94-102460 �
,
�1� i�zY ��
33530O�i rst��Way South MECHANI CAL PE�;MI T P��ISSUED- i2/2�iJ94�3
Federal Way, WA 98003 Suilding Inspection ReQuests 661-4�40 8Y: FC
661-4000 EXPIRES: 06/26/95
ADDRESS:32820 20TH AVE S Unit: 46
NO. : 144170-0460
PROJECT DESCRIPTION:NVAC - IMSTALLATIOM IN MOBILE HOME DF 49' 6AS PIPE.
�OMMER CONTRACTOR LENDER
ROBERT PAUL SURCO DEVELOPMEMT
30049 IOTN AVE SM PD BOX 1219
FEDERAL MAY MA 48023 6I6 HARBOR MA 98385
941-2999 858-5039
� � SUf#GODC465D1
FUEL TYPES..6AS ? FANS..........: 0 BOILERSJCOMPRESSORS fEES:
6AS PIPIN6.: 99 ft NDOD..........: 0 0-3 NP......: 0 , ,. MtC �RMT iSSUAHCE... = 20.00
FURI!<100K.,: 0 DUCT b00RK.....: 0 � 3-1� HP.....: 0 �����: y �` ��r �_... �4EC Fl3�PLIAkCE FEF.S.� ! 3.00
� �.. r�:��. �
6AS HNT....: 4 �DOD STOVES..:. 0 15-30 NP..._: 0 ;
COMV BURNER: 0 fURN>100K...,.; 0 30-50 HP,,..: 0 '
BBO........: 0 P9ISC..,......,: 0 5+ HP.......: 0 q�
6AS DR1'ER..: 0 AIR HARDlIN6 UMITS FUEL TANKS---------
RAN6E......: 0 <=10,000 CEN: 0 ABOYE 6ROUND: 0
6AS L06S...: 0 > 10,000 CFM: 0 UNOER6ROUND.: 0
TOTAL FEES s 23.00
( Does the rater supply syste� contain a Pressure Reduction Device or Check valve? () Yes () Ro {If 'Yes� then aater expansion tank is required an Hot Mater Tank)
Inspection Record Mater Line OK Mechanical Inspection Ilotes:
6AS PIPIM6 DK Date By
PERMITS EXPIRE 180 DAYS AfTER ISSUANCE IF N �IORK I RTED. RESIDENTIAL AND 6RADIi16 PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THA INF TION FURNISEO ME IS T D CORRECT TO TNE BEST OF MY KNObELED6E AND TNE APPLICABLE CIT1' OF FERERAL MAY REQUIREMENTS MIIL BE MET.
__ r G
OWNER OR AGEN i �j�, __ DATE _I�_��_ l_�',�__
-- ------- ----- ---- --- --- ---- �Y"___-----------------------------
FILE COPY
�
9y- �°ay�v
t_,l E l� i�F i �i.�r�t<,�3�._ v�,�,� 1riL�✓����i�� ���� �L.►����� � y:,c kMi ( r��.�: rst.C>'��: - i�.i'���
33530 First Way South I�SUED: 12J�8/94
F�deral Way, WA 98(}03 L�uilding Inspection R�quests 661-4140 BY: FC
6bi-4t)00 EXPI��S: Ob/26/95
ADDRE5�:3282n 20TH AVE � Unit_ 4b
NO. : 144170-4460
PRQJ�CT QESCRIPTION:NYAC - IMSiAItATIflN IN MONILE t�IE Of 99' SAS PI�E. �
� OMMER Ct11iTRACTOk , lEt�ifR _ ���=��
RqBERT PAl!!, �U1�Q DEYE�,OVMf.NT
34444 1bTN AYf SM P4 BDIt 1219
FEDEAA�. MAr MA 98033 6I6 NARBOSt NA 98385
9�1-2499 ��,� �., ����� ��" 8S€�-50a9'
.�� ��� F
��@ ��y`� ;i��filii+a"4�`�tit
�_�
��-�:: °' _ _ __ -_�. _,__ _._ � _�
fUfl TTPE�.:6AS ? fMtS..... ..... ^ �iiILE�SS/CtAk�RE�� � ��'�����������d��p'a���� �� °�FEES:
6AS PIPIN6.: �J ft i�tilD....:'� �����! �;: 0�� HP : Q ��� � ° � �Pi�, � ni�� P�43' t5:iliANCE... ; 20.d0
FU�M<lAOX..: 0 1�!CT MORt. � � � �. 3-!� �iP .: Q,e,�, �������� P . r���� T3t�P�. ,�;a�.c�����':# ; 3.OQ
6A5 i�IT....: 0 �6ilti� �T�1�E: � F����� -V 15-3�: <<�� ...: �:�
CAMY I�RNER: 0 f1�M�t�kA . � ���, �-'Ju.NP . � � ��
' �.r., �,
884......... 4 MI4G�..�.. «_.� � �� � �,.. 4 �
����
' ��mau�
�AS DRYER..: Q AIR i�P?i� �1��5 ' �'tiit TA#�S ------- ����
RANGE,.....: 0 <=10,itA6 �: "�, A��sVf. S�IND: �
�„
6AS 1065...: 0 > !{�.40��fM: 0 . Ui�ER6R0l�i�.: 0 �
,
TO�AI ffES ; 23.04
i ,/
� �
. ___ _...
Does tAe aater su�►!y syste� contain a Pressure Red�tion Device ar��valve? () Yqs�(�)�o�' (if 'Yes' then rat�r Bxpansion tank is reqaired �n Not Mater Tank)
IL
Inspcction Reco�d Nater Linr 4K 19�chanical inspecti�n Motes: .__,_._,__�� __.___
6AS PIPIMfy tBK /a'a g-�� ;.ie .�.__ aY __---_
_._____.__.___._�..._._.....r..__.._.._._.....�._____�..__.__..___..____
- /�/ _.�_ :� . . �-�-_._.
PER14IT5 EXPIRE 180 dAYS AFTER JSSilNMCE IF !{4 MQRX IS STA�IED. RES�DE�{TIAL AND 6R,AQIM& PERMITS El(PIRE GME �EAR AFTER DATE Of TSSUANCf.
i�RTifY T1�1I-P1fE'INfdR11RiIUM fURMISEb � NE IS TIN� Alt� CORRECT TO iNE BEST Q�� IIY KiNNIIED&E AND iNE RPPtICABIE CiTY OF �'-Y;�., �+ `!,: }'� �..` �';; ;�• �.: .
;a �� ,:,c,* � ' . �,
, `
, �..
� ,. r '
� FIELD COPY � �
City of Federal Way �.
CITY OF �— 33530 First Way South r j�2.�
_ � _ � Federal Way, WA 98003 � � I��� �
� 1�06f661-4QQ0 �
�1�� _�
APPL/CA T/ON FOR MECHAN/CAL PERM/T
PARCEL �• �(._!�� �i�igt��l'ily � Multi-Family � Commercial ❑
SITE LOCATION: �
Tenant/Owner: <�'�"�� ��v� Phona: �����
Address/City/State2ip: � ��x7NU ��\' �� `� �� �
Nature of work: �= �� ;'� �v������ Project Valuation: S
APPLICANT:
Name: 5 � S �
Address/City/St/Zip: - Y�)� (<,� Y �� �� (-.'c� Yi`�t/t'��^t�^ (�!� � rn� s � _
Contact Person: �r����n_I'n k I�' ►`!►� Phone: -----�S���T Fax:��,� ���`SZ Z I
MECHANICAL CONTRACTOR:
Company Name: J"�� L�-�
Address/City/St2ip:
Contact Person: Phone: Fax:
State L & I Contractor Registration #: '�`'�l�--i�� �) � � �� � � � Exp. Date:�.�.���
(Card must be presented)
MECHANICAL UNIT COUNT: `
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,OOOcfm Fuel Tanks:
Length of gas piping Range Air Handling > = 10,OOOcfm Above Ground
Furn <t00K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Conv Bur�er Duct Work A/C TONS Other
DISCLAIMER: I certify under perulty of perjury th�t the infum�tion furnished by me is Vue#nd ewroet to the be�t of my knowledae and further tfut I�m Mhorized by the ow�er of the�bove
premises to peAorm the work fot whieh permit�ppliutio�b m�da. 1 furtha pree to s�va humlea the City of Federd W�y u to�ny d�im Gneludirq eosts,axperna ud attwnays'tees
. incurred in investipation�nd deferue of��eh clNml,wNch m�y be made by My person,ineludirq the undenpned,�rd filed pai�st the City of Fedany W�y but only whero�uch elaim uisea
out of the roliance o/the City,i�d�dirq its officen�nd employea.upon the�.�c�uney of the infwm�tion�upplied to tFa City a�pM of this�ppliutio�. -
/
Owner/Agent: � / Date: —I� ��'�.^—�,y