94-101100 cjy.ioJioa
CITY 335300F FEDERAL WAY Firstt Way South MECHANICAL PERMI T PERMIT NO:ISSUED: 06/09/9449
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000EXPIRES: 12/06/94
ADDRESS:2016 S 314TH
NO. : 092104-9053
PROJECT DESCRIPTION:TI - INSTALL DUCTING TO EXISTING UNIT AND DUCT DROPS.
ONNER CONTRACTOR — LENDER
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HILLSIDE PLAZA CLEANERS PERFORMANCE HEATING & A/C INC
2016 S 314TH 7649 S 180TH
FEDERAL NAY NA 98003 KENT WA 98032
251-0356
PERFOHA150RT
FUEL TYPES.:? ? FANS - 5 BOILERS/COMPRF FEES:
GAS PIPING.: 0 ft HOOD_. 3 P.._ .• " �"AN'CX DEPOSIT.* $ 30.00
FURN<100K..: 0 DUCT MORK..,..: 3-1`, •:P • n MEC 19PLIANCF FEES.* $ 55.00
GAS HNT • 0 MOOD STOVES...: 0 15 4P...,: 0 '':7.0 PRP ISSUANC ,: $ 20.00
CONY BURNER: 0 Fi01>100K... .: 3 30-50 :P...... u
BBQ • 0 'ISL 0 9 .HP,A.._...: 0
GAS DRYER.:: 0 AIR HAWKING 'Ni TS ;JEL TAKKS
RANGE . 0 <=10,000 CFM: 1 ABOVEGROUND: 0
GAS LOGS...: 0 > 10,000 CP: C UNDERGROUND.: 0
TOTAL FEES $ 105.00
•
III
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then coater expansion tank is required on Hot eater Tank)
Inspection Record water Line OK Mechanical Inspection Notes:
•
GAS PIPING OK - Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THF T1!F9RM . F RNISE S TRUE AND CO ECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS HILL BE MET.
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OWNER OR AGENT C-_C . r 04, , -- DATE . 6-
7-,V
FILE COPY
3,.. • City of Federal Way
APATION FOR BUILDING PERMIT
®6199 7` A/
PLEASE PRINT
APPLICATION #: &I OLII!(
s[TELocAnowiiii:v ,:iiiii:iii:iiMgiMgiiigiytt:ittros ,2676. c. 7/‘,/ _A , , 9s2e7c,3
Tenant cif kno n) (�\ \)\\- Lot # Assessor's
,picw, /Kizer l✓jeat-rPrs CE! 10 -c
-ivy3
NA Build)n^g Ow er Name f /' Address
City ht.,1/v r-,tf e 'State /IA) Zlp/>Q�lSt9`{ Phone ���—��a�
Nature of Work ,2-7,,s4/f JCC, grits-AL"e ua//iI€JJba,S
v/j /
1AdCANT
(5�e / eC a.ir0 F'ir ife.''B'i^
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
Company Name
Address •
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/931
osed Use
Permit includes: U Building ❑ Plumbing Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New % Remodel ❑ Number of Units ❑ Deck
X X Commercial ❑ Addition ❑ Garage ❑ Shed ❑ 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 ❑ Project Valuation .$ V
Zoning Lot Size Existin BldgVafiaton ...._..i..._..... :: >
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
LE E >>> :,:,:i> ; .. » » > > «
>. .......................................................................
Name / Address
City ".---------
State Zip
CIIA1STICAL CON'rRAC7.'0I2... .
...................:..............................:.....................:::................
Coracto ,.Name ,f/ � Address//ef-*)/'«C?Itc- ' .<r �7 " a tet/ '---- `!'IGi/6i1/'Ir ,_!_.2t 7'`%` % �FJ. (12(9-1-- -
-..../
City /C e,•t1 (/ State(VA Zip if•fc
Cont t I lv/ Phone Fax
c-^2- os1� 2S-7-07 ST, 57-c),237()
License # ?�-Fowy/ /5€)/(-)r Expiration Date /,Z , 96./ Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR..
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
...........................................
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping 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
BBQ's Wood Stoves 3-15 Tons Total 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 Federal Way,
but only where such claim irises.,Qut ra fiance of the Cit , including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application. J /) L
7
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Owner/Agent: G .�i � .�'6- �� Date:
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