94-100157CITY OF FEDERAL WAY
33570 First Way South
Federal Relay, WA 98003
661-4000
MECHANICAL PERMIT
Building Inspection Requests 661-4140
ADDRESS:1134 S 299TH PL
NO.: 515160-0470
PROJECT" DE:SCRI PT ION: HVAC - INSTALL GAS FIYR Ut.
A; lvblt�10,
PERMIT NO: BLD94-0048
ISSUED: 01/24/94
8Y: FC
EXPIRES: 07/23/94
DINER CONTRACTOR LENDER
CATHY BOYD C H SERVICE COl1PARY
1134 5 299TH PL 309 S CLOVERDALE IE4
EDERAL NAY RIA 96003 SEATTLE NA 98108
941-5256 767-068
'77 03
FUEL TYPES.:GAS FANS..,..,. E FEES:
GAS PIPING.: 0 ft HODD....... 3 RN;E... 1 20.00
is E FEES. 10.00
GAS ANY..... 0 aresu�e �s -3
°!9itlLiE���kF3E'�`.iE�"i2e.'�-'t"� �` �, iis' .k • -,���
GONV+ BRIRNER: 0
DAi1........ : 0 N
GAS DRYER..: 0 AIR S - --
RANGE ...... . 0 (=IOC 0
GAS LOGS...: 0 > 10, E : 0
TOTAL FEES k 30.00
Does the eater supply systen contain a Pressure Redaction Device or Check valve? () Yes No (If 'Yes' than rater expansion tank is required on Not Hater Tank)
Inspection Record Vater Lina 01 Mechanical Inspection Notes:
GAS PIPING fI4*--1WDatet V—
.r
PERHITS EXPIRE 180 DAY5 AFTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AN GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSWE.,
I CERTIFY THAT INE INFOIOtATION fir BY NE 15 TRUE AND CORRECT TO THE BEST OF NY KNONLEDGE AND THE APPLICABLE CITY OF FERERAL KAY REQUIRENENTS GILL Bf 41,
04NER QP AU16 � � DATE
A 10
CITY OF FEDERAL WAY
MECHANI SAL PERMIT
PERISSUED:
33530 First Way South
01/24/9448
Federal Way, WA 98003
Building Inspection Requests 661-4140
BY:
FC
661-4000
EXPIRES:
07/23/94
ADDRESS:1134 S 299TH PL
NO.: 515160-0470
PROJECT DESCRIPTION:RVAC - INSTALL GAS FURNACE.
DINER
CATHY BOYD
1134 S 299TH PL
FEDERAL MAY NA 98003
941-6256
FUEL TYPES.:GAS
GAS PIPING.: 0 ft
FURN<100K..: 1
GAS HIT....: 0
CONV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
CONTRACTOR
C H SERVICE COMPANY
309 S CLOVERDALE #4
SEATTLE NA 98108
_.767-4401_ -_.
-CHSEIECs150D1�
LENDER
FANS..........: 4 BOILERS/COMPRESSORS--- FEES:
0 073 iH+.....-.:_�_ __..-_. _- . ____ _- __ _.-_ _ _ _ �__ __ JlEC-QRMLISSUANCE... 20.00
ROtH1......... ._. _
DUCT IORK.....:. 0 _... Stli NP..{...: -0 __. _._...._ , `, _ ? f ! r MEC jA ANE FEES.* 10.00
IOORT0VE8 JO,... ;1- HPC.. 0 T
--
AIR' SU
"N5
> 10
: 0
TOTAL FEES 0 30.00
7-a the mater supply system contain a Pressure Reduction Device or Check valve? Q Yes () No (If 'Yes' then Mater expansion tank is required on Hot Mater Tank)
Inspection Record later line OK ' Nechanical Inspection Notes:
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 INFORNATION FUGuNIP BY M IS TRUE AND CORRECT TO THE BEST OF NY KNOMLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS HILL BE NET.
OWNER OR AGENT 7DATE�-
5�
01/19/94 14:51 C. H, 5ERVICE CM 12
uni Ut- CUMMUNITY 0E11-18-84 ; 2:52PM ;CITY OF FEDERRAAIMY#
BUILDING CITY OF FEDBRAL WAY � r � ��� �
PERMIT APPLICATION o
— Pieaer Print 5Te q
BOX 1 TENANT NAME;
OWNER'S ADDRE
DESCRIBE JCIB
THE PROPERTY I$ WNED : SINOLEIMARRI
BOX Z CONTRACTOR'S {NAME �' tt • v V i C1
51 TE LOCATION
CITY.L
Ft$HIP ....._ CORPORATION
- 0ONTRACTOWS REG. f=
CONTRACTOR'S ADDRESS ���1 � „� � t� Lt.Q t�_CI ; � -'� PHONE 2&I i-Mosl
EXPIRATION DATE -_. --Z-2 - T I "t `'t 1—-
- on —
I
.._._._„i....—on—
I HAVE READ CHAPTER 18.21.0 i O RELATING TODEFINI'l IONS OF OENERAL CONTRACTORS AN10 SPECIALTY CONTRMOT'ORS AND
CHAPTER 18.27,110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF R018TRATiON.
BOX 8 CONTACT PERSON
WX 4 SEWER DISTRICT .._ WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST ( �" ` t ------ EXISTING BUILDING VALuAnoN
BOX 8 PROPERTY TAX At=NT NUMBER
LEGAL DESCRIPTION ,.. .
(If necessary, please submlt a separate page with the le40 dooription.)
K.C, Plat Avording 0 -
BOX7 BUILDING SQUARE FOOTAGE: Y(Exlsting/Proomd) IST FLOOR— I 2ND FLOOR
2AD FLOOR--• 1 BASEMENT ------J---- DECK __--- __j— $WOO
BOX 8 (t.eKSINOLE FAMILY { } NEW CON5TRUCTION
( } MULTIFAMILY (NO. OF UNITS EXISTING1 STRUCTURE
( } COMMERGIALtINDUSTRiAL TOTAL AREA OF PROPERTY 50 Ft
BOX 9 PLUMBING FIXTURES (including rauOh-ins) MECHANICAL.APPLIATNOIES — BASIC FEE S
NO.—WATFRCL17SETS BIAS PIPING, FEET
I3ArHTUBS NO,_.I.____FURNACE, FLEC.--, ._i 0At3�
SHOWERS _GAS _,,,_. GAS HO'T MATER 14EATER
LAVATORIES —CONVERSION BIIRNGR i ....�._�
SINKS BOILER, SIZE� STU---
T_,_.DISHWASHEI AIR HANDLING UNITS $ ..�..�...�
ELECTRIC HOT WATER HEATER HEAT PUMPS. SIZE
_._.,.r.. LAUNDPIY WASHER OUTLET , _. UNIT HEATEM 16 ....,..
__URINALS _...._..--AIR COOLING UNITS, SIZE G
DRINKING FOUNTAINS ..__COMMERCIAL H000 S ��
SUMPS, SPF31NKLER VACUUM BREAKERS ---OTHER lF .r..�...-
_,,,_,,DRAINS �
_OT H6R $
„TOTAL FIXTURES $ •••• ---
TOTAL. MECHANICAL f EE G—
I CER T II'T UNDE13 PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CDRRECT TO THE BEST OF MY KNOWLEDGE
AND FURTHER THAT I AMM AU I'HORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORKFOR WHICH PERMIT APPLICATION IS
MADE, I FURTHER AGREE TO SAVE HARMLESSTHE CITY OF FEDERAL WAY AS TOANY CLAIM (INCLUDING COSTS, EXPENSFS, ANDATiORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNIOMIANED,
AND FILED AGAINST THE CITY OF FEDERAL WAY, 801 ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDINIs ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLI ED TO THe CITY AS A PARC OF THIS APPLICATIBN,
t•N
OWNEFUAGENT:
MATE.