94-100888 P
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33530CTTY 0F FEDERAL WAY First Way South MECHANICAL PERIVIIT PERMIT NO.ISSUED: 05/06/9474
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 11/02/94
ADDRESS:29600 8TH AVE S .
NO. : 515190-0010 .
PROJECT DESCRIPTION:INSTALL GAS L06 AND GAS PIPING
ONNER CONTRACTOR — LENDER
H BEASLEY LEXCO BUILDING SPECIALITIES
29600 8TH AVE SOUTH 13425 SE 30TH STREET
FEDERAL NAY NA 98003 BELLEVUE NA 98005
935 4379 641-6100
LEXCOB508SOK
FUEL TYPES.:GAS ? FANS , 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 20 ft HOOD 0 0-3 P......: 0 4 MEC PRWI ISSUANCE... $ 20.00
FURN<IDOK..: 0 DUCT NORK • 0 3-15 .2 • 0 MEC APPLIANCE FEES.* $ 9.50
GAS HNT • 0 WOOD STOVES...: 0 15-30 4P....: 0 .
CONY BURNER: 0 FURN>100K.., ..: 0 30-50 FP.... 0
BBQ - 0 MI;C - 0 5+ ;P..... .: 0
GAS DRYER..: 0 ^':.R HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 C"?;: 0 ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFI<7 0 UNDERGROUND.: 0
TOTAL FEES $ 29.50
•Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then rater 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 INFORMATION�F/URNISED BY ME IS TRE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABB E CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _. 1 u L h--e,ZDATE J``�,
FILE COPY
-0
CITY OF FEDERAL WAY lIE I��ICAL p E�;MIT PE SSUENO:D: 05/06/944
33530 First Way South -
Federal Way, WA 98403 Buildiny •Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 11/02/94
ADDRESS:29600 8TH AVE S
NO. : 515190-0010
PROJECT DESGRIPTION:INST'All GAS LOG AND GAS PIPING
ONNER � :._..,_,.: .._ . CONTRACTOR _ LENDER �., —
H BfASLEY LEXCO BUILDING SPEII;'
CIALITIES
29400 8TH AYE SOUTH 13125 SE 30TH STREET
FEDERAL NAY NA 98003 BELLEYUE NA 98005
935-4319 r ,
FANS 0 III :. «, , FFES:
FUEL TYPES.:GAS z
GAS PIPING.: 20 ft HOOD— SSUANCE... s 20.00
x, 0 OHP s. _ :L �
FURN<IOOX..: 0 DUCT- �.: ,t a . 3-• Hfi, P E FEES.• s 9.54
GAS HMT 0 1 .7‘;'.0
- o ��
E, 4, .-t.ate. x _ .^ m
CONY BURNER: 0 �� °� �t0 .
w��� >4 �;
BBQ ' 0 ,� z
GAS DRYER..: 0 Al jak,a p IT � 1,. , �
RANGE 0
4.: �.u�i. � � F . ', ��1 ��
GAS LOGS...: 1 ) I0, a w UNDE' .: 0
TOTAL FEES s 29.50
_._ _____ __--- _ __. _ _ _ - -- .._.� . __. ----s‘---
.��_ __ . ,--'.'-'-a ____ ._ _ _ _
Does th--e Mater supply systea contain a Pressure Redaction Device or Check valve'? {} Yes (} No {If Yes Hien anter expansion tank is required on Hot Mater Tank)
Inspection Record Nater Line 0 �� Mechpaic.N9 Inspection Kokes:
� f�� ' ' <<
GAS PIPING ��� Date ___. RY _.
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE TI NO "RX IS STARTED. RFSIDUITIAI AIN) GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAT THE INFORMATION fURNISED BY ME IS TN�lE AND CORRECT TO THE BEST OF NY KNOMLEDGE AND THE APPLIGABLE CITY OF FERERAI sIAY REUUTRENLNTS MILL BEM 11,
OWNERA 1
zi
OP AGENT .�-. red!.2' - .____ DATE ��_ y V
ill
(iI
FIELD COPY
City of Federal Way •
NY.) APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION #: L"1/ Cyr 03 71/
SITE LOCATION Address V6 S dfr2frA7
Tenant (if known) ,' Lot # Assessor's Tax #
�/ ,C5- c/Cy ( v�S ��1'�/ C;E%/C
Building Owner Name Address
City /////) /�f y !State(216 Zip 9. 'Phone
Nature of Work
... ... .................................................................................
APPLICANT
Name(F,M,L)
6(e0 be,/70'/ie.:19
Addreps
City AY.e/z642 / State Zip X C7,.-T-
Contact Person Day Phone Other Phone Fax
Jew 6 /-6/Or
BUII;DTNG!CONTRACTOR ::
Company Nam
e /]
- 7 C‘7 t L� ��l /1('
Address 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
RECEIVED
MAY 0 61994
CITY OF FEDERAL WAY
BUILDING DEPT.
Please Complete Reverse Side
CD0492(Rev 4/931
TRUCTURL Eg Use •sed Use
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
• Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units_ ❑ Deck
❑ 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:*jii4:44q $ ''igg '
0
Z nin
Lot t Size
................................. :::i,....................................................
LENDER< ::>:>:>:>:':::> :'EM:g»i ii::i<i i >>>: ::....:',
................................................ . ...............
Name Address
City State Zip
CONTRACTO
MECHANICAL R
Contractor Nametl' Address
cq - q- 5. q 1j fCq q /
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
I 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 un
Cot
MECHANICAL'UNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping 2('''' .� 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 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
::::f:nt:`�/I /y/4Q (t14 Date: