95-1013449V)-uta�Vy
CITY OF FEDERAL WAY MECHANICAL�t PERMIT NO: DLD95--0470
33530 First Way South PERMIT ISSUED: 06/19/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
EXPIRES: 12/16/95
661--4000
ADDRESS:31633 PACIFIC HWY
NO.: 082104-9237
PROJECT DESCRIPTION: MECHANICAL
OWNER
CHINA HOUSE
31633 PACIFIC HIGHWAY SOUTH
FEDERAL NAY NA 98003
S
ONLY - RETROFIT 60' GAS PIPE, 2 RANGES, 3 OTHERS.
CONTRACTOR — — - =_=
JIM'S GAS APPLIANCE SERVICE
P 0 BOX 2632
RENTON WA 98056
776-6006 235-8656
JINSGAS164PJ
:.•:.it�s�.24�xF�s=_^.5��-.-.-:=2,Z i'R'�-=.:.�'ZII�= � �..rrw.-r�«l3Stc
to CONTRACTORS, M EASE ISE LOCATION CONE 1132 MN.N REPBATIIG SALES TAX FS
LENDER
PROJECTS MITNIN THE CITY OF FEW MAY. TAX RATE = 8.25 *n
l��s�S'_.TGY'r���S�1L T._=iF:e=Ga:tti^.-..C33naY�6i"Rs.�••rn-a-a-...-�3�f=.'iPt�S�ae�- � •r•rwi'31CC'_-SZ'ir«'�=�-5
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
60 ft
HOOD...........
0
0-3 UP......:
0
FURN<IOOK..:
0
DUCT WORK....,:
0
3-15 LAP.....:
0
GAS NWT....:
0
WOOD STOVES...:
0
15-30 HP....:
0
CONV BURNER:
0
FURN>1OOK.....:
0
30-50 HP....:
0
BBQ........ :
0
RISC..........:
3
3+ IM.......:
0
GAS DRYER..:
0
AIR NANKING UNITS
FUEL TANKS ---------
RANGE ...... :
2
<=10,000 CFO:
0
AM GROUND:
0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
�F
�r-.a..a�.. �a.sC � �F= �.•i� �CaX"lR2axL"C�IE L �::. ��:±1^ •^ ILG:.
FEES:
HE( PRMT ISSUANCE... S 20.00
' KC APPLIANCE FEES.* ! 35.50
TOTAL FEES $ 55.50
' iTY �'2tCIIC� t�ISHRfisr=a-a�-'x`�a�aC�t3tRaa_-=�3�_^.M���=-=a-"CT.-s-�aa�aS's�-�=_=�C2t�II��""'tf sa�.�_ � IIa_-d�a'a['CY�R �•`�•�=�
noes the water supply systel contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Not Hater Tank)
Inspection Record Water Line OK _ Mechanical Inspection
/ Notes: ------ _____--------- _ __4_.._____-__------
GAS PIPING OK�`��- S Date 7 //� /- -_.---.----___�-----------_-----1-17 Al
roc-=a�a�ss�-caa== �z=F=�ccS �-a=sc��m��ac_ - ... _..-__-� �tt_s�.a�ama:csrr..�-=sva_x�xxx�c�^Y.,•Y__----=�_-Bas�ss=aavr�--ye�a�:rxrax�� -��-sus=��z�+acc=--��-s
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF 10 NORI IS STARTED. RESIDEniAI An GROING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY TIE INFORNATI01 FUtRISNED Dr NE IS TR Alf COIatECT TO THE REST Of IT KN0�ILEDGE AND TIE AMICKE CITY OF FEDERAL NAY REQUIREMIXTS MILL BE NET.
�-
/,,r-`-- DATE �
OWNER OR AGENT _ �___________-_.-_---
FIELD COPY
SETBACKS & FOOTINGS
Date
By
FOUNDATION WALLS
Date
By
PLUMBING GROUNDWORK
Date
By
UNDERFLOOR FRAMING
Date
By
SHEAR WALLS
Date
By
PLUMBING ROUGHIN
Date
By
GAS PIPING
Date
By
MECHANICAL HOUGH -IN
Date
By
MECHANICAL, (OTHER)
Date
By
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 FINAL
Date
By
FIRE FINAL
Date
By
BUiLDi NG i4JAL
Date
By
OTHER
Date
By
OTHER
Date
By
CDO193
CITY OF FEDERAL WAY pp tltl — tl y ,p 4 u
33530 First Way South M E-d:-11 r N I �,..A L i�' ..��"'� N"�li .,Ii..'1j1�.
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
DECEIVED
ADDRESS:31633 PACIFIC HWY S
NO.: 082104 —9237 SUN 1 91995
PROJECT DESCRIPTION :MECHANICAL ONLY - RETROFIT 60' GAS PIPE, 2 RANGES, 3 OTHERS.
nuuro---------------------
CHINA HOUSE
31633 PACIFIC HIGHWAY SOUTH
FEDERAL WAY WA 98003
776-6006
CONTRACTOR
JIM"S GAS APPLIANCE SERVICE
P 0 BOX 2632
RENTON WA 98056
235-8656
JIMSGAS164PJ
(;IfY OF FEDERAL WAY
sss� (QiifY[R ma:
PERMIT NO: BLD95-0470
ISSUED: 06/19/95
BY: FC2
EXPIRES: 12/16/95
::: CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 itx
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.:
60 ft
HOOD..........:
0
0-3 HP......: 0
MEC PRMT ISSUANCE...
$ 20.00
FURN<100K..:
0
DUCT WORK.....:
0
3-15 HP.....: 0
MEC APPLIANCE FEES.*
$ 35.50
GAS HWT.... :
0
WOOD STOVES...:
0
15-30 HP....: 0
CONY BURNER:
0
FURN>100K.....:
0
30-50 HP....: 0
BBQ........ .
0
MISC...........
3
5+ HP........ 0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... ;
2
<:10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
$ 55.50
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 NO
I CERTIFY THE INFORMATION FURNISHED BY ME IS
OWNER OR AGENT
IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS HILL BE NET.
=`:__/,,L�C�• � »�_____�__ DATE
FILE COPY
• bLDQI� _0410
City of Federal Way RECEIVED
CITY OF G 33530 First Way South
ED Federal Way, WA 98003 JUN 191995
(206)661-4000
CITY OF FEDERAL WAY
mt1 LDING DEPT.
APPLICATION FOR MECHANICAL PERMIT
PARCEL ftSingle Family ❑ Multi -Family ❑
SITE LOCATION:
Tenant/Owner. Phone:
Address/City/State/Zip:
Nature of
APPLICANT:
Name:
Commercial Cr�
Project Valuation: $ If S
i
Address/City/St/Zip: ✓� 6� �? � sy U.� ���' ,e��
Contact Person: vJ- Phone: �3 ��� � Fax:
MECHANICAL CONTRACTOR:
Company Name: 11"t-2 -S
Address/City/St/Zip: jj (t .U, �� X /�G� Z�-z" 7
Contact Person: <J (4L .�2'(� Cie ✓ Phone: S Fax:
State L & I Contractor Registration #: ���215 y� �U Exp. Date:,/�
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling < = 10,000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling > = 10,000cfm
Above Ground
Furn <100K BTU's
Gas Log
Unit Heater
Underground
Furn > 100K BTU's
Fans
Boiler BTU/H
Miscellaneous
Gas HWt
Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
Wood Staves
A/C TONS
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 lincluding 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 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.
h
�J
Owner/Agent: �"" �,`'GG` '� Date: _/9`