98-103321 N.
,� 98 f033 /
33530CITY OF First ERAL WAYWay South � � ,�N�" ,,.��� ,°, pp ,,pp,, ,�,°.� ,°, �.° ., f;;''
.,°" �, ,� ���p° °�p°° PERMIT NO: MEC98-0184
��,�. d,,,��.. „QUA6,11 ..JI,,. ��.,....�;.. l p L.....1" ;;'�,�1 -Il,. u ISSUED: 08/28/98
Federal Way, WA 98003 Mechnical inspection Requests 253-661-4140 BY: FC2
253-661-4000 EXPIRES : 02/23/99
ADDRESS : 30719 12TH PL SW
NO. : 178830-0165
PROJECT DESCRIPTION:HVAC - GAS TO GAS NWT CHANGEOUT.
F= OWNER - CONTRACTOR ---- •- T LENDER
MR KROMM ! PLUMBING JOINT, THE i
30719 12TH PL SW 6 351 UNION AVE NE
FEDERAL WAY WA 98023 1 RENTON WA 98055-4194
253-874-3224 ± 425-228-3204
1 PLUMB**132CB
ua CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 Xii
PROJECT VALUATION 500 ^FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 Mechanical Permit* $ 22.00
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 TON...: 0
s I
CONY BURNER: 0 FURN>100K • 0 30-50 TON...: 0
BBQ • 0 MISC • 0 50+ TON • 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 j TOTAL FEES $ 42.00
Does the water supply system contain a Pressure Reduction Device or Check valve? ZAYes ( ) No (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record: Mechanical Rough-in Date _-_ Gas Piping Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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.
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OWNER OR AGENT DATE 17—_,Q28' --2.E_
FILE COPY
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CI 1 Y OF F E DL RAL WAY NERMI I NO: MEC98-0184
33530 F i rJ1. Way South „ H1c-'I N I C L. 1-)E1-011:. '.9.,: 1 <.�IJ1 D: OB/28/9 J
federal Way, WA 980O'tMechanical 1.n;pE < titin 1'f rout t , t , 1, l ; L,',r_u BY: FC2
253-661 -4000 LXPIRCS: O2/2'3/99
ADDRESS:30719 12111 PL SW
NO. : 178830-0165
PROJECT DESCRI P T:EON:HVAC - GAS TO GAS HNT CHANGEOUT.
r-: ONNLR w �,.� ffi,..5ffi'��53�<:rw'�xc.:���C>�SR>0.ra1� SL Sb�tww Q aC-= CONTRACTOR "tz tQffia�:m=.az= �*Q ca:<=:_zsaffio:_:a= r�ax:a LENDER ��Lsw�c�»x �� affi�s Q��::M m:_�a� SW:s.rffi._.:� :-....j
MR KROMM I« PLUMBING JOINT, THE
30719 12TH PL SN i 351 UNION AVE NE
FEDERAL WAY WA 98023 RENION WA 98055-4194
253-874-3224 425-228-3204
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sit COMINAC10R'. l'IE'st USF LOcAhION COOL 1IJ2 NNtli 1410111Sh :ALES TAX IOU PROJECTS NITMTN TME CITY 014DE11AL WAY. TAX NATE : 8.25 to
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I PROJECT VALUATION 500Fetc$:
I FUEL TYPES.:GAS ? FANS.. .....,.. f.: 0 lLEi /C+'1tHESSOR" .. � , ,'4 ANCE... $ 20.00
GAS PIPING.: 0 ft HOOD..........: u 9-3 ION.. ... 0, -, ' � a rsitx $ 22.00
_. _ �_
FURN�lOOK.. 0 DUCT NtiRK.. t� 15 T013. ��®` �ii �; �.�` �� �._.; .�.�s;P.
GAS NI • 1 NOWT, ..a.- a, + 15^3U IO.; ..;
CONV BURNER: 0 IURN' .��`, `
�' ��
BBQ • 0 MISC.. `� 0 !Ea Tt?N.„���� 0
GAS DRYER..: 0 AIR HAND ' t niti. ThHtS= ----_-
RANGE • 0 t=10 000 .: 0 \ BUVE GROUND: 0
GAS LOGS...: 0 > 10,000 CF : 0 v UNDERGROUND.: 0 IOTAL FEES $ 42.00
I
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Does the water supply systea contain a Pressure Reduction Device or Check valve? ,Yes ( ) No (if 'Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record: Mechanical Rough-in . Date _.____..._._ Gas Piping .._ : Date
I
IMECHANICAL 11111-, 0,k., C`^— Date 0.3/- c6
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MANTIS EXPIRE 1811 DAYS AFItR .tSSUANLE It NO HONK IS SINTER.
' I CERTIFY 1NL INIORMATION IUkNISMED 1Y ME 15 TRUE AND CORRECT TO TOL HEST O1 MY LNUttuGE AND 1Ht AT'Pl1CAILL CITY OF FEDERAL NAY PLkUIXLMLNTS VIII 8E NET.
OWNER OR AGENT .---7-
/4/(r-------_.._.___ __._.____.____._.. ___�__..�_ _______�_... n TT fp_
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FIELD COPY
o BUILDING DIVISION
OR►OF •'__.r.-- . '�"' 33530 First Way South"
Etlr.�zf-�` Federal Way,WA 98003
. g 199 (253)661-4000
10Z ` / Fax(253)661-4129'
YY OF FEp)DEP AY pi t ki CS 1,-;,_,3
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # 'yi em-D(` q
iiiiiiiiia6R11111111111111111111111111111111111111111111Address
307! 42 i /0r cti
Tenant(if known) Lot# Assessor's Tax#
��/�'T/ I7S2b - 0 !6 c
Building Owner's Name Address
City ,! 45;e_ri,Q,4 L J rl y 'State /j()/ Zip 2 &Q a_ 7 Phone 2s?_ a 74/'-3,2.211
Nature of Work ei//Q T/S Ki Kg / -I C//,q,J (3v 61'd - t (7
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Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
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B[ ILDlN:. €:€.; .NT# Tt R> < <««[ «>` <
Company Namerpuz
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Address J 2 0 ,M A w
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City K _ t_ State (.-G/,4 Zip C/Yi:?-55
Contact Person PhoneFax
J14/11 ! EIEC(C o n- 3.204
Contractor's # (card must be presented) Expiration Date Verified 0 Yes ❑ No
as *
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Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete iieverse Side
x' g Use S.,...U�*'�. Existing:._:>;::::,•::;::::::::�:::.:::;:::::.�.�:.:;.;:...�.:�::.:: Proposed Use
Permit includes: ❑ Building ❑ Plumbing El Mechanical ❑ Other
• Type of Work: El Residential ❑ New El Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition 0 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 0 Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $
Zoning I Lot Size Existing Bldg Valuation $
ENDS ::::?is::i::::::Y::::i i iNi'':ii::::i::: :i::: :i::M:i
Name Address
City State Zip
MECHAN ICAC. OOT A.CTOR.................
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes ❑ No
Contractor Name Address
City State Zip
Contact Phone Fax
1 License # Expiration Date Verified ❑ Yes 0 No
PLUM BINGMIXIIIRe..001SrtigM:mgg::
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatori s Washing Machine Drains Total Fixture Count
H IC 'U. .. ;CC U#V<1',.;:,::;,.,. MECHANICAL EVALUATION ONLY $
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 i Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons • Underground
BBQ's Wood Stoves 3-15 Tons 'fotalajlllt.CGtlnt
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 Lam 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.
Owner/Agent: 6! Date:
R -c;? ? -9e-
Bu1LDmc.Arr
REv6E0 8128/97