94-102137 9y- /oa/37
CITY OF
33530 First Way South MECHANICAL PERMIT PER ISSUED: 18 57
1/04/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: JTH
661-4000 EXPIRES: 05/03/95
ADDRESS:28625 27TH PL S
NO. : 746690-0320
PROJECT DESCRIPTION:tech - add 45' of gas piping, and gas log lighter
gi OWNER CONTRACTOR LENDER
ED MCCARRTHY PACIFIC OVERHEAD DOOR
28625 27TH PL S. 1908 S 341ST PL !l
FEDERAL NAY NA FEDERAL NAY NA 98003
839-5704 587-8229
PACIFOD132L6
FUEL TYPES.:GAS ? FANS - 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 45 ft HOOD 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<10011..: 0 DUCT NORK - 0 3-15 HP - 0 MEC APPLIANCE FEES.* $ 9.50
GAS HNT • 0 NOOD STOVES...: 0 15-30 HP • 0
CONY 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 29.50
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes 0 No (If •Yes' then water expansion tank is required on Hot Nater Tank)
Inspection Record Nater Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NORK I STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION F SED ME I ' AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS HILL BE MET.
OWNER OR AGENT _` _ DATE i y J 4 t
FILE COPY
City of Federal Way 5 L D q L( - 08`51'
CITvoF33530 First Way South i RECEIVED
_ Federal Way, WA 98003
Ii
re_7:381KFR--.
(206)661-4000
\il=1"YNOV 0 41994
APPLICATION FOR MECHANICAL PERMIT CITY OF FEDERAL WAY
Cj /•�V BUILDING DEPT.
PARCEL �� r D 3 Single Family Multi-Family 0 Commercial 0
SITE LOCATION: / C
Tenant/Owner: '" C Cep �l Phone: 9�r `" F8
Address/City/State/Zip: 3e0d-S 7 PL Si.)
Nature of work: 645 ?g77 i /014(0S (el Project Valuation: $ , - & 7 '
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACT R: �1
Company Name: ?AC ,L vU-&JJI4 4 i _Doc_
Address/City/St/Zip. /9 b b) . , ;7( / A_
Contact Person: `', ` ,. (14-0 6 S Phone: 57e �� Fax: c.-7).-7 /6/
State L & I Contractor Registration #.7/9{1 FQJ /3 2 ( 6 Exp. Dater' 7/r)7/
9-1J(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping c'/ 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 >z'CgtztftJritEsii'%<»» > ? >?
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 sae 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 n. be made•y any pgrab including the undersigned,and filed against the City of Federay Way but only where such claim arises
out of the reliance of the City,)eluding its officers art�.e pl. ees, ••n the aceura of the information supplied to the City as a part of this application.
Owner/Agent: G--t^-2' � Date: //V9/
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