93-103203CIOr' FEDERAL WRY
K'K-,-dFfihLiWV1Str7tYMECHANICAL
PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:826 S 319TH PL
NO_: 609400-0270
PROJECT DESCRIPTION: HVAC - INSTALL GAS FURNACE 6 HOT NATER HEATER
ONNER
HAROLD ISACCSON
826 S 319TH PL
FEDERAL NAY NA 98003
71
CONTRACTOR
AMERICAN HEATING SERVICES INC.
7503 PORTLAND AVE STEAB
TACOMA NA 98404
539-1702
ANERIHS083M5
LENDER
2-,— /03 �_a_�
PERMIT NO: BLD93-1360
T-,41t"rMa of/7t//q7
BY: FC
EXPIRES: 06/19/94
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 2 ft
HOOD..........:
0
0-3 HP......: 0
NEC
PRMT
ISSUANCE... $
20.00
FURN<100K..: 1
DUCT NORK.....:
0
3-15 HP.....: 0 p _
NEC
APPLIANCE
FEES.a $
19.50
GAS HNT....: 1
HOOD 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
$
39.50
es the eater supply
system contain a
Pressure
Reduction Device or Check valve?
O Yes O No (If 'Yes' then rater expansion
tank
is required on Not
Nater Tank)
Inspection Record
Nater Line OK
Mechanical Inspection Notes:
I
GAS PIPING OK
Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION URNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNONLEDGE AND THE APPLICABLE C TY OF FERERAL NAY REQUIREMENTS HILL BE MET.
OWNER OR AGENT--
----- ---------�'-----------------------------------------------
FILE COPY
A6
5318696 P.02
BENT BY;DEPT Or GOMMUNITY DES -15-83 ; 1t30PM ; CITY OF FEDERALO-6 6318690:# 2
Permit 4 c)
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
- Please Prlrt -
BOX 1 TENANT NAME;
OWNER x.59 _!t/ (� v SITE LOCATION
(7UVNCR`S AGGRESS 2_�� �- C#TY Ly..__1��1 Y .`_ PHONF -
DESCR'BF.JOB 5_ZA ra'4.�
THE PPOPERTY IS OWNED BY: SI! CiLElMAf1RIEt�, PARTNERSHIP_^ _ CORPORATION
BOX 2 CONTRACTOR'S NAME�7iit2 96.400. E- CONTRACTOR'S REG_ #f3t?lf 3,zW's
Card MWT bt Pr6SOAted
CONTRACTOR'S RDDRESB- f 'TL-�. C_ CITY�� G j I t� --- PH JNE L�� ZQ _
ExPlIkATION DATE IOR
I HAVE REAS DIAP'T GR 18.27.0 10 RELATING TG DEFINI'"IONS CP GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18,2 7110 WHICH PROHIGSITS ISSUING PERMITS WITHOUT PROOr OP 119GISTRATION, ,
BOX3 CC3NTACT PERSON. PHONE_SL3_� - --
BOX d SEWER DISTRICT _— WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION --------_—__-- —
BOX 6 PROPERTY TAX ACGOUNI t NUM15611- v C)a 7 6
LEGAL OESCRI P rlCra---
(If nomwary, pleau eubnllt a separate page with the legal desorlptim)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE' (EXIS6ing/Proposed) IST C='�DOR— _wv.l_�� 2ND FLOOR
3RD FLOOR_- j_ -BASEMENT____1 pECK._�J�_--.— GARAC3E_.y.._._1_
BOX 8 ( ) SINGLE FAS11LY ) NEW CONSTRUCTION
( j MULTIFAMILY (NO. OF UNITS EXISTING STRi1CTURE
( j COMME_RCIALANDUSTRIAI. TOTAL ARRA OF PROPIRTY-____SQ FT
BOX O PLUh,A01NG FIXTURES (including rough -ins) MECHANIPAL APPLIANCES -- BASIC FEE $
NO,_,,,....._ WATERCLOSETS GAS PIPING, KEEP 2 - $ ____
r__._9ATHTUOS NQ.—L__.PLANACE, ELFC- _ $ __---
__._.w...�SHOWEAS ___L_GAs HOT WATER HEATER $
CONVERSION QURNER $
_SINKS ____.,w.wBOILER. SIZE __ BTU $
.-�_,---DISHWASHERS ._AIR HANDLING UNITS S_-
--ELEOTRIC HOT WATER HEATER -_ . _*HEAT PUMPS; SIZE -- 3__LAUNDRY WASH' OUTLET _-UNIT HEATERS �
_—URINALS —AIR CUOLINO UNITS, SIZE ---
--DRINKING FOUNTAINS _-COMMEFCIAL HOOD $ —.._.,----
_ ._SUMPS, SPRINKLER VACUUM BREAKERS OTHER
$�
-----TOTAL FIXTURES
TOTAL MECHA141CAL 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 OFTHE ABOVE PREMISESTO PERFORM THE WORD FOR WHICH PERMIT APPLICATION IS
MADE. I FURTHER AGREE T�SAVP HARMLESS TIE CITY OF FEDERAL WAY AS TO ANYCLAIM (INCLIJOING COSTS, EXPENSES, AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENgS OF SIKH CLAIM), WH0 MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED.
ANIM FILED AGAINST THE CITY Or FEOERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OFTHE CITY. INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THIS CITY AS A PART OF THIS APPLICATION.
-E►+/rN0VAGENT, _ {-LI 4".. ? - , . M- - - DATE:.._—
tit NIX W
CITY OF FEDERAL WAY
'T"TatAKM rtvor NW* &1*mmrH MECt"NICAL PRIMIT
Federal Way, WA 98003 Building inspection Requests 661-4140
661-4000
ADDRESS:826 S 319TH PL
NO.: 609400-0270
PROJECT DESCRIPTIONi#VAC - INSTALL GAS FURNACE & HOT HATER HEATER
ONNER
HAROLD ISACCSON
826 3 319TH PL
FEDERAL MAY M 98003
COMIRACTOR ..........
AMERICAN HEATING SERVICES INC.
7503 PORTLAND AVE STE.18
TACOMA M 9804
539-1707
AMERIM395
LENDER
PERMIT NO: BLD93-1360
BY: FC
EXPIRES: 06/19/94
"P BW
FULL TYPES.:GAS TAM., 0 R FEES:
GAS PIPING.: 7 ft HOOD ......... .. 0 MCC PRNT ISSUANCE... S ?0.00
fUFM<1001..: I OKI VRK. Is NS 19.50
GAS HMT....: I NOOD ,iTOVES
C9#V BURNER: 0 FQ1tT4a�
Boo ........ : 0
IT
GAS DRYER-: 0 r S.
RANGE........ 0
GAS LOGS.... 0 071
TOTAL FEES 1 39.50
the water supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (If *Yes* than water expansion tank is required on Hot Nater Tank)
Inspection Record Niter Line OX Mechanical inspection Notes:
GAS PIPING Lr56 'Date/ -t'
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If NO VORK IS STARTED. RESIDENTIAL AND GRADING PURPITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAT THE INFj:)RAA1I6N URNISED BY RE 15 TRUE AND CORRECT TO THE BEST Of MY KMVLFKE AND THE APPLICABLE C 1Y Of FERERAt MY REQUIREMENTS HILL Of NET.
OWNER 0? -oliq` /.7 -
FIELD COPY V" IV