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CITY OF
33530 FirsDtEWay South �� PERMYY'� � � PERMSSUEDi: E3 /14/9 63
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 06/12/95
ADDRESS:2735 SW 341ST ST
NO_ : 010921-0520
PROJECT DESCRIPTION:HVAC - ADDING GAS PIPING (35'), FURNACE TO 100,000 BTU, GAS HMT
= OWNER — CONTRACTOR — LENDER
JENNIFER MCLEAN NORTHWEST WATER HEATER
2735 SM 341ST ST 8201 DURANGO ST SW
411VERAL WAY NA 98023 TACOMA MA 98499
984-6404
NORTHNH103R2
FUEL TYPES.:GAS ? FANS....,.....: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 35 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.r $ 19.50
GAS HNT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP....: 0
B80 • 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 $ 39.50
•
Does the nater supply systes 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.
ilI CERTIFY THAT TH ORM'TION UR `.-D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICAB E CIT OF F RERAL WAY REQUIREMENTS WILL BE MET.
OWNER 1111) 'I4Alt
DATE 1 Pi _ _
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City of Federal Way
CITY ofr 33530 First Way South
Federal Way, WA 98003 • 8L✓ ' L'._o3 lS
(206)661-4000Wfir) li
APPLICATION FOR MECHANICAL PERMIT
010�O It -01G 4
PARCEL Single Family Multi Family ❑ Commercial ❑
SITE LOCATION: �j
Tenant/Owner: .-�+"170-4 / I ► 'i_l i i Phone:
Address/City/State/Zip...4 _ IP . 4 .'A L • ' ' 1=p,
t
Nature of work: J( A 4e, ---bd'a--C ; ' pip./ ... Project Valuation: $✓7(/
APPLICANT: .— .
Name: )(.) ( 1 444riik+
Address/City/St/Zip: Jc )
(I
CIJ 5D QS/la'
Contact Person: F, Ei(7214 ) Phone tel (/// Fax:IPV- \
•
MECHANICAL CONTRACTOR: (J-5?"--40/ 0.04e7„
Company Name: / .J (I0 ?b v
Address/City/St/Zip: 'U') ) -12W/di//C( \ ) "':S/( i
Contact Person: Phond = E2-61760 Fax:
State L & I Contractor Registration #: i 7"7 1 �� Exp. Date:f G
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) el Gas Dryer Air Handling < - 10,000cfm Fuel Tanks:
Length of gas piping l 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
BBO's _ Wood & 0ves _ A TONS flYCurt ... .. ................
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 em 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 claiml,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.
Owner/Agent: Cq) ����� Date: