94-102221 •
9‘Y-/(5d--)41
CITY 335300F FEDERAL WAY Firstt Way South MECHANICAL PERMIT PERMIT NO:ISSUED: 181/23!9410
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/22/95
ADDRESS:30106 27TH AVE S
NO. : 798490-0070
PROJECT DESCRIPTION:HVAC - INSTALL 1 EACH FURNACE, GAS LOG, A/C AND 70' GAS PIPE.
ONNER — CONTRACTOR — LENDER
P. JOSEPH GALIPEAU NORTHNEST NATER HEATER
30106 27TH AVE S 8201 DURANGO ST SN
FEDERAL WAY NA 98003 TACOMA NA 98499
984-6404
NORTHNH1O3R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 70 ft HOOD • 0 0-3 HP - 1 NEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT NORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 28.50
GAS HNT • 0 HOOD 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...: 1 ) 10,000 CFN: 0 UNDERGROUND.: 0
TOTAL FEES $ 48.50
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes" then coater expansion tank is required on Hot Mater 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.
I CERTIFY THAT C THE-IN I'MAT ON FURN BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS MILL BE MET.
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City of Federal Way RECEIVED'
CITY OF r''''' ''' • 33530 First Way South
® (L- - Federal Way, WA 98003
W
I1�Y E1 -112061661-4000 NOV 1 8 1994 j..
•
APPLICATION FOR MECHANICAL PERMIT CITY(3F FEDERAL WAY
i ) BUILDING/'DEPT,
PARCEL tt• ) ! ?s 1-`" 1 v(1)-1() v i m 1 1 v
Single Family �' Multi-Family ❑ ommercial 0
SITE LOCATION: _."
Tenant/Owner: n C-26-( ( rt-e-'t
-�O Phones:
� � ,:11 \� 1 C / .x.41 CL
Address/City/State/Zip:
Nature of work:Vty/II SA-Yap - ( OIG { C 0S((.)) . Project Valuation: $ --10
5(
APPLICA¢NNTT:� c1i1t)
Nam '^ 1
Address/City/St/Zip: -111137 v f 'Or / __ dJ %I'7
Contact Person: Phone?Z-SP. I Fax:L >f" OIS -; '
•
MECHANICAL CONTRACTOR:
Company Name: ALD L 41Pr (
Address/City/St/Zip:—)n (\CY(11)-LI -.Q---- i-eatb7./ . QA1I9
Contact Person: Phone: 72 ( 20 C Fax:
State L & I Contractor Registration #: !:44 l (Y4 1 C � Exp. Date: -V--0-1,g..4
(Card must be presented)
MECHANICAL UNIT COUNT: `
Fuel Type (gas/other) El 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
;j ir ?>:::>it »BB4's _ Wood Stoves _ A/C TONS _; �iiir#faftttnrti> >>»<»»> »»
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 employees,upon the accuracy of the information supplied to the City as a part of this application.
Owner/Agent: akr~ Date: