94-10046710. CITY OF FEDERAL, WAY
33530 First Way South MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:714 S 294TH PL
NO.: 515.250-0110
PROJECT DESCRIPTION: INSTALL NEM GAS FURNACE. FXCHANGE FOR OLD GAS FURNACE
ONNER -
N PERRY
714 S 79410 PL
WfDERAt NAY #A 9800;
941-2970
fUE1 TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN000K. .: I
GAS 0
CORY BURNER: 0
880......... 0
CAS DRYER..: 0
RMIGE ...... : 0
GAS LOGS.... 0
CONTRACTOR -
BRENNAN HEATING
4601 - 134TH PI S
TVKVILA VA 98168
LENDER
Aq-, m* -1 -
PERMIT NO: BLD94-0186
ISSUED: 03/10/94
BY: FC
EXPIRES: 09/06/94
f ANS ....... 0
801-twItMORMOO
FE, i:
Hm . ...
'K...
r
NEC PRNI ISSUANCE... S 20.00
41901 NORKt
I.
MN
S 10.00
40
RIK #
Alk AW
M.,
INE L, K ..
.. . ..
to
mrRG t
TOTAL FEES 30.00
Does the water supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' than water expansion tank is required on Hot later Tank)
Inspection Record later Line OK Mechanical Inspection Notes:
GAS PIPIK OK Date
flqA) T
PERMITS EXPIRL 110 005 AFTER ISSUANCE If NO VORK 15 STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY NE IS TRUE AND CORRECT TO THE 8151 OF NY KNWLFDGE AND TOE APPLICABLE CITY Of FERERAL NAY REQUIONENTS MILL BE 1111.
OWNER OP AGEM 11A7(
FIELD COPY
CITY
F FEDERAL WAY
0Firstt Way Soutti ICAL PERMIT �FRISSUED: O3�/90/g486
MIT NO:
33530MECHAN
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 09/06/94
ADDRESS:714 S 294TH PL.
NO.: 515250-0110
PROJECT DESCRIPTION: INSTALL NEN GAS FURNACE, EXCHANGE FOR OLD GAS FURNACE
OWNER - - CONTRACTOR — LENDER
N PERRY BRENNAN HEATING
714 S 294TH PL § 4601 - 134TH PL S
FEDERAL WAY NA 98003 i TUKNILA NA 9816B
941-2978 248-7900
BRENNCC124XC
FUEL TYPES.:GAS ?
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........; 0
FURNCOOK..:
I
DUCT WORK.....; 0
GAS HNT....:
0
WOOD STOVES-.: 0
CONV BURNER:
0
FURN>100K.....: 0
BBQ........:
0
RISC..........: 0
GAS DRYER-:
0
AIR HANDLING UNITS
RANGE......:
0
<:10,000 CFR: 0
GAS LOGS...:
0
10,000 CFR: 0
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....; 0
5+ HP.._....: 0
u
FUEL TANKS ---------
ABOVE
-------ABOVE GROUND: 0s`
UNDERGROUND.: 0
FEES:
NEC PRMT ISSUANCE... $ 20.00
NEC APPLIANCE FEES. $ 10.00
TOTAL FEES 30.00
the mater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then rater expansion tank is required on Hot Water Tank)
Inspection Record Water 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 FURNISED BY HE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE RET.
OWNER OR AGENT
�
,r��----�-`-------------- ------------------------------------- OAT'A -- �----�-----
FILE COPY
0
I �►
Pe�it # r�L-Dq ""�
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: W � }-fie
OWNER VJ t " SITE LOCATION
OWNER'S ADDRESS L CITY C
DESCRIBE JOB _�1 e
THE PROPERTY iS OWNED BY: SINGLE AARIED v q--0' e PARTNERSHIP_
BOX 2 CONTRACTOR'S NAME r- C
PHON
CORPORATION
CONTRACTOR'S ADDRESS CITY PHONE,
EXPIRATION DATE
1 7V M1 ` 7 �7/✓�
Card MUST be presented
F3- Qf � -?`/ u�
—OR—
I HAVE READ CHAPTER 18,27,010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27,110 W CH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION,
BOX 3 CONTACT PERSON 'LJ)r\v\ -
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 8 PROPERTY TAX ACCOUNT NUMBER Z)1�
LEGAL DESCRIPTION __
PHON
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) IST FLOOR �/ 2ND FLOOR I
3RD FLOOR / BASEMENTDECK"/. GARAGE`
BOX 8 (, SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO, OF UNITS = ) { ) EXISTING STRUCTURE
( ) COMMERCiALANDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -Ins) MECHANEJ. APPLIANCES — BASIC FEE $
N0. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO, FURNACE, 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 $
TOTAL MECHANICAL FEE $
CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
%ND FURTHER THAT 1 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'
:EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
SND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
WFICERS AND EMPLOXEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION,
)WNER/AGENT:
DATE: