94-101867 9 y-iai g4,'
CITY OF FEDERAL WAY M E C H A N I C A L P E R M I T PERMIT NO:
09/27/9448
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/26/95
ADDRESS:2317 S 284TH PL
NO. : 422220-0130
PROJECT DESCRIPTION:New HVAC, gas piping and HWT
OWNERIII
-- CONTRACTOR -- LENDER
FY GR John ku(,�rn u�;1 NORTHWEST WATER HEATER
2802 MADISON 1101 8201 DURANGO ST SW
SEA E 98119 TACOMA, WA WA 98499
3`22-8191 984-6404
NORTHWH103R2
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.* $ 19.50
GAS HWT • 1 WOOD 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...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 39.50
Does the Mater 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 IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
' CERTIFY THAT ,ORM.TION FU N ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
il4 �j — r C!% FILE COPY DATE 9/a-7P7
l i 4
• City of Federal Way • O74/e
Y OF33530 First Way South
• _ 11 .--inErKFIL__. Federal Way, WA 98003 g Q
(206)661-4000
' WRY
APPLICATION FOR MECHANICAL PERMIT
PARCEL ZZ224 �I (� w Single Family / Multi-Family 0 Commercial 0
SITE LOCATION:
.
Tenant/Owner:jdir7 m '
iZPhone:
0
Address/City/State/Zip: - ��•L -, L A . -i./ �r,-
Nature of work: L44-SiLle 141-1 nee-t, f VA/4/ /� / Project Valuation: S
1
APPLICANT: �
Name/ H elf-MX)
Address/City/St/Zip: . O7 - MIX- fC/17\-' S ai L? ` V 12-
Contact Person: ap2/ /1 Phone: --$l6?( Fax: 4...1-73--
MECHANICAL
j 7-MECHANICAL CONTRACTOR: 4.66,1_4„..._
Wadi/
Company Name: X• U.
Address/City/St/Zip: _L&I)7) fAy1 gt- EC .vOil'ee- 981/
Contact Person: 141t Phone: Fax:
State L & I Contractor Registration #: A_In 7 ] &W )0127, Exp. Date: ` A�7
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) r� Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping ••• 6 - Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's I Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt 1 Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
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BBQ's Wood Stoyes A/C TONS >Y ititl:f3iiit:Co nst,:><:>:>:<:«<>:»::>::>:: >::i::
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: Date: q/C_Daqi(
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