97-102127( If Y 01- FL 1) I' RAL W )Y
335301 F i ►«-;t. Wout.1-1
f'o.dt: ral W.:iy, Wf',
661-4000
AD1)Rr,-' 1,3 : ~32900 19111 AVE-
NO. : 01.0456-0010
PROJECT DESCRIPTION:W01P.
c3 W
NEATER INSTALLATION
l
liui l(Jing Inspection f?e(4ur�s,.ts 661 I. qtr
OWNER............... x, x.... ....... zx:aG.G........ CONTRACTOR G•: itL....'RT.6 Sk CS4CGSxR'J YCC .LG'YGYSGCl.'DI Y:r :S6AC
KEVIN HENSON OWNER IS CONTRACTOR
32400 1410 AVE SN
FEDERAL. NAY WA 48023
� I
974-455)
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9f7 CUR 7
I)LRM 1 l NO: MLC9 7 --0181
155UE L►: 06/1<3 /` 7
13Y: F'C2
EXPIRES: 12/1'*/97
LENDER..c:nx:.xx:.m-........... kYsax^xus :Gc..... ..scxs@s.
Rpm3'F[u:GS"'2TlC:G:zCCW"i2SII«•"_.;YL•:�G`"SGSSI�CCA$ a F«
arts CONTRACTORS, PLEASE USE LOCATION C04 iitz *o,o RE TING SALES TAX FOR PROJECTS MIININ INE CITY OF FEDCRAI WAY. TAX RATE _ 8.15 sts
tl-1aaGaYt@'tlrmcxxrmxm#5+;..;-^_:.rx.x._-:c.�....7y�,.t1tA1�eB1f.?Y#�xVitilx 7l��=ssa..�lYU�" .. _.:._ ..:.. a -e:::xa:acorn:::s.:xasG:Gs:=.�s.naecrcas�:'.r_�r�::x X:xa¢nra�r. cs _a'_:: -..�.6 ra �sxs:xaaax^S.ms:cxa:inmx:sSmv�aF=ass:a:aawr::am:"ae...x
PROJECT VALUATION 400��' FEES:
FUEL TYPES.:? ? FANS..........: 0 80I RS Mechanical Permit* 1 22.00
GAS PIPING.; 0 fit MOOD.. MEC PRMI ISSUANCE... 3 20.00
fURN<1OOK... 0 DUO WORT .... . O ��15 .. � �� "�4 � �� �������1 �
J GAS NWT..... 1 WOOD STIES..
E CONV BURNER: 0 FURtPit�.
� � �� s .
��
0S DRYER..: 0 AIR�41��TSl
j RANGE....... 0 lt�l�
GAS LOGS...: 0 IO,f�.0 ti� G 0
PH ..mom" TOTAL FEES 42.00
c:Y-.xYYaY.�GGCYx-zr_xx.a::.xsaznuacasusY- :anxaGxmrG. be+.-aacu- .�...xcaa:xmsYscm@a:a>.m-:,mxx warm :x• sxcsc nm�.oeemxsxxxxmda xsursGsmaGn:c::c............. .........
Does the water supply system contain a Pressure Reduction Device or Check valve? {} Yes () No (It 'Yes" then water expansion tank is required on Not Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes: _._.
GAS PIPING Or .-_._...._.___ Date _ ... BY
...... ...W.NGGY.... S@Jml®m...aS'... mx YAABm@G S: G.... H..YGx' i@C.9S....SAY :• C9G Gfa@mG@@P pi F`Y vrtCx CSi .L>1 CPY .CM@@mm.... ........ SmSm@mmi@6S
PIRMITS FXPIRE 180 DAYS AFTER ISSUANCE. IF NO tN11tK tS STARTED. RESIDENTIAL AND GRAOINC PERMITS EXPIRE ONE YEAR AFTFR DAIS OF ISSIMKI,
I CERTIFY 101 INFORMATION FURNISHED BY Nt IS TRUE AND CORRECT 10 TK 8ES1 01 MY K9OW1LDGE AND THE APPLICAR.E CITY OF ttDERAt MAY 11001RENENiS N1Ll BL MLT.
OWNER OR AGENT DAIL
FIELD COPY /�`
■
■
■
SETBACKS &''FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH -IN
Date By
.GAS 'I PIPING
Date By
MECHANICAL ROUGH -IN
Date By
MECHANICAL (OTHER)r�
Date By bL
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING s FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CDO193
CITY Of -,,,FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
ADDRESS:329001 19TH AVE SW
NO.: 010456-0010
PROJECT DESCRIPTION :WATER HEATER INSTALLATION
F= OWNER
KEVIN HENSON
32900 19TH AVE SW
FEDERAL WAY WA 98023
I
874-9557
Building Inspection Requests 661-4140
CONTRACTOR
OWNER IS C
PERMIT NO: MEC97-0181
ISSUED: 06/18/97
BY: FC2
EXPIRES: 12/14/97
Does the water supply system 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
----------------------------
GAS PIPING OK _--------- Date ------ By
L=====____________________________________________________:_______
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
FILE COPY
DATE � _r /_
_;= CONTRACTORS, PLEASE USE
LOCATION CODE 1732
WHEN REPORTING SALES TAX FOR PROJECTS WITHIN
THE CITY OF FEDERAL NAY. TAX RATE
: 8.25
US
___________-________________________________________
PROJECT VALUATION
400
FEES:
FUEL TYPES.:?
? FANS..........: 0
BOILERS/COMPRESSORS
Mechanical Permit*
$
22.00
GAS PIPING.:
0
ft HOOD..........: 0
0-3 HP......:
0
MEC PRMT ISSUANCE...
$
20.00
FURN<100K..:
0
DUCT WORK.....: 0
3-15 HP.....:
0
GAS HWT.... :
1
WOOD STOVES...: 0
15-30 HP....:
0
CONV BURNER:
0
FURN>100K.....: 0
30-50 HP....:
0
BBQ........:
0
MISC..........: 0
5+ HP.......:
0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
--------RANGE......:
RANGE ......
0
<:10,000 CFM: 0
ABOVE GROUND:
0
GAS LOGS...:
0
> 10,000 CFM: 0
UNDERGROUND.:
0
TOTAL FEES
$
42.00
Does the water supply system 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
----------------------------
GAS PIPING OK _--------- Date ------ By
L=====____________________________________________________:_______
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
FILE COPY
DATE � _r /_
RECEIVED City of Federal Way
33530 First Way South
Federal Way, WA 98003-6210
JUN 18 1997 (253)661-4000
BUILDING DEPT APPUCA TION FOR MECHANICAL PERMIT
PARCEL #:.
SITE LOCATION:
MEC
Single Family ® Multi -Family ❑ Commercial ❑
Tenant/ wne k—r_V//U 2 ffLi(/SG' /(/ Phone: g
Address/City/State/Zip: 3Q670 1yTk 3
Nature of work: LOT i1/dTEd N41i9T-LRi i5 i eft G �� i� t/ Project Valuation: $ I -10U � L
APPLICANT:
Name: 1k&y/, U 5- ffZ----c/5C -1/
Address/City/St/Zip:
Contact Person: Phone:
MECHANICAL CONTRACTOR:
Company Name: t�
Address/City/St/Zip:
Contact Person:
Phone:
Fax:
Fax:
State L & I Contractor Registration #: Exp. Date:
(Card must be presented)
MECHANICAL UNIT COUNT:
DISCLAIMER: 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 Federay Way but only where such claim wises 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: yy''� �/ ��YI Date: --.L