95-100434CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:34529 5TH PL S
NO.: 132170-0210
PROJECT DESCRIPTION:NECH - GAS HINT (ADD)
OWNER
DOUGLAS WONG
34529 5TH PL SW
FEDERAL WAY WA 98023
838-9664
CONTRACTOR
GEORGE BRAZIL 24 HR SERVICE
11063 PACIFIC HWY S
TUKWILA WA 98168
451-4800
GEOW2081JI
LENDER
95-100Y9i
PERMIT NO: BLD95-0149
ISSUED: 02/24/95
BY: FC
EXPIRES: 08/23/95
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/CONFESSORS
FEES:
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 HP......: 0
NEC PRNT ISSUANCE... $ 20.00
FURNO OOK..:
0
DUCT WORK.....:
0
3-15 HP.....: 0
NEC APPLIANCE FEES.$ $ 6.50
GAS HWT....:
1
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER:
0
FURKM OOK.....:
0
W50 NP....: 0
BBQ........ :
0
MISC..........:
0
5+ HP.......: 0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ------ ---
RANGE ...... :
0
<=10,000 CFV:
0
ABOVE GROUND: 0
GAS LOGS...:
0
> 10,000 CFN:
0
UNDERGROUND.: 0
TOTAL FEES $ 26.50
Does the rater supply systew 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 18 YS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE IN ORMA ION FURN BY ME !TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT �" ______ DATE % 96_
11y1
� l
CITY ;OF FEDERAL WAY
33530 First Way South
Fedegal Way, WA 98003
661-4000
MECHANICAL PERMIT
Building Inspection Requests 661-4140
ADDRESS:34529 5TH PL SW
NO.: 132170-0210
PROJECT DESCR I PT I ON : YECH - CAS NWT 1 ADD)
r OWNER -- - --
D000LAS WONG
34529 5TH Pt SW
i FEDERAL WAY WA 98023
CONTRACTOR — - -- -- -
GEORGE BRAZIL 24 HR, SERVICE
H063 PACIFIC WY S
TUKWILA WA 98158
838-9664
461-4400 -
+xti+aGii2�Bl�.l
FANS.... ......
0
FUEL TYPES.:GAS ?
GAS PIPING.:
0 ft
WO...........
i-3 :;:........ 0
FURN0 00C .:
0
GU.1 KRA.....:
GAS HI'T.....
I
11(1!6 S-OYES... _
CONY BURNER:
0
ruhw o4X......
6
30-5u NG...,. 0
880.........
0
GAS DRYER..:
0
AIR HAKLTV� UNIT;,
FUEL VMS ------•--
RANGE ...... :
0
<=IO.W erg:
9
MOVE GROUND: 0
GAS LOGS...:
0
> 10,090 CFY:
0
UNDERGROUND.: 0
PERMIT NO: BLD95-0149
ISSUED: 02/24/95
BY: FC
EXPIRES: 08/23/95
LENDER -- - - = — - — - — —
ffu. - -
tC POT ISSUANCE.,, S 20.00
4C 6.50
TOTAL FEES
1 26.50
Does the water supply system contain a Pressure Reduction Device or Check valve? O Yes O No A f 'Yes' then rater expansion tank is required on Not Water Tank)
Inspection Record Water Line O[ __- Mechanical Inspection Notes:
GAS PIPING QK
= r- -y_- -
N f{
w- rRUE ANO 'OppcCC TO THE BEST OF MY KNOVLEDGE AND THE Ai
ET -
FIELD COPY
pity ui I cuuidi vvdy
CITY of `-- 33530 First Way South
Federal Way, WA 98003
111 (206)661-4000
A PPL /CA T/ON FOR MECHA N/CA L PERMIT
i -76 - CD�&q 1 `�
PARCEL • Single Family all Multi -Family Commercial o
SITE LOCATION:
Tenant/Owner: r-' Phone:
Address/City/State/Zip: 3i5t5 61 5+h Pc1fSCJ' f--e C1GJ(CJ
Nature of work:
APPLICANT:
Project Valuation: $ `. UJI 4
Name: L-A, CJKDat��
Address/City/St/Zip:
Contact Person: Phone: U Fax:
MECHANICAL CONTRACTOR:
Company Name:
Address/City/St/Zip:
Contact Person: -Phone: /� Fax:
State L. & I Contractor Registration #:
(Card must be presented)
MECHANICAL UNIT COUNT:
Exp. Date:
Fuel Typ ( /other)
Gas Dryer
Air Handling < = 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10,000cfm
Above Ground
Furn <1OOK BTU's
Gas Log
Unit Heater
Underground
Furn > 1 OOK BTU's
Fans
Boiler BTU/H
Miscellaneous
Gas Hwt
Hood
Boiler BTU/H I
Other
Conv Burner
Duct Work
A/C TONS
Other
DISCLAIMER: 1 certify under pendty of perjury that the Information furnished by me Is true and correct to the beat of my knowledge and further flat 1 am authorized by the owner of the above
premises to perform the work for which permit application Is made. I furtftor agree to save harmlem the City of Federal Way a to any claim Gndudka costs, axpanam and attorneys' fees
incurred in investigation and defense of such clalml, which may be made by arty person. Including the undersigned, and filed against the City of Federay Way but orgy wtw o such claim arises
out of the reliance of the City, officers and omployeea up?n the acouracy/e91w Information supplied to the City m a part of We application.
Owner/Agent: Date: