94-100081 t
9V-/bo 68/
CITY
335300Firstt Way South F FEDERAL WAY MECHANICAL PERMIT PERMIT ISSUED:NO: 01/14/9412
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 07/13/94
ADDRESS: 1332 S 315TH ST
NO. : 787520-0265
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE
OWNERIs
-- LENDER
CARL WARD AMERICAN HEATING SERVICES INC.
F
1332 SO 315TH ST 7503 PORTLAND AVE STE.$B
EDERAL WAY WA 98003 TACOMA NA 98404
839-3136 539-1702
AMERIHSO83M5
1 FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS I FEES: ,
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK - 0 3-15 HP.....: 0 MEC APPLIANCE FEES.* $ 10.00
GAS HNT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN>100K - 0 30-50 HP - 0
BBQ • 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 $ 30.00
likes the water 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
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.
OWNER OR AGENT .. . !2— '_v - ..412,-,.,_ DATE
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CITY QF FEDERAL WAY "
BUILDING PERMIT APPLICATION
- Please Prlri—
SOX TENANT NaM -.�._.. .._. __
Ow3Ea—_-VIPU SITE LOCA;ION -- —
OWNER'S ADDRESS,,,,13 3 ..S6_,____.3/ _-f r CITY_ b J`> !.c\A:7 RHONE. ,.. :4 .-.-
DESCRIBE JOB ._..�./.1 ZC1L .- #S fit', . --cE _
} THE PROPERTY IS OWNED BY: SINGLE/MARRIEDo, . PARTNERSHIP .CORPORATION __.__
SOX 2 CONTRACTORS NAME . 4 .E�rr°� _rt) . 1 C.9.SLc CGNTRACTOII'S REG. #,�,f m_ S
CONTRACTOR'S ADDRESS 7s _l a'r`t lr D , r/ -"` Card M ¢presented
EXPIRATION DATE 7•-P,61- .7 y
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27,110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OP REGISTRATION. _
BOX 3 CONTACT PERSON {.�' rs�l � rz iu c__ - - J _�_ �_ }
PHDyE sir TG
-
BOX 4 SEWER DISTRICT - - - _WATER DISTRICT �. ._ _______
BOX 5 ESTIMATED PROJECT COST _ EXISTING BUILDING VALUATION _ ___ , _T.
BOX 6 PROPERTY TAX ACCOUNT NUMBER Z , -► C7 {Q,
LEGAL DESCRIPTION _M
__ '_ ---
(II necessary, please RAM li a Separate page with the iepi description.) - —�
K.G. Plat Recording N _v, . _
BOK 7 BtiILDING SQUARE FOOTAGE (Existing/Proposed) 1ST FLOOR_-,.. 2ND FLOOR J
3RD !:LOOR __T�/_. BASEMENT____ _._1 DECK___ __/_. ____ GARAGE. . . /
SOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION )
( ) MULTIFAMILY(NO.Or UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY _ _ SO FT
BOX 9 PLUMBING FIXTURES (Including rou h•ins) .r_ . MECHAN�AL APPLIANCES-- BASIC FEE$ r
NO. WATErRCLOSETS GAS PIP,)NG, FEET___ $ _
..__^BA,THTUSS NO. //FURNACE, ELEC, GAS X - $ —
SHOWERS GAS HOT WATER HEATER $ ,
_LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE T, BTU $
-.._.._. ....._DISHWASHERS AIR HANDLING UMTS S _
ELECTRIC HOT WATER HEATER _HEAT PUMPS, SIZE $
.LAUNDRY WASHER OUTLET UNIT HEATERS 8
.-__..-_..._URINALS AIR COOLING UNITS, SIZE, ..,,_,_, $ _
.. DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS; SPRINKLER VACUUM BREAKERS _ OTHER $ _
,_____.�..`
_________DRAINS _ _ _
$
_ __OTHER . _ -.._ $
___ _TOTAL FIXTURES S —
• TOTAL MECHANICAL FEE S __,.
I CERTIFY UNDER PENALTY DP 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 OP THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE,IFURTHER AGREE TOSAVE HARMLESS THECITYOFFEDERALWAYASTOArNYCLAIM(INCLUDINGCOSTS,EXPENSES,ANDATTORNEYS'
FEES INCURRED IN INVESTIGATION AND OEPENSE OF SUCH CLAIM,WHICH MAY BE MADE BY ANY PERSON,INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OP 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.
TIYAGENT' .„E...- r. . - -rt -ie DATE: /---" 7 _