93-102573 9 -b . /b )5'73
CITY OF
33530 First Way South MECHANICAL PERNIIT PER ISSUED: 10/11 79
993
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/09/94
ADDRESS:30018 14TH AVE S
NO. : 025300-0055
PROJECT DESCRIPTION:HVAC - GAS FURNACE CHANGEOUT
= OWNER — CONTRACTOR — LENDER
GLADYS SIFFORD AMERICAN HEATING SERVICES INC.
30018 - 14TH AVE S 7503 PORTLAND AVE STE.tB
SFEDERAL NAY NA 98003 TACOMA NA 98404
941-0123 539-1702 531-8696
AMERIHS083M5
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD - 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<IOOK..: 1 DUCT WORK • 0 3-15 HP 0 MEC APPLIANCE FEES.t $ 10.00
GAS HNT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP - 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 30.00
111
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Water Tank)
Inspection Record Mater Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNI/SED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT CPJJA G� br �`'� • - DATE (=/"•- ____0_}___19 3
FILE COPY
AdO0 Ola ' 1
•
."-71- 77477-----r17"11,1;,/-
-►"� __ u
i-7,- 3 i i,� ^- / �� "''1 !$3- X10 d3NMO '
1301 38 11I$ SI$3$38I1103$ AVM 1V83d33 30 All) 318V)I1ddU 3H1 ONV 39031018111 AM JO ISM 3H1 01 133118O UV All SI 3N A8 03SINi103 NOI1VWHOJN1 3H1 IVHI AJII$13 I
Ila
'331IVOSSI JO 31VO 4313V 11V3A 3NO 38I(03 SlIWil3d 9NIOVH9 ONV 1VIlM30IS38 'O31WVIS SI 1d0N ON 3I 33NVOSSI 8313V SAVO 081 38I4.1X3 SIINS1d
u ,, _,,. -._-___ ...-- ,_..... . ...._,.- .._ .�..,_._., . =-- -_ _ ._._..__. . __ -_ ..a .-....,. -.
AB ---- a,p9OVIC£ /10 911Idld SV9
:salow uatlaadsul leatueyaaW --------- 10 aur) Jam !moms ao!aaadSul ,
Wel Ja}eN lop no paalnbai st aut uo!suedxa Ja114 ua* .sax. 11) os () saA () zaejen pa43 Jo aataa0 unipnpaa a.inscaJt; a uteauoa sa1sAs Ald1ns Ja1aa aril coa (1 fillU__-- ..___•, ...� •.-,-,••••..,_...._ -t -,•• -.......-•••••-m=31.11.1. .:m_.:�__---- "••-•-- • - �__�_ _-.� v ta. -_,a_�_.___ .__r �. . _.__
60'01' $ 5333 1V1OI
wp
4 ' a!?°! lin 0 t < O • 5901 SV9
i
e : f 'Ik7,- '_''t0 /44,,,,,'1111' i1\ 0 :"431,80 SV9
(%:::,--1;::::_'dH :, t il"k uu,,, 0 088
,: a -; A "'*** 0 ':*"*4100VOIN 0 :83$11118 ANO3
„, n • **'411-''0t--0 ,;A 4 _ 0 • IANSV5
11111100:; -1
00'01 3 *1333 33NVI 0 ; t# ;;_* 0 : tt IMO I :•'1001>N1011
00'01 $ '•'33IIV05SI 1NMd 3311 , : `: 0 `...t)O(111 11 0 :'9$IdId SV9
:S333 � ��_ t• ,4, r��
ra _
;. ,.r.° },� 0 .•' ...SNV! St/9:"S3dAl 1303
.. _ ---„-..--..:,�_....-�.-__:.�-s�==`-,._,.......,.::ax.;=.aa_z::as:.. ""-'.-_ .. .�.-�"`-. .�swr..r•.. �-.:-arc
Sk£BI �,
9698-ITS .OLI-6£S £ZIO-tib
P0P86 VM VW03VI 1'0086 VN AVM 1V11303I 1
81.315 31tV WNV1184d £0S1 S 3AV N11,1 - BIOO£
'3W1 S33IAd3S 5314311 NV)I83WV OI0331S SAOV15
. ._ ____ t _ ��-- _ _..-- N 3011131
10035$VH3 330/N1101 SV9 3VAH=NOI id I7JOS30 1331'O13d
SSOO—ooiSZO : 'ON
S 3AV HIIPT 8IOO£:SS38aaV
V6/60/170 :SalIdx3 0O0V—T99
03 :AlS OVIv•-T99 sl.senb9H uo loadsul butpljn9 20086 VM `"vM Ie-»pa.J
- Q :a3nssi
` � � 0
6L01S6a8 :ONIIWU3d IIIAINad IVDI DH d 'I 1+
t"
M
co—
l' 0
•
1./'
v\
cJ
IP . .', +
1
n
4
...:_)...
c'
0 -
> T T T T T T T T '' T T T T T T >- T T T
0>i m Y m m m m m m m m m m m m m m :441%
mm mmIn : o o Z
z cn 3 z = ccoJ.� o g. c�oQ �'. o ~ W. W 'Z J Z0 3 0 Ct r } w Q LiLL 06 Zm J 0 J J Q Q U Z' 0in II
0 0 0 Q 0 C7 U 0 O F 0 0 0 E
Q Z Lh Z a Z Z a F- Ch N 0 Z w
C0 m W m m a 2 S Z Z w w w
y D D L Qcl) Wcu 2 +�+ U U Q +'+ D m m .E CO 2 CL c:jZ ate. a a�7. w 'J +N _ _ N
iu co 0 co ..,j m Z co S co ...I: co Q co w CO w m cc co N co T. co T. CO D m co Z co K ca 5 ca F- co F- ca
(/), 0 LL 0 c 0 D'a 0 Cl) 0 a 0 C7 0 2 0 2 0 u- 0 Z 0 0? 0 0 0 (/) 0 a 0 w 0 u 0 03', 0 0 0 0 0
Permit # ' 3o7c
' �-,ci;EiVcD EY 1
°CIT Y OF FEDERAL WAY CO''i`I INITY DEVELOPMENT DEPARTMEUT'
BUILDING PERMIT APPLICATION
— Please Print— OCT 8 1993 -
//:_____ ___1X 1 TENANT NAME, >�'� K -e-- ... ../,-
OWNER � SITE LOCATION " •, : ' ' . .
OWNER'S ADDRESS --- Ci!�, ,__-/4,_, �j7 PHONE_ %`i �,' -'.:i
DESCRIBEJOB N_�'1� ,,a'. _ 'G' _ e::-/- , _
THE PROPERTY IS OWNED BY: SINGLEh,,ARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME w% �f-z--c. e. ,,/ AIM"' /;_6 - CONTRACTOR'S REG. #h/1/:c,>�1l-{ �. ��"•'i:;;
j Card MUST be presented
CONTRACTOR'S ADDRESS " :cg. - ' /Z CIT % 1,4'1/:-.( PHONES-<5;9-`// /'c7
EXPIRATION DATE
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18,27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. _
BOX 3 CONTACT PERSON _. _ _ PHONE
BOX 4 SEWER DISTRIV T
_ wAICFiUISftil( I _
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
• BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
_
(If necessary, please submit a separate page with the legal description.)
K.C, Plat Recording # .. _.. _ _ ________
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR J 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK .J___ __ GARAGE _I
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
(r-)MULTIFAMILY (NO. OF UNITS = - .) ( ) EXISTING STRUCTURE •
( ) COMMERCIAL/INDUSTRIAL _ TOTAL L AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (Including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET "-i;'I4 L $
BATHTUBS NO. �, FURN CE, ELEC., `GAS = $
SHOWERS _. _GAS HOT WATER HEATER $
_ LAVATORIES CONVERSION BURNER $
..SINKS BOILER, SIZE BTU $
_DISHWASHERS AIR HANDLING UNITS $
. ELECTRIC HOT WATER HEATER .- _HEAT PUMPS, SIZE _ $
LAUNDRY WASHER OUTLET UNIT HEATERS $
,_URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS _ $
OTHER $
TOTAL FIXTURES 5
__ TOTAL MECHANICAL FEE $
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: ' 1 .`- _ _ --_0 _ DATE: iL'3
4f.P•006 180