95-100719 ` 9� - �ao �� 9
CITY OF FEDERAL WAY M E C H A N I CA L P E R M I T PERMSSUED: 04/12/9562
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 10/p9/95
ADDRESS:29634 21ST PL S
NO. : 660300-0030
PROJ ECT DESCR I PT I ON:HYAC - INSTALL ONE FURNACE.
� OMNER CONTRACTOR LENDER
DAVID/TUNI BERRY GRIFFIS HEATING INC
29634 21ST PL S 11463 RAIUIER AVE S
FEDERAL wAY MA 98003 SEATTLE MA 98118
941-1904 800-213-2268 135-3880
GRIFFHIQ88D1
FUEL TYPES.:6AS ? FANS..........: 0 80ILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft NOOD..........: 0 0-3 NP......: 0 � - � , ���� ��� � �'_=-�°� � � 11EC PRIIT ISSUANCE... S 20.00
FURN<t00K..: 1 DUCT wORK.....: 0 3-15 HP.....: 0 ; � � MEC APPLIANCE FEES.t : 10.00
GAS HwT....: 0 NOOD STOVES...: 0 15-30 NP....: 0 .<<� � � i��,; �- �� -, � �
CONV BURNER: 0 fURN>1001(.....: 0 30-50 HP....: 0
BBQ......... 0 IIISC........... 0 5+ HP........ 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS---------
RANGE......: 0 <=10,000 CFW: 0 ABOVE 6ROUND: 0
GAS LOGS...: 0 > 10,000 CFU: 0 UNDERGROUND.: 0
TOTAL FEES f 30.00
Does the rater supply systen contain e Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then Nater ezpansion tank is required on Hot water Tank)
Inspectian Recard water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By _
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MOAK IS STARTED. RESIDENTIAL AND GRADING PEANITS EXPIAE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOwLED6E AND THE APPLICABLE CITY OF FEDERAL YIAY REQOIREMENTS WILL BE MET.
. 1 . J
OWNER OR AGENT - --� ---------------------------------------------- DATE ��
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FILE COPY
� r OF FEDERA� WAY � C�� /'\ R� � �� � � � � w A � � PERMSSUED: 04/12/9�62
?0 F i rst Way Saut h C �`'1 �y 1�/1
._ t�eral Way, WA 98003 Building Inspection Requests 681-414� BY: FC
. �5fi1-4004 EXPIRES: 10/Q9/95
ADDR�SS: 29634 21ST PL S
NO. : 860300-0�3Q
PROJ ECT DESCR I PT I ON:NYAC - IpSTAII ONE fURNACE.
+�R - CQMTRACTOA -=�-_=-� lElIpER <�������-� -
i6�TONi BERRY 6RIFFIS NEATIN6 INC
� ::4 21ST Pl S 1146"s AAINIEH AVE �
�RAI �AY MA 98003 SEATTLE MA 98178
y4i-I904 �. �� =a ° .��� �7��58 135-38B4
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FUEI TYPES.:6AS ? fA1tS... . � U g�0i��t�! � ����_`��� `"" Ff'�'
6AS PIPIN6.: 0 ft H044.. 0 C-�'�HP ,�;� ,������ � �" �-�� � ' ��� ��T� `•�SUANCf... � 20.OQ
.. �,. ; : x � ��
FURNc1001(..: 1 �I�f' �t?Prt � �A ;:, ;�t� tl�.«.����, ��� �.P � ��. �� � ��^�;�;��� t#��., P�a°,�Cf FEES.� i 14.00
fiAS i�T..... 0 �O�U SILYE� ������ �� 1 S�3Q �..����, 6a����a���.� �, d��� :� e. �'�
CONY BUANEA: 0 f�1aNlip01�� ���0� � �'Q ':u �i� �� z�� .„
884......... 4 if��C...., ��,�. � �fi� � t A # � � �'
GAS aRl'ER,.. 0 AIR��N��,���N��T ���F��. �� -���; " �� �-
RA�l6E......: b <=t�,Q�O tiF� ; � A88Y'��AOtlND: � �� ��
GAS L06S...: 4 > 10, ��� �
�±�i: �"�� Uq�'ERGROUIlD.: 0
TC�TAI FEES Z 30.44
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Does the r�ter �:
Inspection Aece ��
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6AS PiPi�6 � �� �(�j � �
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, Mlf!TS EXPIRE 180 DAYS AFTEk iSSUANCE IF MO �R� IS START�D. AESI�ENIIAL AN� GAADING PEAqITS E1(PIRE OWE YEAR AfTER DATE f,�� "��.�'..�t��::",i�
(;F.ATifY TNE INfQRMATI4N fUANISNEQ A1' �tE IS iflUE AND COAA�CT TO THE BEST Of MY KNO�IlE6$E �AND TNE APPCICABLE C[TY Of FED!��+ �
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FIELD COPY
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City of Federal Way ..
CITY OF G 33530 First Way South
. _ Federal Way, WA 98003 ;�
`'`'`-` � (206)661-4000 �� ��� - ��� �� �
V V RY .. .
APPr����`���jR MECHAN/CAL PERM/T
/\�,�-C,� ���R 12 `�995
PARCEL�• ��U Single Family � Multi-Family � Commercial ❑
c;rrY ���=e��HAi way
BUILDING DEPT.
SITE LOCATION:
Tenant/Owner: U�Y��J �, -����,/ Phone: / �/ / �� /
Address/City/State2ip: ���-3'� ��� � �L. ---�� . ��
Nature of work:��� /��`����`-' ��� ���n�r�Cr� Project Valuation: S-1�� <���
APPLICANT:
Name:
� '/ /� y ( r �� �
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: (���r�I-� /�'�a/��C ����°
Address/City/St/Zip: - ���� 3 ��/�/� � /v �/� : � .
Contact Person: /�-���( Phone: ����"�7���Fax:
State L & I Contractor Registration #: 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 > = t0,000cfm Above Ground
Fur� <100K BTU's ` Gas Log Unit Heater Underground
Furn >100K BTU's Fa�s Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Conv Burner Duct Work A/C TONS Other
� DISCLAIMER: I eertify under pe�alty of perjury tha[tha informetion furnished by me is aue�nd wnect to the best af my knowledpe�nd further th�t 1 xn�utborized by the owner of the above
premisea to pertorm[he work fo�whieh permit�pplic�tion is m�de. I further pree to save h�rmlds the City of Federd W�y a to�ny cl�im fincludinp eosa,exparxea�nd attorney�'feea �
i�curreA i�investipatio�uxl defe�se of�ueh d�im),which m�y be mde by�ny penon,includirp Ux undeniQned,ud filed p�irnt the City of Feder�y Wey but only where such cl�im arises
out of fhe reliance of tha City,includirp it�officero�nd amployees,upon the�eeur�ey of the infam�tion aupplied to the City N�pat of thi��pplic�tio�. �
� C,f/
Owner/Agent: � � . �Z Date: �� �J