94-102423 99-Ad Y?3
CITY
3353O0Firstt Way F FEDERAL South MECHANICAL P El�;M I T PER ISSUED: 1MIT NO: 82/21/9412
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 06/19/95
ADDRESS:32323 9TH AVE S
NO. : 150241-0190
PROJECT DESCRIPTION:HVAC - INSTALL FURNACE.
rOWNER , CONTRACTOR f--- LENDER - -- --—,
BEVERLY CONLEY NORTHWEST WATER HEATER
11111 32323 9TH AVE S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA WA 98499
984-6404
NORTHWHIO3R2
—- - ---- -I— —--- - ----
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 AEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 10.00 1
GAS HWT - 0 WOOD STOVES...: 0 15-30 HP....: 0
CONY BURNER: 0 FURN>100K.....: 0 30-50 HP • 0
BRQ • 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 ;,K Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISS ANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY AT T :' A IN FUI,ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWN" OR AGENT , i DATE4 4
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City of Federal Way B(Di L/ -- Ai i
CITY OF �-- 33530 First Way South RECEIVED
® _ F----- Federal Way, WA 98003 0
(206)661-4000
WRY DEC 2 1 1994
APPLICATION FOR MECHANICAL PERMIT
CITY OF FEDERAL WAY
BUILDING DEPT.
1 -();- 1.--4�{ 1 0 1 Gl () 4
PARCEL Single Family❑ Multi-Family ❑ Commercial 0
SITE LOCATIO
Tenant/Owner. : ta✓ COY-1 � Phony
Address/City/State/Zip: c37 'ZZ5 '�"�-- �� `'���
Nature of work:(\ N 6Alav G��— Project Valuation: S Y Jb v
•
APPLICANT`:: Q��, r
Name:
I\IVI_i 4(rtik-1-
Address/City/St/Zi a• �iil" - i ' 4 l . A. 'ti / ti A
r /
Contact Person: IX k--A�' 4 Ji Phone:372'Z - ( Fax: 4 60 44 5.
MECHANICAL CONTRACTOR:� \
Company Name: ( �Lv "UZ C.-/ •)- -(rd—e(7
11
Address/City/St/Zip 1., 1 _ - & A1._ , - '
Contact Person: PhonEZ `77a b Fax:
State L & I Contractor Registration #: A -IA E\1A- � I 0 : Exp. Date: 4-Z714
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) -�l 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
1
Cony Burner Duct Work A/C TONS Other
BBO's Wood Stoves A/C TONS • . Aloin{if f• "otitic-% ::: '>' %:
DISCLAIMER: I certify under penalty of perjury that the information furnished by ma is true and correct to the bast 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 Clain(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 whore such Claim arises
out of the reliance of the City,incl ng its offi employees.upon the accuracy of the information supplied to the City es a part of this application. -
Owner/Agent: 0 Date: 'e