95-100069 .
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CITY OF FEDERAL WAY � E C H A N 1 CA L P E R �/I I T PERISSUED: 01/04/95Q7
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC
661-4000 EXPIRES: 07/03/95
ADDRESS:2016 S 282ND ST
NO. : 422231-0240
PROJ ECT DESCR I PT I ON:HVAC - CHANGEOUT OF GAS FURNACE.
OYINER CONTRACTOR LENDER
CAROI HOMARD AUBURN SHEETWETAL
2016 S 282ND ST P 0 BOX 8003
fEDERAI MAY MIA 98003 BONNEY LAKE WA 98390
839-1836 244-7019 939-4131 863-3500
AUBL'Ri;222Ra
fUEI TYPES.:GAS ? FANS..........: 0 861LERSJCOMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD....,.....: 0 0-3 NP,.....: 0 ItEC PRItT ISSUANCE... = 20.00
� � � : �,� e_
� � ��..:�� k�.�_
FURN<100K..: 1 DUCT WORK.....: 0 3-15 HP.....: 0 � ;_ �` � ���'� � � "`� � `� � ��� ��� IdE� APPLIANCE fEES.t � 10.00
GAS ITYIT....: 0 wO�D SiOVES,,.: 0 � 15-30 HP....: 0 ` �" � ���°`' '� �°��
�; ,4 �� ��. �a
CONV BURNER: 0 f URN>160K.....: 0 30-50 HP....: 0 " ;. : � 5
88Q......... 0 MISC.. ,. .. 0 5+ HP.,...... 0
.. ...
GAS DRYER..: 0 AIR HAN4LIN6 UNIrS FUEL TANKS---------
RANGE......: 0 <=10,000 CF�1: 0 ABOVE GROUNO: 4
GAS LOGS...: 0 > 10,004 CfM: 0 UNDERGROUND.: 0
TOTAL FEES i 30.00
Does the rater supply systen contain a Pressure Reduction Device or Check valve? () Y¢s (� Na (If 'Yes' then rater ezpansion tank is required on Hat water Tank)
Inspection Record Ylater Line OK _ ilechanical Inspection Nates: _______ ___
GAS PIPING OK Date By __ _____ _
PERMITS E%PIRE 180 QAYS AFTER ISSUANCE IF NO MORK IS STARTEQ. RfSIDfNTIAI ANU GRADING PERMITS EXPIRE ONE YEAR AfTER DATf OF ISSUANCE.
I CERTIFY THAT TNE INFORIIATION FURNISED BY ME IS TRUE AND CORRECT TO TNE BEST OF �IY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREAENTS WILL BE �IET.
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OWNER 6R RGEN' ------ - ---------------------------- �k f —1--L-=�-�---
FtLE COPV
;, t � Y �!F� r �.w��E i-t;�i. WA`J �!�! � �.,J � � � � �� � 1 � � � � �� i'E f�ISSIlE�: 01/04/95�"J
' `��53i? Fi rSt W�y SOUth
Federal Way, WA 98Ua3 Building Inspection Requests 661-4140 ; E�Y: FC
66i-4000 EXPIRES: 07/03/95
ADDRESS:2Q16 S 282ND ST
NO. : 422231-0240
PROJECT dESCR I PT I ON:HVAC - GHAM6EOUT Of 6AS FURNACE.
� OMKER CONTRACT4A IfNDEA
CAROI N4M�AU ABBURl1 SN�ETIiETAI
� ���i.�+ S 282N0 ST P 0 8QA 8003
� .cHAI MA11 MA 98003 �NNE1' IA�E MA 98390
u-1838 244-I019 . 9M�-G.��i 863-3560 �
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._ _ ,.__ _ __
FUEL t�PES.:GAS ? ��f�jS.�,�.... .: U B�IwkRa/C4ti�� ��� �� fEES:
6AS PIPIN6.: 0 ft AGL�6��.�,e ...;�� 0 r�'�� 0��� HP...p,.: Q � „ �, �d,.:� ;.,�I ISSUAIiCE.�.. ¢ 20.0�
Fl�RN<1QOK..: i �UCI �4AK. ..: 0 �, � 3-��i NP .�: 0��`���= � ��� �;r��pP�.�ANCE FEES.� � 10.40
BAS NMT....: Q ��Q!} S�##it��...: �:6 � , � �
� f�BD �P .: � �.�
�tYiiV BtlflllEA: 0 ��lit�i�bl'�.; �'�,�� �� 3�0 �P .�� '� -� m ,� � ����� a � . s
�
88A........: 4 �C . .,��.. . : �� ���IP ..�t��'�
fiAS DAYER... 4 A�i�fA��;iNt� tHI11��� ��U�T�" � .� ,
� � nn, �
AAN6E....... 8 t_��,�DO��71��,.p������� �� �01€�'�iOU�D: ��
6A5 L06S...� d > 10,� � � �`"UMUEW��OUND.: ��` "
��� TOTAL t�EES = 30.84
� Does the xeter sup�ly syste# contein a Pressure Reduction Device or Cbeck valre? () Yes () No (1f 'Yes' tAen witer e�pension tank is raquirad on N8t Mater Tank)
, .."3�3C31 `.n�Der:tir,�� P!7[CS:
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._ _ ._._ _ _
P�RMITS EXPIAE 160 QAYS AFTER ISSl�AkCE !f NG 9I�Ri� I5 STAATED. flESIDENTIAI AN4 6RAOlN6 PER�iITS fXPIBE t1NE 1'EAA AfTEA aATE 4f ISSUANCE.
I C€RTIFY THAT TNE [Mf4AMATI�N FUNNISED 8� IfE !S TRUE ANO C6ARfCT TO THE gEST OF YY �NOMLED6E kMD TNE APPLiCABI� C(TY 4�' F���ERdt '�AY AE�UIREMENTS MIIII 8E 11Ei',
-:gy�.ca r„ 4i;cut � � �¢��/.Sc=�.. rRT� � 7=��
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FIELD COP'Y �\���f`��
�.i�y ui r ����i��i ���y
ciry or l--- 33530 First Way South
� � � Federai Way, WA 98003 ►
� � (206)661-4000 �L.f � -Ov� �
����Y ,
A PPL/CA TION FOR IVV�'ECHA N/CA L PERM/T
PARCEL �• ��v���� � ��L�v � Single Family � Multi-Family a Commercial a
' �.
SITE LOCATION: �
. Tenant/Owner. -«r�7� ��� r� Phona: �JC�- ��3b
x Address/City/State2ip: 2�}C � 2c�'2hc�C- S� ���_ �,)c�„-v �"`�� ��GC��
Nature of work: ��� �•}��- 7�r vt c�c c_ Project Valuation: 5
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
MECHANICAL CONTRACTOR:
Company Name: /'�tu��t r rt ��c.�� �"��}c.�-�
� Address/City/St2ip: �0 k�c�` �s5�)� �cn t�t�'�-1 �.C.��� l�`� ����G
Contact Person: �uv Z-- Phone: - ����-��� � Fax:
State L & I Contractor Registration #: Exp. Date:
{Card must be presented)
MECHANICAL UNIT COUNT: `
Fuel Type (gas/other) ' ��,� Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling > = 10,000cfm Above Ground
Fum <100K BTU's Gas Log Unit Heater Underground
Furn >t00K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTUM Other
Conv Bumer Duct Work A/C TONS Other
. :��'< ":iisi;;>s;;::�:<riiia>f::<:i:.<»;:: ;
1
OISCLAIMER: 1 eertify urder pe�dty of perf W tlut tha htorm�don tumi�he4 by me b We pd eorcect to the bxt ot my know{edpe�rd furthx ttut I rn wthorized by the owner of the�bove �
premi�a�to paform the wak ta which permit�ppliution k m�de. I furthx p�ee to��va h�rmba the City of Feder�l W�y«to ny d�im Gndudiro eoats.�xparve��nd�ttwney�'tee� .
. incurred in investipatlon Wd de(ensa ot wch ddml.wNeh m�y be m�de by�rty paso�,fndudina the Wa�iC�d.�nd fAed pWnat 1M Cky of Fedx�y W�y but only whaa wd�d�im�risd
out of the roli.�ce of tM CitY,��inp its olfieen�rd emdoY�.�P���uw�oN of tha i�(orm�ti updied to the City a�prt of thin�ppliutim. � � -
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Owner/Agent: Date: / �-��