94-100182CITY FEDERAL.
335300Firstt Way SoAuth MECHANICAL P ERM I T
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:31215 41ST PL SW
NO.: 873199-0120
PROJECT DESCRIPTION: HVAC - INSTALL HEAT 'N GLO, RANGE, 6 PIPING.
INNER
BARBARA CANDEE
31215 - 41ST PL SN
FEDERAL NAY WA 98023
838-2953
CONTRACTOR —
PACIFIC GAS HEATING 6 AIR INC
11002 34TH AVE S
TACOMA NA 98444
582-5882
PACIFGH110ME
LENDER
q V, /0 0 lffa
PERMIT NO: BLD94-0063
ISSUED: 01/25/94
BY: FC
EXPIRES: 07/24/94
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 50 ft
HOOD..........:
0
0-3 HP......: 0
MEC PRMT ISSUANCE...
i 20.00
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....: 0
MEC APPLIANCE FEES.*
S 16.00
GAS HNT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
CDNV BURNER: 0
FURN>100K.....:
0
30-50 HP....: 0
BBQ........: 0
MISC..........:
0
5+ HP.......: 0
GAS DRYER—: 0
AIR HANDLING UNITS
FUEL TANKS ---------
NGE...... : 1
<:10,000 CFM:
0
ABOVE GROUND: 0
AS LOGS...: 1
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
$ 36.00
Does the water supply
systee contain a
Pressure
Reduction Device or Check valve?
() Yes (} No (If 'Yes' then mater 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 AERTIFY THAT THE !FORMATION FURNISED BY ME IS TRUE AND CORRECT TO;
O HE BEST OF MY KNONLEOGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
� ,�. FILE COPY
/,/mth? L 0f4 -TC
UUX 1 1ENANT NAME.
0
Ry
permit N_._,.I:...4s'.:`'_
(CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
. Plraap Print .
4
OWNER _.._,. -� % !? �. '..- .. ___...... SITE LOCATION ._TZ /. _
THE PROPERTY 15 OWNED 8Y; SINGLE MARRIED Y V _CITY, .9E- a , 42 C44
OWNER'S
DESCRIBE JOB _[�_� �� �' ��
' hAR1NEkSHIP.__.,,.,,.......,...._.CORPORA 10 _
-- �_9,. rJ[�t C._.. CONTRACTOR'$ REG, #_.. f
[SOX 2 CONTRACTOR'S NAME _a..t`. .+..`�_.. 1._.._ c .•a ti/Jdm
Zard M,!I`Tbs pFrrrekd
CONTRACTOR'S ADDRESS 11Dl ,3 °"'�S-' CITY-
EXPIRATION
ITY EXPIRATION DATE_-
-OR—
I NAVE READ CHAPTER Ta.27.010 REt.ATING 1'D DEFINITIONS OF GENERAL C014TRAGTORS AND SPECIALLY CONTRACTOHS ANO
CHAPTE: R 18.2'.1 iO ;:H',CH a,RCWKuiTu',551!Nra Pw;"',T5 WIT W,1011T A{,wC n n vii a T a a T I A I
BOX 3 CONTACT PERSON f / / _--—_-_.—___ —_— PHONGoLIl
bUX A SEWER 015TRIC1' _— WATER DISTRIOT
HUX 5 ESTIMATED PROJECT COST --...—_.._....._,....,.,,..,,,,... EXISTING BUILDING VALUATION
bOX 5 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION ,
.-....._............... _........_....... -- - .. - _ _ ..,...... ..............._..,..,
(11 neumary, please submit a uparale page wiln the legal desuriptlon,)
K.C. Plat tlecardlng N- _..._._ .. _.._._ — ............... - -- _-- -- -- -- —--------------...-—._.._.__.. _...---
bVX 'r BUILDING SQUARE FOpTAGE: (EXISORUIPtopoo01 IST FLVOR___—.J--_—_ 2ND FLOOR 1.
31`11.) FLbbH_..__...__..J_._...._..._... BASEMENT_ _.[ GANAG
UfJA B I SINGLE FA'AILY
( ) MUL11FANIILY (NO. OF UNITS
( ) COMMERCIAL/INDUSTRIAL
bOX 9 PLUMBING FIXTURES (InCkiadio rough -Ins)
NO. WAT£RCLOSETS
BAiHT'UBS
SHOWERS
LAVATORIES
$INKS
—DISHWASHERS
...,_.... __ ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
_ _UhiNALS
—,DRINKING FOUNTAINS
--._—_SUMPS, SPRINKLER VACUUM BREAKERS
-DRAINS
TOTAL FIXTURES
( ) NEW 00145' RUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY __GO FT
MECHANICAL APPLIANCES — BASIC FEE `b
N0,_ PIPIN'I, F .....
URNACE, F.LEC..... ........ r
...,,,..._..._ (IAS......-`-=.----.,..
$ .,.....__..__
$ .._.._._.....
_,..._.....__GAS HOT WATER HEATER
_....._CONVERSiOIN BURNER
$ —�
..., .. _ BOILER, SIZE BTU
$
_.._.... _AiR HANULINO UNITS
$ �.-..,.W.
—_—HEAT PUMPS, SIZE
$
----- -.-- UNIT HEATERS
5 ._.............,.
Alli COOLING UNITS, SIZE
—.._._—COMMEhGIAL HOOD
_ _.-------
5 —
TOTAL MECHANICAL FEE $
I crH I IFY UNDER PENA'.TY OF PERJURY THAT THE INFORM.A'ICN lUnNISHED BY ME IS TRUE AND CURHtC 0 I U I Ht tltS I Ur MY KNUVVLtUUt
AND IWil HER THAT IAMAU1'HORIZEDBY1HEOWNERCFTHEABOVE PREMISE3TOFENFUkM"IHE$ti(JIHKFUHWHICH F'tl( IAYYLIUAIION 13
MARL. I FURT'HER AGREE TO SAYE HARMLESS THE Ci I V 01'FEUEHAL 4VAYAS IQ ANY CLAIM',INCLUOINGCOSTS, EXPENSES, AND Al TORNEYS'
�t. is INGUHNED IN IN VES I IGAI!ON ANO DEFENSE OF SUCH CLAIM), WHICH MAY BE MAUL BY ANY PERSUN, INCLUDING THE UNDERSIGNED,
Ar1i) FILED AGAINST 1'I IE CIT Y OF FEDERAL WAY, BUT ONLY WHERE SUCH L'LAIM AHISES OUT Of THE RELIANCE OF THE 01Y, IN0L.ffNG ITS
0ffl0ERS AN& EMPL0fLES, UrON sHE A4CUHAUY Ur lHt INFURMAIIUN SUPPLIED TO THE CITY AS P, PAI OF THIS APPLICATION
U'+NNERIAGENT _�4��{,jam=.•�- _ r �' DATE;
n.r _ae en
CITY
3353O0First. FEDERAL
Way south MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:31215 41ST PL SW
NO.: 873199-0120
PROJFCT DESCRIPTION:HYAC INSTAU HEAT 'N GLO, RANGE, i PIPING.
BARBARA CANDEE
31215 - 41Sf PL SN
FEDERAL MAY NA 98,023
838-2453
CONTRACTOR
PACIFIC GAS HEATING i AIR INC
.g r YE S
LENDER --
PERMIT NO: BLD94-0063
ISSUED- 01/25/94
BY: FC
EXPIRES: 07/24/94
FUEL TYPES.:GAS ES::j
GAS PIPING.. 50 ft � � NEC PRNT ISSUANCE... S 20.00
FURN<100K..: 0 DIN: 0 1 P NEC APK IARCE FEES.$ = 16.00
GAS HNT....: 0 HOOD 5 Q
r
CONY BURNER: 0 'URN>lOO
BBQ........: 0 RISC....... 0 54 HP.......; 0
S DRYER..: 0 AIR HANDLING UNITS FUEL TANKS----------
NGE...... : 1 <:10,000 CFO: 0 ABOVE GROUND: 0
GAS LOGS ..: 1 > 10,000 CFM: 0 UNDERGROUND.; 0
TOTAL FEES ; 36.00
[—Z—the Mater supply systes contain a Pressure Reduction Devi Check valve? () fes {t No (if 'Yes" then Mater expansion tank is required on dot Mater Tank)
Inspection Record Nater line 01 Oechanic1 nspecti rtes:
GAS PIPING 01 Da
��.--�.-��,�>:_..---_—:rem-:•-�-�.-—.�.`-�a--.-:-:..�-�3 __-_��.---_,- .�--,-� _�-�:�.-�.,�.a.-,-�--�
PERNITS EXPIRE 1110 DAYS AFTER I'iSUANCE IF NO PORK IS STARTED. RESIDENTIAL ANO GRADING PERNITS EXPIRE ONF YEAR AFTER DATE OF ISSUANCE.
I AERTIFY THAT THE _INFORMATION FURNISED BY Nf IS IRUE AND C,ORPECT TO THE BEST OF NY KNOMLfKf AND (HE APPLICABLE CITY OF FERERAI MAY REQUIREMENTS MILL BE NFI.
���� FIELD COPY
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