94-101674 ii-Jo1 6,77 y
CITY OF FEDERAL WAY MECHAN ICA L PERM ! T PERMIT NO:
09/07/9475
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/06/95
ADDRESS: 726 S 356TH ST
NO. : 292104-9010
PROJECT DESCRIPTION:HVAC - FEDERAL WAY ELKS 2431 - GAS PIPING 50', FURNACE<100,000 BTU'S, DUCT WORK
OWNER - _ CONTRACTOR -- LENDER —if
FEDERAL WAY ELKS REEKIES COMM REF 1 HTG
726 S. 356TH ST. 2534 TACOMA AVE
FEDERAL WAY WA 98003 TACOMA WA 98409
206-627-4417
REEKICR127M6
FUEL TYPES.:GAS GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 50 ft HOOD • 0 0-3 HP • 0 PLAN CHECK DEPOSIT.' $ 0.00
FURN<100K..: 1 DUCT WORK • 1 3-15 HP • 0 BUILDING PERMIT....' $ 0.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 SBCC SURCHARGE * i 4.50
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 $ 4.50
IA _ , _ _ _ _ _ _ _ _
Does the rater 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 WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INF' MATION F RN ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
a OWNER OR AGENT I / /1-4_m_t4 DATE q_d7^9/
' FILE COPY
yo5
A.
•_� EIVED City of Federal Way 0 u
.), �' - APPLICATION FOR BUILDING PERMITBO 9y-��Co7�J
AUG 2 9
CITY OF FEDERAL WAY
PLEASE PRINT BUILDING DEPT. —`�
APPLICATION lt:
f$17.: LOCATION Address -7,..2 C c .3 S. !O L(
Tena (if k own) )Lot #1Assessor's Tax #
/14/ 71 ,e./ S• _
•
Building Ovyner Nam Address
.4.ay,4 / t-,/,,ff (7.1 kif te 1,,2 , s' ?.3-& °'
City F.,:.2.- 4 I 644,y- State z_12/1__ Zip 5)f---'(;),0 7 Phone
Nature of Work
APPLICANT
Name (EMU/
s'
4,t. e,!A /.4c. .,,,2 c
Address h
�7.2� ,T567
•
City Fr z A( 6/9r4 State IT Zip
C ct Perso ` Day Phone Other Phone Fax
12 jc �14�Q�//,'„)6-- ���r 2 -o ,SYC� g-- '17_2•Ze
. E j e _-- 2 c -
&i1LmoCONTRACTOR . . :... :::
Company,-Name ( p — Q/
/C C 4 f S' Ci illi �S,4 d / A / /� JPI cie:</, icr_h Y444-94t)4°
Address
City 7e,.Cf rh ft State (Kf r Zip 9 ( ''4/1-7-
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Data Verified 0 Yes 0 No
�;(cK:iCKiglgi � f:(o)
Name
Address •
City
State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
P/ease Complete Reverse Side
C00492)iiev 4/93)
stin Use
U���i� ' '><� i�33i�ii� i'i "i'�'£�'if'i?<�:. g Iroposed Use
Permit includes: ❑ Building El Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage El Shed 0 Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
....... . ...... ..
Water Availability ❑ Sewer Availability ❑,_ On-Site Septic System Availability 0 Project Valuation $:
Zoning Lot Size Existing Bldg Valuation 1: ;;;:>:
Name
Address
City State Zip
MELT ANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
•
License # Expiration Date Verified 0 Yes ❑ No
PLUMBING CONTRACTOR 4
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes 0 No
.... ..
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washin Machine
Drains
tel Fixtvre..(r
9 stint.:...:...:...:::;:.:;::.:::.::
CI-ANICA .TWIT COUNT
1
Fuel Type (electric/other) (.t( S Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping 5'() Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs ' Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work + 0-3 Tons Underground
BBO's Wood Stoves 3-15 Tons Total„Unit;Count;:;>:.;;: :g>”;;".#!';3
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the beet 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. � "'
//'j (�
Owner/Agent: ��l„' ( -y " Date: �T ///p
�9/57/7
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1; • 0 RECEIVED
t SO I rzaF 9 5i994
CITY OF FEDERAL WAY
/„�,� BUILDING DEPT.
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T RE ARE TO BE NO DEVIATIONS
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U =SS OTHERWISE APPROVED BY
wT_ FEDERAL WAY BUILDING DEPT.
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CITY OF •0-
• •
N") FEN/ 33530
'/ 33530 1ST WAY SOUTH BUILDING DIVISION
FEDERAL WAY, WA 98003 661 -4000
CORRECTION NOTICE
1/1 9-F
ADDRESS: tel% PERMIT #:
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW: Y`
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Q 6 4 j/ l l 11 ,r61‘.7.'';Z-(4/-12
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YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAV BEEN MADE, CALL 661 -4140 FOR
RE-INSPECTION. '
117
DATE INSPECTOR FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE