94-102178 9 -/dal7g
CITY
3353O0Firstt Way SouthF FEDERAL MECHANICAL PETIT PER ISSUED:MIT NO: 11/15/ 9484
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/14/95
ADDRESS:3617 SW 311TH LN
NO. : 058755-0140
PROJECT DESCRIPTION:such - add gas piping, range, gas log, hrt, furnace to 100 btu
ONNER �- CONTRACTOR --- LENDER
HELMER PACIFIC
ii[
22035 SE NAX RD SUITE 14
MAPLE VALLEY NA
432-5055
•
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 99 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT NORK • 0 3-15 HP • 0 NEC APPLIANCE FEES.* $ 32.50
GAS HNT - 1 NOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 TURN>100K - 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP - 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 1 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 52.50
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 Nater Tank)
Inspection Record Mater Line OK _ Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER SSUANCE IF NO MORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION RNISED BY ME IS,I.8 E AND CORRECT TO THE BEST OF MY KNONLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS NILL BE MET.
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PLANNING FINAL
Date By
ENGINEERING FINAL
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SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
..............
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL I8#FER) PASS See_
Date It15fgByMN
FRAMING
Date By
INSULATION
Date By
........................
........................
..........................
GWB 1ST iLAYER
....... ............................
. ..... ...............................
.......................................
Date By
................................
GWB - 2ND LAYER;.
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
V
OTHER
Date By
C D0193
City of Federal Way RECEIVED
CITY OF � ' • 33530 First Way South
® Federal Way, WA 98003 NOV 141994
V �y F (206)661-4000 I.
VV.V•
VV CITY OF FEDERAL WAY
APPLICATION FOR MECHANICAL PERMIT BUILDING DEPT,
li:)-7 CD qq—(jg
c1 y q
PARCEL 11• Single Family ❑ Multi-Family 0 Commercial 0
SITE LOCATION: J,j
Tenant/Owner: ` 'f LM R ?A CI r ( C I /4 r`' Phones: 6S / '`9 ? /
Address/City/State/Zip: 3 6 / 7 S w Z // -7ki- LA/
Nature of work: '4"S P/P1lq., J 4u49e ; 6-Xes ti,Project Valuation: $—
APPLICANT:
Name:
PH/L/P C, WELM,e(_
Address/City/St/Zip: P. • so r (0 ( 0 MP-9L v41-L(( SMA 98"0 3 IV
Contact Person: C i' K P£ t� Phone: 6 3i- ye 9/ Fax: 63/ - f 6 7/
MECHANICAL CONTRACTOR:
Company Name: H -sie& RqC 1 f C I N C
Address/City/St/Zip: • 9 • ZB) ICI-IC? 14I PL1- VfLL e'r 0/9 q ff3li
Contact Person: CI "-k ott,Mi' . Phone: a- SD !/ Fax: b J /6 7Y
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 77 f Range I Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's ✓ Gas Log I Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt I Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's _ Wood St nares A/C TONS :imtitattfhitzdtjtit*,: i*K*K:i*
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 applicatio • 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),whi•- made by any person,including theundersigned,and filed against the City of Federay Way but only where such claim arises
out of the reliance of the City,including its • iters „ii p• s,upon the accuracy of the informatineon supplied to the City as a part of this application. -
"/
Owner/A --- 74 Date: