95-100473 la
95- 10OY73
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO: BLD95
04/12/9565
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC
661 -4000 EXPIRES: 10/09/95
ADDRESS:29712 4TH AVE S
NO. : 692860-0580
PROJECT DESCRIPTION:HVAC - INSTALL 1 GAS FURNACE.
OWNER0[
— CONTRACTOR — LENDER
JAMES SLAEKER BRENNAN HEATING CO INC
29712 4TH AVE S 4601 S 134TH PL
FEDERAL WAY WA 98003 2904 128TH AVE SE (BELLEVUE)
TUKWILA WA 98168
839-4419 248-7900
BRENNHC011NC
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..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 10.00
GAS HWT • 0 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 $ 30.00
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 STAR .,RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME 111-UE AND RECT TO THE BES OF MY KNOWLEDGE AND THE APPLICABL ITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ./;= _ � DATE yy( C2,_1� -
FILE COPY
. . , . ,
CITY OF FEDERAL WAY MECHAN
I CA L PERM I T PERMSSUED: C4/192/9565
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661 -4000 EXPIRES: 10/09/95
ADDRESS:29712 4TH AVE S
NO. : 692860-0580
PROJECT DESCRIPTION:HVAC - INSTALL 1 GAS FURNACE.
OWNER ...,•.****..****___ . __ler
CONTRACTOR - - _ _ _._ � ... LENDER uu.�_._ ...as.__.d_ --���— w
JAMES SLAEKER BRENNAN HEATING CO INC
29712 4TH AVE S 4601 S 134TH PL
FEDERAL MAY MA 98003 2904 128TH AVE SE fBfILEVUE)`
98168
839-4419 g.... :�.._--_-_.._ .,r.r�... -.. . -.o. _ _ _—_.__._._. .......a4_....w.®..�u._,-......s...._x�a.e......raa...-.----....�:.,_....._.,a.�a..i.: .r... .
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FUEL TYPES.:GAS � FANS ���,�� Q '° I� "S/ � @����
GAS PIPING.: Q ft 0 HPC � ,� � 47;77
:l''';; °_, °ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT00 ,, 0 . , :4z 345H .� ��,' &` F L $ 10.00
GAS or • 0 s. ,Ti R 0wN0 HP r
__,_„,,„,,,!,;_,,1,%tete4 ,,te
CONY BURNER: 0 51 a 0,4A
BBQ ' 0 MI ' - � \::'.1 \ Ilm
,,,to-
GAS
t,„-
GAS DRYER..: 0 AIR ' kt , L S
RANGE 0 < 10,, 3 . ': ABOVE GROUND' 0
GAS LOGS...: 0 > 10,00;CFM: 0 - UNDERGROUND.: 0
TOTAL FEES $ 30.00
Does the water supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (if 'Yes' then aster expansion tank is required on Hot Water Tank)
Inspection Record Mater Line OK _ Mechani .' '- npction Notes:
GAS PIPING OK 4 De_ 101 0 0/1/(i
til t/r / c,
- - ei,( __-
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO URI IS STAR: RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY Mf UE AND CORRECT TO THE BES OF MY KNOWLEDGE AND THE APPLICABLE)CITY OF FEDERAL WAY REQUIREMENTS WILL NE ME1,
/,
OWNER OP AGEHT r 'i _ ( ,:. ,„/�C`' _ SATE ;t_-_-r W_-,4-t_ `�
FIELD COPY
City, of Federal Way
CITY OF r- • 33530 First Way South
_ 0 1--.1=.1-KIFIt__. Federal Way, WA 98003 BL Dac7—o' (0 c(206)661-4000
WAY
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APPLICATION FOR MECHANICAL PERMIT
PARCEL ii• 1r9. " ,0 oct' " Single Family M"-',-
Multi-Family til Commercial Ei I '�I
C_�
SITE LOCATION: L
Tenant/Owner: -10. c k e r-1 J a V S Phone:g , - - Y /1
Address/City/State/Zip: �`7 7/Q (--)
Y �_ 'J. 7 E--7LA 92.-on 3
Nature of work:),_ . ,t:s`._., _ d _...y ' .. �_. Project Valuation: $_ ��_. �
APPLICANT:
Name: (3C-C--V\v ICA,i'A 4e ✓L
/20 >. ( r- P i .--Tkwt \ _ R /6 eT
Address/City/St/Zlp`-` 131 i
Contact Person: `-w-►' IL---- Phone: '94 Y- 7 5. 0 0 Fax: k-GS ` 790
MECHANICAL CON.RACTOR:
Company Name: 1- ) y.1 VAC Li'1 I-A e C . I ( G --
Address/City/St/Zip: T"� • �-�-�-'
Contact Person: Ut=%►'A►'AC'` Phone: C9Cf - 7e/ 0 n Fax: ' )<( - )90�J
State L & I Contractor Registration #: gr) t- i�A.) 0 CiO -7 —1 GA) C . Exp. Date: (-1/9
(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 Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's
Wood Stoves A/C TONS `:;Y'iiia1>6ri t iCot > E; yr, <;:gi.T
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 Cit ,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: C/V � f, � ".
`-� .-- '- � .. C. Date: ���