The URL can be used to link to this page

93-102754 93- if)a75Y CITY 335300F FEDERAL WAY Firstt Way South MECHANICAL PERMIT PERMIT NO:ISSUED: 180/26/9350 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC 661-4000 EXPIRES: 04/24/94 ADDRESS:30104 21ST AVE S NO. : 798300-0050 PROJECT DESCRIPTION:Install gas piping and fire place insert OMR — CONTRACTOR -- LENDER �,fe k , A4C-F4 � t-'(,Lt QUALITY PLUMBING PO BOX 1181 301© L( 2( 5 r 44-Ve St SPANANAY NA 98387 �'�Y'-� Lc � ` A C 03 846 1921 QUALIP=09108 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..: 0 DUCT NORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 9.50 GAS HNT • 0 MOOD STOVES...: 1 15-30 HP • 0 CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 BBA - 0 MISC • 0 5+ HP - 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 TOTAL FEES $ 29.50 e l tAse v- t Does the neater 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 Nater Line OK Mechanical Inspection Notes: GAS PIPING OK Date By PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFO'MATl"F •E► t ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLIC LE CITX OF FERERAL NAY REQUIREMENTS WILL BE MET. OWNER OR AGENT L / _ _ _ #_ �, DATE - FILE COPY - '- / 2 CITY OF FEDERAL WAY MECHANICAL P ��0 I TI T PERISSUED: 10/2b/9350 33530 First Way South Federal Way, WA 98003 Building Inspection Requests b61-4140 BY: FC 661-4000 EXPIRES: 04/24/94 ADDRESS:30104 21ST AVE S NO. : 798300-0050 PROJECT DESCRIPTION:Install gas piping and fire place insert OWNER .d - - CONTRACTOR -------------- ___._ _ LENDER _.. �._ _._ ..r _— NeIsc)v ifAc h4{r IG( k QUALITY PLUNSIMs 30 i 0 t'{ L„( S T 4 U� 5 o PO SOX t' SPANANAY MA 98387 (} Iwo F�fJ��` u ! ' A c( jo 03 846-1921 tT91O8 FUEL TYPES.:GAS ? FAit . FEES: GAS PIPING.: 99 ft $301;77.141::-E----1'":17.11110:41:117:7_:,0v_ P ISSUANCE... $ 20.00 FURN<IOOK..: 0 DUCT $ORI( a � r GAS NT 0 STOVES....:r 1 'S gib ► �t _ 7,,, ,,,i,„11 ,104,!!,,01:0 :,,,,::::: AMCE FEES.a ! 9.50 `. " CONY BURNER: 0 F' x:,..14*,.......: 1 ...:s fl co :a INS; .. 0 GAS DRYER0 I` I .I" ;IJN!TS ltfl! !AW5 - RANGE 0 w1O,*CElk: �? ArERtE }af )(4Il?: tl GAS LOGS...: 0 ? f0,600 ON: IJ ("8"61"94°-: 0 TOTAL FEES $ 29.50 Does the Nater supply system contain a Pressure Redaction Device or Check valve? () Yes () No (If 'Yes' then eater expansion tanK is required on Not Water Tank) Inspection Record Mater Line OK 8=:ha»ial Ir,Se'c-tilon/ Notes: !T _� GAS PIPING OK Date-d.9-45 �'�/ PERMITS EXPIRE 180 DRYS AFTER IS 11110 E IF NO NO IS STARTED. RESIDENTIAL AMD GRADING PERN)1S EXPIRE ONE YEAR AFTER DA'iE OF ISSUANCE. I CERTIFY THAT THE IMF IION F11RN SED B7'�11E IS TRUE AND CORRECT TO THE BEST OF NY f(NO$LE%E AMD THE APPLIC LE CIT Of ffRERAI NAY REQUIREMENTS MILL BE NET. ONNEP OR AGENT _..____ _ _vet` �G� _ DATE _: frU1 `-'1 4 !I )\c,,J()fp t. FIELD COPY NX City of Federal Way APP•ATION FOR BUILDING IRMIT PLEASE PRINT APPLICATION #: Lt7q 3 (I go SITE LOCATION Address Tenant (if known) Lot # Assessor's Tax # Building Owner Name V AIra�� I Address / / rV k C City ��(cjj /` ),,y State w— ZipPhone -C5 Nature of Work e<.)0 Li r�Q Pb c h e4 Name (F,M,L) Address '�\C-),l~ it City State 1 f k, Zip L3 Contact Person Day Phone i] c OtriP ne > Fax Colihpany Name Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No ARCHITECT Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side C00492(Rev 4,931 STRUCTURE Existing Use Proposed Use Permit includes: _ ilding ❑ Plumbing lit echanical Li Other Type of Work: El Residential El New ❑ Remodel El Number of Units_ ❑ Deck ❑ Commercial ❑ Addition ❑ Garage ❑ Shed El 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 S Zoning Lot Size Existing Bldg Valuation S LENDER Name Address City State Zip NtE" Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No PLUMBING CONRAO1T Contractor Name t1 , !�'j z Address j City 77"k(LtoiLbyk), ` State k1� Zip 9 O 7 1 Contact �/,ie' 6)-e-, \41...4-,...), Phone Fax License # � QJ A-L-- 1 P V-)C ' ( D „t!� ''11�� v 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 qt.'?7 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 s / . 0-3 Tons Underground BBQ's Wood Stoves ` � r��_ _ / 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 relies . of the City, including its officers and employees,upon the accuracy of the information supplied to the City as a part of this application. /O'C� (Owner/Agent ,44 1 / �_ Data: