371
927-9712 841-9379 839-0998
GOLDEFI088KQ
FUEL TYPES.:GAS FANS - 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 6 ft HOOD - 0 0-3 HP - 0 MEC PRMT ISSUANCE... $ 20.00
FURN<IOOK..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 9.50
GAS HNT • 0 WOOD STOVES...: 0 15-30 HP - 0
CONV BURNER: 0 FURN>100K - 0 30-50 HP . 0
BBQ • 0 MISC - 1 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 $ 29.50
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)
I
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 INFOR ATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
NNER OR AGENT ? t (! ,
r� _ . '�� DATE `. '.4)7/4--1-
ALE COPY
33530CITY
F FEDERAL
0 First Way WAYth MECHANICAL PERMIT PERMIT
E SSUED 12/16/9317
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 06/14/94
ADDRESS:4900 SW 310TH ST
NO. : 184080-0050
PROJECT DESCRIPTION:HVAC - INSTALL GAS INSERT i PIPING.
DIMER -____._.....___ _.. __._ _ CONTRA4TOR ...._.,__-_<._____.__-_-__.--_ _.--___ __ LENDER .....-._.......,_..-- .. ..�_._--------.-....__....... -------...
KIRK HABERLY GOLDEN FIRE INSTALLATIONS
4900 SN 310TH ST GON MAIN
iiil?F.DERAI. MAY NA 98023
PUYALLUP OA 98371
927-9112 841-9379 839 0998
�l.0EFT
-.....]
FUEL TYPES.:GAS FANS MILL I T? a'r,0IIORE`S+�C3 FEES:
GAS PIPING.: 6 ft D.......... 0 !) NP - - NEC PINT ISSUANCE... $ 70.00
fURN<I00K... 0 DUCT NORI r 3- 5 NI' ,_ ,.....7,-*_,_,., , E FEES,,* $ 9.50
' ANIS
GAS NWT • 0 15 0 tiP
K prwldm� � d i... .. 0 �d��rRt'"a� � �
CONY BURNER: n F ENi1 ' 3° �0 HP .... 1 M P 4 ; ,, - 7.: ;
BBQ • 0
GAS DRYER0 AIS I tFIR s TAO
RANGE0 (:1 1,° 0 'JAI ;,ftRe •
GAS LOGS...: 0 ) 11), C : 0 : ONN.14, tip. s
N. TOTAL FEES $ 79.50
Does the Mater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (Ii 'Yes' then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK _ ...__. Nechanical pect•an rtes:
GAS PIPING OK Dat ___ BY g!.°
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO RORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY NE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERFRAL NAY REQUIREMENTS NI>l or rt
OWNER14..,./.. .4'.:)/.:7T
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