94-101955 It
9Y-1O19 �5
CITY OF FEDERAL WAY MECHANICAL
PEIMIT PERMITBLD94-0789
33530 First Way South ISSUED: 10
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: JTH
661-4000 EXPIRES: 04/12/95
ADDRESS:629 SW 299TH PL
NO. : 233690-0130
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE.
OWNERiii
-- CONTRACTOR -- LENDER
CATHERINE GREEN NORTHWEST WATER HEATER
629 SW 299TH PL 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499
984-6404
NORTHWH103R2
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 WORK - 0 3-15 HP . 0 MEC APPLIANCE FEES.* $ 10.00
GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CDNV 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
Ifik GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 30.00
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes then water 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 MORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THA - E I:FO' •TION F SED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICA LE CIT OF FE RAL MAY REQUIREMENTS MILL BE MET.
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City of Federal Way
CITY OF 33530 First Way South ill (_/-bq C,1 -- 0789`
/ � � _ Federal Way, WA 98003
12061661-4000 or
WFW
APPLICATION FOR MECHANICAL PERMIT
PARCEL L._23,______36900140-03 ,_ L;ingle Fainily)C1
Multi-Family 0 Commercial 0
SITE LOCATION:
Ttinant/Owner: Pea Ritts Z.--C-3.frErine GI __ Phone:
Addre /City/Stater 7 ip: 629 SN 299th PL Federa]y y 98023
Nature of work ....,.,,.: to fim _ Project Valuation: $ $2274
•
APPLICANT:
Name: .Ritfy Gir.7;ia
AddreSS/City/St/Zii:: - 2802 R M�3i t #1Ql . 98112
Contact Person: ._ lit _.,.. Phone: 322-8191 Fax:631-7056
(fir - qI - Z-0
MECHANICAL CONTRACTOR:
Company Name: - my 1AUter F kaater
Address/City/St/Zip: all i....., .- - •2 •
Contact Person:1 -riri_ t .__,.Phone: Fax:
State L & I Contractor Registration #: nT1RTI aa103E E.,3. Date:17/77/Q4
(Card must be presented)
MECHANICAL UNIT COUNT:
ual Type (ge, . 9,,s -_,J4411..„..... ler) G -.-� _ �. :[A
lr HE: _e.�C =:100c,.;..„;...,.., „- .
i'uel t „ales:
.aaaaaaa..�e. .. � : ..�, -,-, , te... �--..
Length of as si.rint Range Air Handlin > = 10 0 0cfm A6
.. . .. . - t�,,...,-� ,;,�Q qve Ground
Furrl <1L r: B'rU':, 1 Gas Log Unit Heater Undereround
Furn 100K BTU's Fans Boiler BTU,H Miscellanea
;,as Hwt Ho• Boiler BTU/H Other
Ccnv F3urnsr Du, . ..::rlc A/C TONS Other w
__ els;i t�.LO.'Cs°. ;> s
.eta;. � "[ON$ 'rf'ftat{ ntf;r"ixtE.�.
DISCL,JMER: I certify to ,rr penalty oaf;eriury that the information furnished by me is true end correct to the twat of my knowledge and further that I am authorized by the owner of the above
premises to perform il. . 1.4 which permit application is made. I further swat uo save harmless the City of Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigatio :.:ft,.e of such claim),which may be made by any per.ion,including the undersigned,and tiled against the City of Federay Way but only where such claim arises
out of the reliance of th. ,,including its officers and employees,u;:on the accuse; of the o;oration supplied to the City as a part of this application.
' 1,6
Owner/Agent: 4_,.
7 l(AU .. Date:
IC� t� q�