93-102789 F FEDERAL WAY
IT NO:
33 30 First Way South MECHAN I PERM I T PERMSSUED: 110/29/9374
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FLF
661 -4000 EXPIRES: 04/27/94
ADDRESS: 29607 4TH AVE S
NO. : 186270-0400
PROJECT DESCRIPTION:HVAC - INSTALL GAS OVEN, DRYER, 6 PIPING.
OWNER -- CONTRACTOR -- LENDER
TERRY SMITH
111 29601 - 4TH AVE S
EDERAL WAY
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 WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.$ $ 16.00
GAS HWT • 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..: 1 AIR HANDLING UNITS FUEL TANKS
RANGE • 1 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 36.00
—Ones 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 -7lz1 DATE / '
FILE COPY
CITY OF FEDERAL WAY MECHAN ICAL PERM ! T PERMSSUE:D: 110/29/9374
33530 First Way South
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 04/27/94
ADDRESS: 29607 4TH AVE S
NO. : 186270-0400
PROJECT DESCRIPTION:HVAC - INSTALL GAS OVEN, DRYER, I PIPING.
OWR CONTRACTOR (ENDER ��� --
TERRY SMITH
29601 - ATH AYE S
FEDERAL NAY
FUEL TYPES.:GAS FANS........*41 .0 BOIL.E'a/COMPHESSC. S FEES:
GAS PIPING.: 99 ft HOOD ...: 0 0-3 HP 0 MEC PRMT ISSUANCE... $ 20.00
FURN<10O1(..: 0 DUCT WORK..... : ,C.,p, 3-i5
HP.....: t} 11 'C C�E FEES.' i 16.00
GAS HNT • 0 STOVES.: 10 15-30.40)..,....0 a
CONY BURNER: 0 FURN>1 ... ... . 30-50 HP.....:' a,_; e` ,�' ' 71Wri z"
BBQ • 0 MISC........: k '4k I-. �� ,7-4,4c,
sem:
GAS DRYER..: 1 AIR �D� CMS ' " K':„ ,.
RANGE • 1 <=10,000� , 0 4A� '-, -4 4440v
GAS LOGS...: 0 ) 10,00 CII is w', IDERG ID.: 0
TOTAL FEES $ 36.00
toes the water 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 Water Line OK Mechanical Inspection Notes:
GAS PIPING OK 0joIJ ._0ateIt5J(4 By r!°`"
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 NAY REQUIREMENTS WILI BE MET.
OWNER OR AGENT ' ;. __ __
FIELD COPY
•
11751
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
6OX 1 TENANT NAME:
OWNER SITE LOCATION
OWNER'S ADDRESS/ CITY �C �/!ti 7 PHONE 97 /2-0/
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME /l/.<f/!/ �JLl/�4-T CONTRACTOR'S REG. #
/ /� Card MUST be presented
.'4J�
CONTRACTOR'S ADDRESS ��9 G � �`yf���
C t/f�%' PHONE Z/7 7'7419
EXPIRATION DATE
— OR — A_,er erfaziA. m¢
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND (,,cel
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
.r3OX 3 CONTACT PERSON PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER /2 . z 62 -6; c/C)C
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # _
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ L-4
NO. WATERCLOSETS GAS PIPING, FEET did'4.;,'�`� $ '3 `1�'
C ( v��,S, .
BATHTUBS NO. FURNA , LEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $.
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE _ $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER GaNs $ .-SL)
DRAINS 6,:c; $ f z,
OTHER $
TOTAL FIXTURES $
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 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: -
ANP-008 3/90