96-103382 /035 --'
( ii y OF i t IA Rot ,A.) . PERmi i NO; Illt_96- 0212
.
33510 FircA -Way South ti17.,.0 1'1 ei H I C. 14',t L.. t C.1111 I I 1S0ED: 09/19/96
Federal Way, WA 9800'1 1)0illinl tw.;pectAurr (-107:!sts 6t,1 4140 BY: Fc2
661 -4000 LYPIRES: 09/13/97
ADDRESS: 1906 , W 354tH
HO. : 9269/5 -0100
4111
pp,03 r c 1 pf-scR 1 P r f 0 N tIVAC - I HSI At LING ONE I ROA(1. t, DPI.
BONNIE COX 1 HAYES IttAl RIG COHPAP'
1906 SO 3541H ST I fl) PM 68756 ,, I
FEDERAL WAY WA 98023 ! f PA qP1P
J 1
661-6f83 ! I
J
-. .,- ,-,- • r-r ., • • .• , • • •-•: - -. • ^r .7 J-, ,
ts* COMM ,,, riI FOI PIOJECIS VIININ IDE CIIY Of UMW NAY. TAX RAIL : 8.25 *s*
t,
1 ph,..,JL,,,i ,avelitott ,.. FEES:
,
1 FUEL TYPES .44c ? , 1 :' AroYit -: ..-, *._ . ; -'',,;'‘.01,4 UWE... $ 20.00
i GAS PIP ft Lk , ., „1.14 _ iv'-' .4011IIIMI . emit* $ 0.00
1 FURH<1.01 , N, 1„, (!!...., ' .(,.,t IN (-11 - . 1 1 $ 4.00
1 GAS INT • 1 1)!
I CONY HORNER: 0 f"
-- 'P '4 '''''''
r I GAS DRYER..: 0 AIR HAWKIJOHIlt!!>,, *V •AH,--—
RANGE • 0 ':10,00e04tr0 17-'f- ---", !, VE GROUND: 0 1
1
1 1 GAS lOGS...: U > 10,000 Of( 0 ! UHOERWROUND.: 0 j TOTAL FEES $ 7. .00
It-qel
1I Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes 1) Ho (It 'Yes" then watr.c,expansion tank is required on Hot Water Lank)
1 Inspection Record Water Line of (hanical Inspection Notes:
-.N
PttNIIS Mitt 100 SAYS AFTER ISSUANCE It NO NOIR IS SIARIED. RtSIDINIIAt ARO WINK PtRAIIS EXPIRE oNE ?LAN AfILI OAR 1$ ISWANCI.
I (EllIfY TIE INI % IION IURNISNID IY III IKUE AND CORM' 10 INE IES1 01 NY INOW11101 AND III AMMAR" (11Y Of IfOLHAt WAY 81001REALNIS Mitt Kt 111.1_
OWNER OR AGM Awl __.* (ii '' _1- A--,-------
"' J PATE V/ligi(
• ,,i FIELD COPY
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CITY
CITY OF FEDERAL WAY PERMIT NO: MEC96-0212
33530 First Way South 1111 w":,:W::,";: ��..,�f�'''Wi 1101 :,,: 4�;:.::;:i '''ii 11.•,,,,. IF", "• O,',1��a� :.';: „ ,,,. ISSUED: 09/19/96
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 09/13/97
ADDRESS: 1906 SW 354TH ST
NO. : 926975-0100
PROJECT DESCRIPTION:HVAC - INSTALLING ONE FURNACE & HWT.
F OWNER ------ ____._ ---• ..____ _ CONTRACTOR ---__-_- -_.-- -• T- LENDER --.--_--.-__.-.
- ___-..-
--_
1 BONNIE COX ( •-•- --
HAYES HEATING COMPANY
1 1906 SW 354TH ST 1 PO BOX 68756
1 FEDERAL WAY WA 98023 ISEATTLE WA 98168 t
1 661-6683 ( 244-HEAT
1 I HAYESH*101QE
#si CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 t=t
F_.. _.._r= --- ..._ - -•------•- __ __-_.. -- •---- - - - - ___ ___ =-.-.-:_--____ •. --
PROJECT VALUATION 2600
} FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PNMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 I Mechanical Permit* $ 0.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 Mechanical Permit* $ 54.00
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONY 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 • 0 (:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 74.00
_ ________________________ •- ------ i- = __..__.
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 PIPING OK __.._ Date .__._...._. BY
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF MO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFI�'R•TION FURNISHED BY ME TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
,,,, ,
OWNER OR AGENT „ ' _1_._____.____._
DATE _._ . ___--f•- _
FILE COPY
Permit # IYI .CRAP– 0112—
RECEIVED
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION SEP 19 1996
— Please Print—
CITeU'F DING DEPT.EDERAL WAY
BOX 1 TENANT NAME:
OWNER c�nrtiE COX SITE LOCATION
OWNER'S ADDRESS 1(1010 _S .) 35'11A St CITY re-fNERAI IAJl?3 PHONE Lo(oI - totes3
DESCRIBE JOB ivstA ll - �r A-CE-I,JAfa e-n+et .- t-11S -'�p'►'J( —J c.,-4AA;�.e l
THE PROPERTY IS OWNED BY: SINGLE/MARRIED )4 PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME I-1-A k S CONTRACTOR'S REG. # HA�:kSt1 i L Q..E
Card MUST be presented
CONTRACTOR'S ADDRESS 13130 y 1 "Ave 3 CITY T' K -.;; 1,1► PHONE al-H - 43 as
EXPIRATION DATE 11 —3-9 Lk
— 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 1 ;:'"k 1 `ljE PHONE 1-4 3- S
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 'Z(kUI/ EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER CI 26- `f"? co. I 00
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 / 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) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. I FURNACE, ELEC. GAS V $
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 $
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 EMPLOY ES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
civ 9
OWNER/AGENT: 2 DATE:
ANP-008 3/90