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95-100973 �1 96-4OO973 CITY OF FEDERAL WAY MECHANICAL ��11 1 t'f [ 1�1 T T PERMIT NO: BLD95-0367 33530 First Way South MECHANICAL P' ERMI 1 ISSUED: 05/151 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: JTH 661-4000 EXPIRES: 11/11/95 ADDRESS:34617 11TH PL S NO. : 215470-0110 PROJECT DESCRIPTION:MECH - (1) FAN & (12) DUCT WORK OWNER CONTRACTOR LENDER = 11TH PLACE CENTER OWNER BUILDERS INC 34611 11TH PLS 3108 'C' STREET SE FEDERAL MAY WA 98032 AUBURN NA 98002 939-8474 ._ FUEL TYPES.:? ? FANS • 1 BOILEiSItONPRESSRS ° FEES: GAS PIPING.: 0 ft HOOD.......,..: 0 0-3 .....:.: "�ti `" .a � NEC PRMT ISSUANCE... $ 20.00 FURN<100K..: 0 DUCT WORK...:, 12 3-15 HP .: Q ,��a r �� , ICE FEES.* 82.50 GAS NWT • 0 WOOD STOI S ,0 15 NP.�. -, . `. CONY BURNER: 0 FURN>1001 0 BO HP.tt ..0 _ l.t � BBQ 0 MI&C ..,. ..., �0 5+ 0 .� �, GAS DRYER..: 0 AIR ANG.UNIT 4 ` DUEL TAHKS.a _ .*- RANGE • 0 <1'0,0 ;CF :° 0 0 '`AD4DE *NW i GAS LOGS...: 0 > 10;000 CTN: 0 UNDER ND.: 0 TOTAL FEES = 102.50 Does the water supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Not Water Tank) Inspection Record Water Line OK Mechanical Inspection Notes: GAS PIPING OK Date By PERMITS EXPIRE 180 NAYS AFTER ISSUANCE IF NA RORK IS STARTED. RESIIENTIAL AIB!GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSIMMLE. I CERTIFY TE INFORMATION 11111) NE IS AID CORRECT TO TIE HEST OF NY KNOIN.EICE AND TIE APPLICAILE CITY OF FEDERAL NAY REQUIREINNTS RILL HE NET. OWNER OR AGENT - ,� DATE _____5 ____ FILE COPY RECEIVED k a„� City of Federal Way � rz MAY 151995 • APPLICATION FOR BUILDING PERMIT CITY OF FEDERAL WAY BUILDING DEPT. PLEASE PRINT APPLICATION #: fL0195 --- 0 . I7 SITE LOCATION Address 3 5/0/7 j Place S. Tenant(if known) Lot# Assessor's Tax # Dr. ren // g/57/7e2 - 0# Building Owner Name e� S A/Z,— / 2/14 ce.S Address City I State Zip Phone Nature of Work /WAG ie.,,,,, Q''e/ APPLICANT Name (F,M,L) / Eieciry rN � lcs 1f- ser-vee_ .tree. Address 'OO Cree/ �. City Seo G. State VW, Zip ? /e79 Contact Person Day Phone Other Phone Fax _,A,,,,.„, ci.,,, (?V —3770 6a3 --6y6o BUILDING CONTRACTOR .................... Company Name .)anSe:74 41//e45 Address City A44 ur- State .1/i/A Zip Contact Person Fax /2 / , ?VP-897Y Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No kCIIITECT Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION �1_,,,/ / ©-r e®� 4 / ci iko.7 X Please Complete Reverse Side CD0492(Rev 4/93) gTRUC�E, Existing Use Proposed Use !� Permit includes: ❑ Building ❑ Plumbing 0 Mechanical 0 Other Type of Work: 0 Residential 0 New 0 Remodel ❑ Number of Units 0 Deck 0 Commercial 0 Addition 0 Garage 0 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 0 On-Site Septic System Availability 0 Project Valuation $ Zoning Lot Size Existing Bldg Valuation $ LENDER Name Address City State Zip MEC�CAI CONTRACTOR ........................................................................................... Contractor Name ` ...5r4 ` r Address EleC G cS Se/1,7 Cf C_ -- ,. o �/r�� . �o City .5'9State Li, Zip 97State Contact Phone Fax S q4,7 C 7- C -Y-33/ 7c to3- 6f�eo License # '/ -/ir*. 733 /fid' Expiration Date Q/ i—Verified 0 Yes 0 No ...... ................. ............................................................ PLUMBING CONTRACTOR Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes 0 No ............................................................................................ ............................................................................................ ........................................................................................... PLUMBINI FIXTURE COUNT .................................................. ........:............ ......... ........ ......................................... ................................ ... .................................................................... Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories WashingMachine Drains Total Fixtute' �a' �" Ocftl13t <>>< <_ ........................................................................................... ildEC ......................................... ............................................. ................................................................................................ UCOMTiMomo 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 Hood Boilers Above Ground Cony Burner Duct Work /at 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons 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 application. Owner/Agent: Date: S�s'/9S—