94-100609CITY OF FEDERAL WAY
33530 First Way South MECHANICAL lPERMIT
Federal Way, WA 98003 Building Inspection Requests 661--4140
661-4000
ADDRES5:1455 S 303RD ST
NO.: 025300-0210
PROJECT DESCRIPTION:RVAC - INSTALL CAS NOT #ATER HEATER
IAN MC11FANY
1455 S 303RD 51
FEDERAL NAY OA 98003
94t-7043
FUEL IYPES.:GAS
GAS PIPING.: 0 ft
FORN00011..: 0
GAS NMT....: I
CONV BURNER: 0
800......... 0
GAS DRYER..: 0
MAWE ...... : 0
LOGS...: 0
0
FuRN)
MISC. .
AIR HANDLI IS
(n10.000 CFM: 0
) 10,000 CFM: 0
CONTRACTOR — —
ABC GAS INSTALLATIONS
9_6tTH CT E
HP........ 0
ft TANKS-____-_-_
ABOVE
ANKS---------
ABOVE GROUND. 0
UkHR(,ROUND.: 0
LENDER
qq-jboDbq
PERMIT NO: BLU94-0250
ISSUED: 03/30/94
BY: FC
EXPIRES: 09/26/94
, 9"kl-s57
NEC #"I m"WffmN` 1 20-00
NEC APPLIANCE FEES.* S 6.50
TOTAL FEES
$ 26.50
Does the water supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (If *Yes' then water expansion tank is required on Not water fanO
Inspection Record water line OK ---, Mechanical Inspection Notes:
GAS PIPING 13vzi55--T4� 6 9ate3-3/-9V By
PfRNITS IXPIRE 180 DAYS AFTER ISSUANCE If 00 VORK IS STARTED. RESIDENTIAL AND MING PERMITS EXPIRE OWE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO (HE BEST Of NY INONLEDGE AND THE APPLICABLE CITY OF fERERAL MAY REQUIREMENTS MILL BE' 011.
OWNER OR AGENT,DATE
--------- -- —
..
V
F FEDERAL WAY
33530ITY OFirst Way South MECHANICAL PERMIT
F=ederal Way, WA 95003 Building Inspection Requests 661-4140
661-4000
ADDRESS:14SS S 303RD ST
NO_: 025300-0210
PROJECT DESCRIPTION: HVAC - INSTALL GAS HOT WATER HEATER
JAN MCENEANY
1455 S 303RD ST
FEDERAL NAY NA 98003
941-7043
FUEL TYPES.:GAS
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HNT....: 1
CONV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
ANGE...... : 0
S LOGS...: 0
CONTRACTOR - - -
ABC GAS INSTALLATIONS
9923 64TH CT E
PUYAE .r 1A 98313
845-7482
ABCGAI$113N3
= LENDER
PERMIT NO: ((BL_094-0250
0
ISSUED: 3/30/94
BY: FC
EXPIRES: 09/26/94
F,
NEC PRN. ISSUANCE... `` $ 20.00
MEC APPLIANCE FEES.* $ 6.50
TOTAL FEES $ 26.50
Does the coater supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Nater Tank)
Inspection Record Nater Line OK Mechanical 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 INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS WILL BE MET.
OWNER 0P, AGENT_----� &e . ---- � ... �- ....--------------------FItE�oP�Y DATE — - -
0
BOILERS/COMPRESSORS
HOOD. ........:
0
0-3 HP.. _:
'-
DUCT WORK.....:
0
3-15 HF ....:
0
WOOD STOVES...:
0
I5-30 HP....:
it
FURN>100K.....:
0
30-50 4P....:
0
MISC..........:
L.
54 HP.......:
0
AIR HANDLING UNITS
FUEL TANKS ---------
(:10,000 CFM:
0
ABOVE GROUND:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
= LENDER
PERMIT NO: ((BL_094-0250
0
ISSUED: 3/30/94
BY: FC
EXPIRES: 09/26/94
F,
NEC PRN. ISSUANCE... `` $ 20.00
MEC APPLIANCE FEES.* $ 6.50
TOTAL FEES $ 26.50
Does the coater supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Nater Tank)
Inspection Record Nater Line OK Mechanical 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 INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS WILL BE MET.
OWNER 0P, AGENT_----� &e . ---- � ... �- ....--------------------FItE�oP�Y DATE — - -
BOX 1 TENANT NAME.;
Armit #
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
I
OWNER-: SITE LOCATIONS '5'-'5—
'S s
OWNER'S ADDRESS CITY [.Z PHONE ::?- c V-3
DESCRIBE JOB
THE PROPERTY IS OWNED BY:SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # a &: aR T* j L3&j
Card MUST be presented
CONTRACTOR'S ADDRESS(CITY HONE
EXPIRATION DATE . Jv
—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_&'tis,- i�Z 6.2—
BOX
.Z
BOX 4 SEWER DISTRICT
WATER DISTRICT
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 /
3RD FLOOR / BASEMENT J_ DECK J.
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMM ERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY
2ND FLOOR /
— GARAGE /
SO FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET - J
$
BATHTUBS
N0. FURNACE, ELEC. GAS
$
SHOWERS
i 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
S
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE
ANP -008 3,90