95-100067 ,,,,
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33530OFirst�EWay South N� E C H A N I C A L P E R M I T PE�IASSUED: 01 /04/9505
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661 -4000 EXPIRES: 07/03/95
ADDRESS: 28826 23RD AVE S
NO. : 422250-0210
PROJECT DESCRIPTION:HVAC - REPLACE EXISTING HOT wATER HEATER 5 FURNACE (CNANGEOUT�.
� OMNER CONTRACTOR LENDER
JAMES LOYI PACIFIC AIR SYSTEWS NOT APPLICABLE
28826 - 23RD AYE S 11121 34TH AYE S
FEDERAL MAY wA 98003 TACOMA WA 98444
946-8551 591-5212
PACIFAS0931(A
fUEL TYPES.:GAS FANS...,......: 0 BOILERS/COIIPRES50RS FEtS:
GAS PIPING.: 0 ft HOOD.......,.,: 0 0-3 HP....,.: 0 � ���� °"�z, � a ��`��"� � °�-� �; 1dEC PR�IT'�ISSUANCE... $ 20.00
fURN<t00K..: 1 OUCT YIOAK.....: 0 3-15 HP,�....: Q �.' ��� ' "�° �� i#EC APPL�IANCE FEES,� � 16.50
GAS HwT....: t WOOD STOYES,..: 0 15-30 HP....: 6 ���� � ��°r � °"� �
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0
BBQ.. ...... 0 I�ISC......,.... Q�: 5+ HP..,..... 0
GAS DRYER..: 0 AIR HANDLI�4G UNITS ` FUEL TaNI(S---------
RANGE......: Q <=10,000 CFq: Q ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CF{I: 0 11NDERGROUND.: 0
TOTAL fEES = 36.50
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water ezpansian tank is required on Hot Water Tank)
Inspection Record Ylater Line OK ____.__ Mechanical Inspection Notes: _ ______
GAS PIPING OK _____._ Date _____ By ___
PERIIITS fXPIRE 180 DAYS AfTER ISSUANCE IF NO wORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTfR DATE OF ISSUANCE.
I CERTIFY THAT THE INFOR�IATION FURNISED BY AE IS TRUE AND CORRECT TO THE BEST OF f1Y KNOWLEDGE AND THE APPLICABLE CITY Of FERERAL wAY REQUIREWENTS wILI BE �IET.
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FILE COPY
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33534OF i rs#��Way SUut h M E C� A N � C A L P E R Ni I T P�RI`SSUED: 01/04/950�
Federal Way, WA 98003 Buiiding Inspectican Fiequests 661-414Q BY: FLF
661-4000 EXPIRES: 07/03/95
AUDRESS: 28826 23RQ AVE S
NO. : 4222�0-0210
f'ROJECT DESCRIPTION:NYAC - AfPIACE EllIST1N6 H0T MATEA NEAT�A � FURNACE �CNAN6E4UT).
QMNEA COIiTAACTQN IEAQER -�
� ��ES l4M PACIFIC A[A SYSTEYS MOT APPlICABIE :
• �fi - 23RQ AYE S 11121 34TN AVE S -n
::RAL MAY MA 98003 TACOIIA MA 98444 �'
���-8551 '� ���^��� �
���f I1�3KA �-,
� �
� _.
��_—. ,_.� -- - .. .. ._ _ - -._w___ .�-� .._„---�„�--.-._�.��
fUFI TYPES.:GAS fANS .,� ' 0 �11..�AS;rfiY�r�EESQAS L�S� FF. . �S
..,.sr4����'� .
6AS FIPiNG.: � ft ��Jf�U...... ���,4 �n,, Q-3 HP....�..� 9 � ?"�+�•U �. �� ' ���'.� a'�. ��, ��� �a�3 ���aUANCE... t 20.Q4
�URN<1bOK..: t Ql�Ci M�O�iX�, ..: �f ��� 3-i� �� ,. � � � � � � '� ��� ���li�N�E fEES � � 18.50
6A� NNf..... 1 ���04 SI�Y€S...: 0 15-�� �P..,,. � e ���r�� ,.r,��� � � ��������;
COMV BllAttEA: 8 ��RN��f�Oif:...:; q _ 30-5U k�P..,,. u ���,
88C......... Q �fT�G, .... 0 5+ HP;.. .., il
GAS 6AYEH..: 0 AIA �1N�1l.I��i U�iiS FUEI TA�S- ______..
9AMGf......: G <�tO,��U ��ii: � ABQYE 6AOUNG: t� ' '�
GAS 106S...: 0 > 1}�,�t?U �Fll: 4 UNDEA6ROUND.: Q
TOTAt FEES S 34.5Q
_.-�.--.—. _�_.
Does t�e Nater supply syste� cont�in a Pressure Reduction Qevi�e or �hecK vaive? O Ycs {1 ifo (If 'Yes' tAan water expensian tank ia required on Not M�ter Tarsk)
� Inspection Aecord i�iter line �`+: �� ��::�������-:a�i �ns�eci.�or� kok��:
GAS PIPIdEL� �Y�� �/��(/ ���:�r(���'S 9� l/G��/
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. . : _ .� :� _,_ =. _:: �--:�-�����.�.-�w___-..�-�-���
PfRMITS EXPIRE 180 U�4YS AfTER 1S5UANCE IF NO M4RK IS SIAATED. AESIDENTiAI ANO 6AAQING PEAMITS EXPiRE ONf YEAA AFTfR DATE 6f tSSUhNCE.
I CFAiIFY TMAT 1HE INFOAMAlION fURNISED BY ilE IS TRUE ANa COflHECT TO tHE BEST 4F YY KNO�IkAGE AND THE APPLIGA�LE CITY OF FERERAI MAY REQUIBEMENTS NIII 9E iiET.
OWNER t�A ArEN? __ l�t.-�`t�._a�.. _,.L�'�" __. _ _ _ ___._ _. _. _ ..._ 6A?c � �li �i . , ,-
L���J _.. _ _ . _
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FIELD COPY \ ` 1��1�
SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
P�UMBING ROUGH-IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH-IN � � — — —
Date By
MECHANICAL �OTHER)
Date By
�RAMING
Date By
INSULA710N
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEtLING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE �INAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER �
Date By
CD0193
_ �,i�y ��i � cuc���i Y..iy
CITY OF �-- 33530 First Way South .
� Federal Way, WA 9£3003 '� f'� t''-, � �
���^`� �Zo�iss�-4000 �- ��' � �C. C��..�. 4
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A PPL/CA T/ON FOR MECHA N/CA L PERM/T
PARC[L 1L• ' � ' � Single Family� Multi-Family � Commercial o
SITE LOCATION: �
Tenant/Owner. ���eS r' �� Phona: �y�- ��S �
Address/City/State2ip:
Z.�R zG z3 f�a �-v� . S . F�n�ru�L ��, �.a,� `� Kac�3
Nature of work: ��� �S ���� � N 7� ����Project Valuation: S__ 2_,(Uo0 ^'
APPLICANT:
Name: �� ��'i'��'
Address/City/St/Zip: � e
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: �RC f�1C �I � SJ S��l�t�t S
Address/City/St2ip: � l � Z--� ���� �-v�, 5 � �C�wt� , tN� `�� l�'�Y
Contact Person: ��g � ���� Phone: Fax:
State L & I Contractor Registration #: �� I F� Sd�3 K� Exp. Date: �^� ��
(Card must be presented)
MECHANICAL UNIT COUNT: `
Fuel Typa gas ther) Ges Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's _l. Ges Log Unit Heater Underground
Furn >t00K BTU's Fa�s Boiler BTU/H Miscellaneous
Gas Hwt 1 Hood Boiler BTUM Other
Conv Bumer Duct Work A/C TONS Other
� � '�>�ss�:�:>:r:viaGS:G:.�#>;�:?>t<: ;
a
OISClA1MER: 1 cMity urda pe�dty of puiury tlut the ki(am�Uon fumishal bY�b�Md conact to the ba�t of mY�WbdCe�rd h+ther tF�t I�m wthwized by the owner of the��bove �
p�emises to peAum the worfc for which parmit�pplie�tlon b m�de. I f�xMier�prea to a�ve hwmbu tha City of Federd.W�y a to�ny d�kn G�dudin0 ewts.�xpane�rd�ttotneys'fees
. i�cutred i�i�vestip�Uon xW de(erwe of�uch ddml.wNch m�Y be mde by�ny per�on,k�d�d'uq the undenioned.�nd filed p�i�at iM Cky ef Pedx�yW�y MR ady whera nxh d�kn ui�n
out ot the reli�nee o(tM CitY,indudinp its ol(ican wd amployae�.upo�the�eeur�cy of the inlum�tim�upplied to the City a�prt of tfti��pplie�tlo�. -
Owner/Agent: � Date:
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