94-102075 •
9 -/aao75
CITY OF FEDERAL WAY MECHANICAL P EJ %JV1 L T PERMIT NO:
160/ 29/94831
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/26/95
ADDRESS:30617 28TH AVE S
NO. : 092104-9263
PROJECT DESCRIPTION:NECH - ADD 20 FEET GAS PIPE
OWNER — CONTRACTOR LENDER
ROBERT O'DAY GOLDEN FIRE INSTALLATIONS
It
30617 28TH AVE SO. 1006 N MAIN
FEDERAL MAY NA 98023 PUYALLUP NA 98371
865-2918 841-9379 839-0998
GOLDEFIO88KQ
FUEL TYPES.:GAS GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 20 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.; $ 3.00
GAS HNT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ - 0 NISC - 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 $ 23.00
• 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 F NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INF ATION FURNISE BYMEIS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
i9469) --- DATE _L, - l
FILE COPY
City of Federal Way E ��q (_/_03. )
CITY OF p • 33530 First Way South RECEIVED
• 1-- --E1 —MFIL— Federal Way, WA 98003(206)661-4000
•
WRY ("PT 2 8 1994
APPLICATION FOR MECHANICAL PERMIT Y OF FEDERAL WAY
BUILDING DEPT.
PARCEL #• n q I 0 LI -c A (o Single Family ❑ Multi-Family 0 Commercial 0
SITE LOCATION: Q�Tenant/Owner: A9 #' I7 /\ ' U (U q �
/ ( Phone: e
Address/City/State/Zip: 30 6 / 9 c-- Pkv
Nature of work: rdefo/)" a J`'t c 1-0'..tf. Project Valuation: $
APPLICANT:
� �
Name: �,kn, PA // 4 0 (fiaq.
Address/City/St/Zip: )O 7 '7 oqy 4/1// - .
Contact Person: Phone: �6S-(29v`rFax. —.
MECHANICAL CONTRACTOR:6)014 �f�,Company Name: 0 ' �� l(J�(e-- -lla 0 n
Address/City/St/Zip: itil0� `1k-f// 2( / /G -!////j (1J; / (.
Contact Person: OM/ itin/fO'7 Phone:g9/-91 7 ( Fax:
State L & I Contractor Registration #: ( oL,06.1'70 gg r Exp. Date: /2
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
!e
Length of gas piping :4 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 Yfifitiri f 6g i;<';> r>»<<» <<z;
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 officers and employee upon the accuracy of the information supplied to the City as a part of this application.
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Owner/Agent: �� .c.,�� Date: --#
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