94-102476 v-10,X170,
CITY OF FEDERaWAY MECHANICAL P E R M I T PER ISSUED: 01 /03/95 45
33530 First WWayy South
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: JTH
661 -4000 EXPIRES: 07/02/95
ADDRESS: 132 SW 313TH ST
NO. : 555780-0120
PROJECT DESCRIPTION:MECH - ADD GAS HWT
OWNER — CONTRACTOR — LENDER
CARL WINTLER FUTURE II NATURAL GAS
132 SW 313TH ST 9505 120TH ST E
FEDERAL WAY WA 98023 PUALLUP WA 98373
839-9531 770-2785
FUTURIN099QM
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FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0
MEC APPLIANCE FEES.e $ 6.50
GAS HWT • 1 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 $ 26.50
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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 THEhINFORMATION FURNISED BY M S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
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City of Federal Way RECEIVED
CITY OF �— • 33530 First Way South
4110
(r- Federal Way, WA 98003
�� ��� (206)661-4000 JAN 0 3 1995
APPLICATION FOR MECHANICAL PERMIT .ITV OF FEDERAL WAY
PARCEL 1/• `--3 `J 7U 0/2_ 0 Single Family d Multi Family Commercial El
SITE LOCATION:
Tenant/Owner: `,-\ � i ' ^` v '�2Z' Phone: 0' 1 -• y 7 1
Address/City/State/Zip: r 3 Z- `' w 3 ‘ '- `' \c• . \....' - ti..._.I .0. _ `Al 3 (-) '2_7-7,
Nature of work: (L,.---, .\--c: v Aw \-', Project Valuation: $ 3 Li-t) '
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: T.� ,rL \\ Ni /4-,%-..i ,.,..N.A 4---s
Address/City/St/Zip: r\'s`= ' 17-o s ' N'�r'`k , w 4 - `A`Z. > / 3
Contact Person: `' - \-\ v v-,-`�r��5 Phone`�z D 2'1 ' Fax: -------i
State L & I Contractor Registration #: \--,-.\-7%-) N c `-‘`t NAA Exp. Date: k- t 3 -'1
(Card must be presented)
MECHANICAL UNIT COUNT: `
•
Fuel Type ('gas/other) 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 l - 3 L. Com' 61-%;Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBO's Wood Stoves A/C TONS �vtaC ><> < .
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 Gnduding 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 officers and employees,upon the accuracy of the information supplied to the City as a part of this application.
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Owner/Agent:
J ,.. . \,\A ._ ``�a _� Date: '3 " '''",.i 9 S