94-100113 i
994(X)) 13
CITY OF FEDERAL WAY ME CHAN I CAI., PERMIT PERMIT NO:ISSUED: 01/94 /9421
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 07/13/94
ADDRESS:634 SW 305TH ST •
NO. : 178880-0120
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE
OWNER - CONTRACTOR - LENDER
RAY IWAMOTO AMERICAN HEATING SERVICES INC.
634 SW 305TH ST 7503 PORTLAND AVE STE.18
-EDERAL WAY NA 98023 TACOMA NA 98404
639-0239 539-1702
AMERIHS083M5
I FUEL TYPES.:GAS FANS - 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP . 0 MEC PRNT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP . 0 NEC APPLIANCE FEES.* $ 10.00
GAS HNT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN)100K • 0 30-50 HP • 0
BBQ • 0 MISC • 0 J+ 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 $ 30.00
oes the seater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes: -
GAS PIPING OK Date By _
L -.
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 FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
f ,
OWNER OR AGENT -- s1�1-1,- -,"2-.1'.:---/..4.:%-e..--.0,..., DATE
FILE COPY
r
CITY
r33530OFirstFEDERAL
Way South MECHAJTICA.L PERMIT PERMIT
ISSUED: 01/14/94`1
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 07/13/94
ADDRESS:634 SW 305TH ST
,NO. : 178880-0120
PROJECT DESCRIPTION:11VAC - INSTALL GAS FURNACE
RAY IWANOTO AMERICAN HEATING SERVICES INC.
634 SW 305TH ST 7503 PORTLAND AVE STEAD
•IDERAL WAY WA 98023 TACOMA WA 98404
639-0239 539-1702
ATIOTHROW3IL5
FUEL TYPES :GAS FANS 0E FEES:
GAS PIPING.: 0 ft HOOD. .... ., 3 , ='. '- _ ., 1 NEC PRNT ISSUANCE... $ 10.00 I
FURN(100K..: 1 OKI WORK..-. IS � ... � E FEES.* i 10.0(►
GAS HNT 0 STOVES.... 0 _._1 ' 1
s
CONY BURNER: 0 fliftiT I+ .._.:. 0 5
-
IBBQ 0 H;i . ... .... 0 HR. m r .. ';w ;
GAS DRYER..: 0 AIR*WE E IS nit SKS ` ti ,4
RANGE • 0 (=10,000 M V h0 8Oi wat
GAS LOGS...: 0 ) I0,000 N (ARG .: 0
TOTAL FEES 8 30.00
s the Mater supply system contain a Pressure Reduction Device or Check valve? () Yes ) No (If 'Yes' then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical ti + __
GAS PIPING OKL� 7�/�2
v !►at€� /� Fr ot
... ..- L.,,,,1 . --..,...^.._p.®._...4- _ 4 4 ._.._44.._. 44 44 4 4- : .,.�- ._-_
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 FURNISED BY NE IS TRUE AND CORRECT TO THE BEST Of NY KNOWLEDGE AND THE: APPLICABLE CITY Of FERERAL NAY RIOUIREMENTS WILL BE NFT
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A6 5318696 P. 02
5fN'l 13YIDEPT. OP COMMUNITY DEV#t6-93 1 1 :30PM 1 CITY OF FEDERAL e•-+ 53186961# 2
Permit U J L-U_f� uL'1 J
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
--Pleese Print—
BOX 1 TFNAN T NAME' 07'2 T.S CC 11i L7—. -.E, .1`1�ti(:� S _ ----
OWNER ?==WDA r1/.0 L2 r , .17 , - SITE LOCATIOni --S. --714-_,2_.._-
O1WNER'S ADDRESS. o2 v Sr 4, _24, -- Y�,- CI"Y.F:_t_ Eta/ .y. PHO,NE_. s� �.R
DESCRIBE JOL SZi iz-- _a145. "(,r.4C1L4C- ---- -- —, .
THE PROPERTY IS OWNED BY: SINGLE/MARFlIED K PARTNERS'aFP_ CORPORATION_ ________
BOX 2CONTRAC7OR'S NAME _ i cn.r; f.-f zcJJ .. ' .CONTRACTOR'S REG. 071 ,:?1.61. '€ .'.2-/-5"
Card i.k be presented
CONTRACTOR'S ADDRESS 2 _a2<1P Cl. n��4t;! _CITY_Yik‘2M11__ ---PHONE, -=20a -
EXPIRATION DATE _"7__:.e ____ _--
-OR
I HAVE READ CHAPTER 18,27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18 27,110 WHICH PPOHIRITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION- �. _ ____.... .-_
--__
BOX 3 CONTACT PERSON r& t so4,_-e r1%c_C _ _ — � ---FHON _S 3_.7../ 7,:5 -
_-_
SOX 4 SEWER-
WATER DISTRICT
DISTRICT - -- - - �.._-._-
BOX 5 ESTIMATED PROJECT COST _ EXISTING BUILDING VALUATION ________- --.-----..-.----_---
60X 8 PROPERTY TAX ACCOUNT NUM GER 17 Q_Y' 0/ - _- ._._-______-.._,-_------,___. _-
LEGAL DESCRIPTION - . - . . ._. -- . .. • ---- - _
jlf nacessary, plaaaa eub,�n!t a saparaterypagc with the Jogai dos�cripkion.) _.-- -------.�~
-._ K C. Plat Re,��rdI g # - _ . _____ --. . - - ___y -- ,__ ____
BOX 7 BUILDING SQUARE FOOTAGE:. (EXistiN/Prapossd) 1ST FLOOR._.--_..--J 2ND FLOOR ,.__J
L. 3RD FLOOR_.__�___J . _ BASEMENT .._J. _ DECK . /-_._ GARAGE __,,J
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO, OF UNITS a .) ( I EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL T_�. TOTAL,AREA OF PROPERTY_, .. T__ _' _.- ----_S7 FT
BOXY PAWING FIXTURES (Including rough-ins) MECHANICAL APPLIANCES—BASIC FEE$
ND._..:.-- WCERCLOSETS GAS PIPING. FEET 67 ____ $ ..._______
_--__ :--_BATHTUBS NO-. ._./ FURNACE, ELEC. GAS____NS,_ S _...._..,_
_,SHOWERS GAS HOT'WATER HEATER $ - -----
LAVA7QftIES - =_,CONVERSION DURr1ER $ -
,SINKS ..-.. ROLLER, SIZE MU S
_-- _DISHWASHERS ___ AIR HANDLING UNITS 5 ______
_____-ELECTRIC HOT WATER HEATER ________ HEAT PUMPS, SIZE- -_ S _______
-__--.,... ..LAUNDRY WAGNER OUTLET ,UNIT HEATERS $ _..
_._..URINALS __AIR COOLING UNITS, SIZE_______
__DRINKING FOUNTAINS - -COMMERCIAL HOOD $ -. -...�
.. SUMPS; SPRINKLER VACUUM 8I A.KERS OTI .
nRAINB - - ---
OTHER ---.._ __ — -- �.._.:u._.:-- -- $ ---__.�
_-TOTAL FIXTURES -_, S -
TOTAL MECHANICAL FEE $ - -_
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 B>"MADE BY ANY PERSON,INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY,BLIT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY.INCLUDING ITS
OFFICERS AND EMPLOYEES. UPON THE ACCURACY OF THE INrORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
Ef/AGENT! ./=r1° -L...._/--. :� r z-c'-e -� % rl7 AT Ef._L ---L - _
4M.M]6 3,46