94-100171CITY FEDERAL
33S300Firstt Way South MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:30221 33RD AVE SW
NO.: 012103-9062
PROJECT DESCRIPTION: HVAC - INSTALL (2) GAS FURNACES, HOT,NATER HEATER, & PIPING.
OWNER
ROBERT/PAN LIVINGSTON
30221 - 33RD AVE SW
FEDERAL WAY NA 98023
4-6199
CONTRACTOR I LENDER
RHONA COMPANY
31416 NE 180TH PL
DUVALL WA 98019
206-823-5555
RHOMACr0170I
PERMIT NO: BLD94—OOSO
ISSUED: 01/20/94
BY: FLF
EXPIRES: 07/19/94
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 50 ft
HOOD..........:
0
0-3 HP......: 0
NEC PRMT ISSUANCE...
$ 20.00
FURN<100K..: 2
DUCT WORK.....:
0
3-15 HP.....: 0
NEC APPLIANCE FEES J
$ 29.50
GAS HMT....: 1
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER: 0
FURNMOOK.....:
0
30-50 HP....: 0
BBQ........: 0
MISC..........:
0
5+ HP.......: 0
GAS DRYER—: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0
<:10,000 CEM:
0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
$ 49.50
es the water supply
systeo contain a
Pressure
Reduction Device or Check valve?
() Yes (} No (If 'Yes' then water 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 ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT � /
i' `= ---- -- ------------------------------------------------ DATE----�F--�1---
FILE COPY
Pon it
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
TENANT NAME:
OWNER 'Koj3a-ni—/AM I.IVISITE LOCATION 30 rt 335 AVE SW L-�Iuc K#f,?
OWNER'S ADDRESS _S CITY — PHONEZA6 874• (o Il
DESCRIBE JOB 6 , S FEVATWV t ltvJ tfC-A7 'L
THE PROPERTY IS OWNED BY: SINGL /M RI ✓ PARTNERSHIP CORPORATION
l� CONTRACTOR'S NAME
d%/z THCE-MALL co. CONTRACTOR'S REG. #2htoMRc-'KOf7-70Z
Card MUST be presented
CONTRACTOR'S ADDRESS 13(. S NC lZk6 FL. " 47e CITY 1<t 21«.A NE). 1AA . PHONE Lob • bi-'s - S S- S S
EXPIRATION DATE qe3¢
li
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.
�j/CONTACT PERSON nE2A-fZP DF_ Mc) nJ1Z PHONE2o(0'923 • SSSS
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
,BX� PROPERTY TAX ACCOUNT NUMBER d I Z I 0 7:3 1] O (o Z..
LEGAL DESCRIPTION
bmit epar
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX�9)PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET 5",
$
NO. 2- FURNACE, ELEC. GAS
$
_GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
OTHER
$
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
._)OWNER/AGENT:
DATE: t/ z o/ 1 f
ANP0083/90
i
"CATY OF FEDERAL WAY
MECHANICALPERMIT
PER
335.30 First Way ,Doth
ISSUED:
40
01/20/9
Federal Way, WA 98003
9uilding Inspection Requests 661-4140
BY:
FLF
661-4000
EXPIRES:
07/19/94
ADDRESS:30221 33RD AVE SW
NO.: O 12103-9062d L L , ,q T
PROJECT DESCRIPTION:NVAC - INSTALL (I} GAS FURNACES, HOT MATER HEATER, i PIP!11" �l�c �'�MP4"�7
Ca -p 003.5555 v�
OWNER : CONTRACTOR--
ROBERT/PAN LIVINGSTON RHONA COMPANY
30221 - 33RD AVE SW 31416 WE 180TH PL
FEDERAL NAY MA 98023 OUVAtL WA 98019
874-6199 206-823-5555
a PP W
r
FUEL TYPES -:GAS FANS........ ., ro ROO€Ri Ol ikS FEES:
SAS PIPING.: 50 Ft HOS........, *73 *�� �� ITEC PRAT ISSUANCE... E 20.00
FURWc10iTIC..: 2 UtICT 1FBRX... 15 E FEES.* f 24.54
GAS IHIT....: 1 MOOD IP -M ` o
�
CONV BURNER: 0 Fl11iiMlt(� *HP4-4
mo
88...... , M
O SC. .. , : "�4 N��a
01i1\4
GAS DRYER..: 0 AIRE LX,
RANGE..... , . 4 r
GAS LOGS...: 0
TOTAL FEES I 49.59
the Mater supply systes contain a Pressure Reduction Devine or Check valve? () Yes () No (If 'Yes` then Mater expansion tank is required on Hot Water Tank}
Inspection Record Mater Line OI( -- . _ _ .._ ._ Mechanical Inspection Notes;
GAS PIPING ;ate ---__._ BY
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDEeTTAI AND GRADING PERMIT; EXPIRF ONE YEAR AFTER DATE Of ISSUANCE.
1 CERTIFY THAT THE INFORMATION TBRNISED BY ME I5 TRUE AND CORRECT TO THE BEST OF MY XNOWIEDGF AND THE APPLICABLE CITY OF FERERAF NAY AFINIIPEMENTS MILL BE NET.
NER OP AGENT � 1 DATE
FIELD COPY ��