95-102733 --------—— - - -- -- -- —--— - —
e q,5-119753
, .
% CITY OF FEDERAL WAY PERMIT 110: fit_D95-0892
335'30 First Way South M E CI IA N 1 C A t P C Ril 1 I ISSUE 1): 10/13/95
Federal Way,. WA 913009 Hui t di rig I wspectioil Pequetli,. .-; 661-4140 BY: FC2
661-4000 EXPIRES: 04/10/96
ADDRESS:1.808 SW 30/ al Si Unit: H313
NO. : 770380-0000
PROJECT DESCRIN ION:NECHANICAL - ADD GAS LOG
EDITH HITCHCOCK I *** OWNER IS CONTRACIOR ***
1808 SW 307TH 11813 I
FEDERAL WAY WA 98023
1 i
838-1186 I I
I $4$ NO* .(9 I
US CONINAcIORS. MEC! 04 1.0C4TION C00( 1/1? 110t14 #11401106 SAILS LAX $vt PROACTS 11111110 IDE CITY Of FEDERAL Y. fAX RATE : 8.25 ***
1 FUEL TYPES.:? ? FANS . .: 0 BOWRSPAMPRMOPC FEES'
I GAS PIPING.: 0 ft HOOD . n o- HP ...: 0 ' '"-'- ' w 4''' i" 't, lib Itt41 OWE... $ 20.00
FURN<1001:,.: 0 DUCT WORK, ,.. 4 3,]Y. , ,_,* Ar m . .
, pp . guo m* . -' ' 1r "' ' ' ; 1,04001:- E FEES.* $ 6.5d
MdkqaPe
1 GAS Hilt 0 WOOD SToVE...• e 15 10 PP... • i , 0'0
CONV BOPHIP: 0 111449,1"Itli:t-% '-$:* , - HP I
BBO • 0 111310 ;:tili*.;WI 4,4t --'1 ' +.,-1100, 1,...-
I GAS DRYER..: 0 ARmy/TS 1 '44-4. ' 1, , ' 4,,, , , ,, :9 4;,,,
,34, 0 'M ' " 00; 'W4J--
RANGE • 0 <-10*) qt. 0 --; • E ND: OV .0 n
I
1
GAS tOGS...: 1 10,00n ..1),.. " INDERGROUND.: 0 i
fOlAt. PEES $ 26.50 1
Does the water supply system contain a Pressure Reduction Device or Check valve? 0 Yes () No (If ' es" then water expans)4n tank is required on Hot Water Tank)
Inspection Record Water tine Of Mechanical Inspection Notes:
. I
GAS PIPING offf?-9.45A6A4ate//-)45By AA/
PERMS EXPIRE 180 DAYS AMA ISSUANCE if NO MOH IS SIANIED. RLIIIDINIJA1 AND 6WHOING PIWIIIIS EXPIRE ONE YEAR AFTER 1011 Of ISSUANCE.
I MIRY JOE INTORNAIION FURAPAID BY Ai Pi WOE AO CORRECI 10 INE NISI 01- MI INONI(DGI AND TH1 APPLICABLE (11Y 01 FERAL NAY RIOUIREDINIS WILL It NEL
OWNFP UP AGENT - ofitf
., W")
FIELD COPY
•
CITY OF FEDERAL WAY I CAL.µ, �„m.� I(' PERMIT NO: BLD95-0832
33 530 F i rs t Way South M ; �,,.,, H A�"''�NP .7.. "`�,,M ISSUED: 10/13/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 04/10/96
ADDRESS :1808 SW 307TH ST Unit: 18B
NO. : 770380-0000
PROJECT DESCRIPTION:MECHANICAL - ADD GAS LOG
V. OWNER •--- CONTRACTOR __i_._ _.___..__._ _==p= LENDER
rEDITH HITCHCOCK *** OWNER IS CONTRACTOR ***
1808 SW 307TH 118B I
I FEDERAL WAY WA 98023
838-1186
*** NONE ***
us CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. FAX RATE : 8.25 5*5
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS FEES:
i 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 MEC APPLIANCE FEES.* $ 6.50
GAS HWT • 0 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
� 1
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 26.50
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 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 - DATE
FILE COPY
RECEIVED BY
City of Federal Way COMMUNITY DEVELOPMENT DEPARTMENT
CITY OF r-, 33530 First Way South
_ • _ Federal Way, WA 98003
(206)661-4000 OCT 1 3 1N5
WRY APPLICATION FOR MECHANICAL PERMIT �,` (.p q 5_ 0 K3'-2--
J /\ JQOOO
PARCEL # Single Family $- Multi-Family 0 Commercial o
SITE LOCATION: ` � �j /
Tenant/Owner: Jf�� 1 ! �`�(`J,l�� le/— Phone: K� 7-`/F.
Address/City/State/Zip: /2Z 3- (d" 3c7 fN 57-- Aiezz/ 7 y7 /,/ " .Fv�3
(14s ! /`e,p/dem s2 4 .r/tom ProjectLd
Nature of work: / Valuation: $ / Mo
APPLICANT:
Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
•
MECHANICAL CONTRACTOR:
Company Name:
Address/City/St/Zip:
Contact Person: Phone: Fax:
State L & I Contractor Registration #: 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 7 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
BBQ's Wood Stoves A/C TONS
>?Y tarutlit>C xitit>s» »»»»»»>>;#>: z':
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 coats,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.
Owner/Agent: (-�2/a7 ( •-` /161Z712 G Date: /1 /3 -/S
CITY OF
EJZIErKFILS BUILDING DIVISION
Ny� % 33530 1ST WAY SOUTH
Fn
FEDERAL WAY, WA 98003 66 1 -4000
RE NOTICECOR CTION
ADDRESS: / K' 3d 17-121. PERMIT #:
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW:
atiiVG:T2- ��c�� IA Cc AJO1 0211-1:3
g c= L )Z-c=SS' 614sG4 4- AlZ/1-4 /(3 , 1/7/ 42 6:- 40.2Gj
Se-TM)v�=.z. u4A/ /0 JHI SPG Gio2 1` a-72/c)/L 4,45
6 ) d,2 CLi4 S5 45 416 7- //7 PCrC—e-:-D
m- -77/70 G2e550.24:F _G Abt.c
/67-4 P,c5s 2 G= CD‹ _ I4-ii 66 /- V/S a
t-62- 4 CCG S /NTc) f+�J�cSC
You ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661-4140 FOR
RE-INSPECTION.
DATE INSPECTOR FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE