94-102358 i
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CI7Y O� FEDERAL WAY ��j � ��AL PE�:�IT �ERISSUED- B2/14/9480
33530 First Way South i �
Federal Way, WA 98�03 Builcling Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES_ 06/12/95
ADDRESS:506 S 309TH CT
���0. : 241330-1030
��ROJECT DESCRIPTION=NVAC - IMSTALL 1 6AS MATER NEATER 5 25' 6AS PIPE.
OMNER CONTRACTOR LENDfR
KATHRYN BROOKS , NORTNMEST MATER HEATER
506 S 309TH CT 8241 DURAN60 ST SIO
:RAL IdAY MA 98003 TACOMA MA 98499
984-6404
MOHTHMH103R2
FUEL TYPES.:6AS ? FANS..........; 0 BOILERS/COMPRfSSORS FEES:
6AS PIPING.: 25 ft HOOD..........: 0 0-3 NP.�.....: 0 � � ,r,�, ,� �� � �;.. � ° � � ��liEC pRP4T I,'i�fIANCE... S 20.00 , �
FURM<100K..: 0 DUCT MORK.....: 0 3-15 HP....,: 0 ��� • „���� �� �� MEC APPLIANCE FEES.x S 10.00
6AS HMT....: 1 p00D STOVES...: 0 15-30 KP.._.: Q ���� ��
,� �. . w,��a�a�:�
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CONV BURMER: 0 �URN>100�...... 4' 30-50 HP....: 0
BBQ........: 0 MISC......,...: 0 5+ HA..... .: 4 �w
, ;.:
6AS DR�ER.,: 0 AIR HANDLIM6 UNITS FUEL TANI(S-- ------ ��� '��
RAN6E......: 0 <=10,000 CFM: 0 ABOYE 6RQUND: 0
6AS lD6S...: 0 > 10,000 CFM; 0 UNDER6ROUND,: 0 ;
TOTAL FEES = 30.00
�aes the rater supply syste� contain a Pressure Reduction Device or Check valve? () Yes () Mo (If 'lfes' then Mater expansion tank is required on Hot IOater Tank)
Inspection Record Mater Line OK Mechanical Inspection Notes:
6AS PIPIM6 OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO IIORK IS STARTED. RESIDENTIAL ARD 6RADIN6 AERMITS EXPIRE ONE 11EAR AfTER DATE OF ISSUANCE.
I CERTIfY TNAT T FOR TION fURAI EQ BY �E IS TRUE AND CORRECT TO THE BfST Of MY KiIOMLED6E AND THE APPLIC BLE ITY 0 fERERAL �AY REQUIREP9ENTS MILL BE MET.
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OWNER 0 AGENT __ DAT� �
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FILE COPY
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Ciry of Federal Way
CITY OF C_ 33530 First Way South '
� �� `— Federal Way, WA 98003 � j � f '� ��}�/'�
``\` � (206)661-4000 L ��� L'���
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APPL/CA T/ON FOR MECHAN/CAL PERM/T
.—� a
PARCEL • I� ->����3� � �j Single Family� Multi-Family � Commercial ❑
SITE LOCATION: �
Tenant/Owner: � 1 Phone.;
Address/City/State2ip: ��, v' '�G�I � �/v' ? �����
Nature of work: � � � �� Project Valuation: 5
/
APPLICANT: �- - � '
Name: � ���y��
Address/City/St2ip: ���Z— � • ���l��/���� ���'�-�' [�/��-
Contact Person: � � Pho�e: �� r� , Fax: ^� �
MECHANICAL CONTRACTOR: .
Company Name: !�l�� V`'��✓ ''" �""�'
Address/City/St2ip: '' ! � � _ ' ��
Contact Person: Phoner\���-, `���� Fax:
State L & I Contractor Registration #:�`�jK--1 t�"tL�L� 1��--�� Exp. Dat��
(Card must be presented) —���:%��
MECHANICAL UNIT COUNT: `
Fuel Type (gas/other) � Gas Dryer Air Handling < = 10,OOOcfm Fuel Ta�ke:
Length of gas piping '" Range Air Handling > = 10,OOOcfm Above Ground
Furn <t00K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's Fa�s Boiler BTWH Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Conv Bumer Duct Work A/C TONS Other
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OISCLAIMER: I certify uda peMlty of paJury tlut the lnform�tion turttiihed by me ia tnx�nd eoneet to the best of my knowledQa od turtMr th�C I an wth«ized by the owner of the�bove �
premiaes to parform the work(w which permit�pp�it�tion b m�da. I(urther pree to uve harmlep[he City of Federd W�y u to�ny d�im findudirq ewn,axpawes�nd_�ttwney�'(eea
. incurred i�i�vestiQatio��rd de(e�se of�uch clNml.wWch m�y be m�de by�Y Pe��ory Mcludirq the undasipned.Md filed p�imt the Cky of Fada��y W�y but o�ly whe�e such d�im�ulaes
out of the reli�nca oI the City,i�dtdttq it� (ficen�nd employees,upo�tfie actx�cY of the in(wm�tio��upplied to the City q�pM of tNs�pplic�tio�. -
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Owner/Agen � Date: ,
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