94-100468 9,/,-/-0D Wag
CITY
3353O0Firstt Way Sout1,F FEDERAL MECHANICAL PERMI T PERMIT NO: 8
ISSUED: 03/10/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 09/06/94
ADDRESS:2321 SW 339TH ST
NO. : 330620-0255
PROJECT DESCRIPTION:INSTALL NEN GAS HNT AND FURNACE FOR THE OLD GAS FURNACE AND HNT
ONNER — CONTRACTOR — LENDER
MERLIN THORSON *** OWNER IS CONTRACTOR ***
'321 SN 339TH ST
IT
DERAL NAY NA 98023
874-5134
**x NONE a**
FUEL TYPES.:GAS ? FANS - 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRNT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT NORK 0 3-15 HP.....: 0 J NEC APPLIANCE FEES.* $ 16.50
GAS HNT • 1 NOOD STOVES...: 0 15-30 HP • 0
CONS+ BURNER: 0 EURN>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...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES S 36.50
es the water supply system contain a Pressure Reduction Device or Check valve? () Yes )cNo (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 IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATIO FURNISED BY ME IS TR E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
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,�.,,� 1110City of Federal Way
uv APPLICATION FOR BUILDING PERMIT
C � a
PLEASE PRINT APPLICATION #:
S T �<�OGA,TION Address
Tenant (if known) Lot # Assessor's Tax#
01,07/ C ' ;30L `02SS_
Building Owner Name Address
P1EliLiN �j�
1 741 5U1V �3Wit/ ci �39Z—& St-
Ci
ty =e.. /PYd / �,j / State //f/r..:) Zip 5/'n, 3 773' 'Phone $� 7'T— 5 l3 7`
Nature of Work
•APPLICANT
Name (F,M,L)
TER /)l L, —7-16 3 t'A1
Address
2 ) l S1'' '339
City --":".6t--/e y ljt)� State Zip y p /8aa
Contact Person / Day Phone Other Phone Fax
2171 j/. L
•
BUII.DIIVG CON'l.'RACTOR ;_
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE ting Use °roposed Use
Permit includes: Building 111 Plumbing Ll Mechanical ❑ Other r•
Type of Work: ❑ Residential Cl New ❑ Remodel Cl Number of Units_ ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ :ll"`'' ` Project;Valuation $.
Zoning Lot Size Existing Bldg`.Valuation: :$ :; '>:
LENDER
Name Address
City State Zip
..:::•::::.........:•:•,•:•::•••:••,
...........CONTRACT....•............ . .... ...•.......................
MECHANICAL OR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING'FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
.................................................................
Lavatories Washing Machine Drains Total;Fixture:Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other) C.,•¢5 Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs A\ Fans Miscellaneous Fuel Tanks
Gas Hwt --e7 Qd1 Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
...... . .... .................................................
BBQ's Wood Stoves 3-15 Tons Total Unit.Count
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 Federal 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: ���( C 1 - Date: