93-103205 q3- /o3 . os'
CITY 335300F FEDERAL WAY Firstt Way South MECHANICAL P E�I T PERMIT
ISSUED: 112/21/9355
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 06/19/94
ADDRESS:30820 4TH PL S
NO_ : 241330-0210
PROJECT DESCRIPTION:HVAC - INSTALL GAS INSERT & PIPING.
OWNER
JAMES EDWARDS
CONTRACTOR -- LENDER
AMERICAN HEATING SERVICES INC.
30820 - 4TH PL S 1503 PORTLAND AVE STE.#B
FEDERAL WAY NA 98003 TACOMA NA 98404
941-5630 539-1702
AMERIHS083M5
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 50 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 NEC APPLIANCE FEES.* $ 9.50
GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN>100K - 0 30-50 HP • 0
BBQ • 0 MISC • 1 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
4111es 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 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 URNISED 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 , c, DATE l- Z i 3
c$LE COPY
y�5 � '7
33530CITY 0F First RAL Way South AY MECHANICAL PEIZMIT PERMIT NO:SSUED: 2/21/9355
Federal Way, WA 98003 Building Inspection Requests 661--41.40 BY: FC
661-4000 EXPIRES: 06/19/94
ADDRESS:30820 4TH PL S
NO. : 241330-0210
PROJECT DESCRIPTION:HVAC - INSTALL GAS INSERT & PIPING.
JAMES EDWARDS ANFRICAN HEATING SERVICES INC.
30820 - 4TH Pt S 1503 PORTLAND AVE STE.18
FEDERAI NAY NA 98003 TACOMA NA 98404
41-3630 539-130/
FUEL TYPES.:GAS FANS • 0 B FRI1 ; '� � �'��° FEES:
GAS PIPING.: 50 f t. HOOD .,; °4, -3 W4.- 4* ;We-4'._ "°-` NEC PRNT ISSUANCE... $ 20.00
FURN<1OOK..: 0 DUCT NORK_....: $ 15 E FEES, $ 9.50
GAS FRET ' 0 NO00 SAES;...
. R8-3 11.41P.44_41.
�
1414
CONY BURNER0 FOR 5tHP �
'
BBQ 0 141;•,- He ! 4V0
GAS DRYER..: 0 AIf �°�� E KS
RANGE. 0 1,10e 16.10 r° .,
GAS LOGS...: 0 > 10 I RG 1,.,. 0
TOTAL FEES $ 29.50
the water supply systees 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 OK3./ 'JZlrofate3-/'y By MAJ
V
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAE AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. '' IN)
( CERTIFY THAT THE INFORMATION FURNISED BY NE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS MILL BE NET.
OOP 4 -----' 52 -----1S: �.___._.._. DATE
V
FIELD COPY 42
n 3 1 el 6 916
stra BY:DEPT, OF COMMUNITY gill 8-15-93 : 1:30PM I CITY OF FEDER/kW.* 531898 # 2 +
1
Permit #-1311 '2,1 (15T-6
CITY OF FEDERAL WAY 7:0
BUILDING PERMIT APPLICATION
-Plen Print-
...--.-•..........m.........p.n.{.1 ............-.-•-•-•.,
(OA 1 TENANT NAME: ,
OWNER . .
StTE LOCATION
___ ,
OWNR'S ADDRESS,a2,112,_ 414 q '44,-,21-_- ._ '',P,, _CITY__ _e3eir PHONE__77V/
DESCRIBE JOB Ill12-..,7(.1.,,, C.aS ...r.4.4,.... e,' 10. _ --. ,S ..;'- .
THE PROPERTY IS OWNECI GY: SINGLE/MARRIEPAR-TNEASHIP_
____ ________
----
BOX 2 CONT.RACTO 'S NAME ‘612RJQ:141 i-1.11 • ,S c-7ekcei CONTRACTOR'S REG.
Card MUST MUST bt prdsented
CONTRACTOR'S ADDRESS -,510 C -.).0,e27.4-._- -rt.)0 /We'CITY_.r9- PHONE.•52.7 -./?o-Z
EXPiriATION DATE ,7 ---, ...f.,.a.7L:_...--.-z.9
............--
- OR -
I HAVE READ CHAPTER 18.27,010 RELATING TO DEFINITIONS OF SENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18,27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
-
, ,
BOX 3 CONTACT REASON 1"/241/424F-e,e),(3'.. .,:a./.,_c --.--. -
,__ PHONE •E'-',--:e2.-","
____........„...
-----zz.....______- . --
BOX 4 SEWER DISTRICT WATER DISTRICT
. ...,._ —--._.- --: •--- ----
-• '—...-______,--— ---——--^-_-,---------._==.
60X 5 ESTIMATED PROZOT COST EXISTING BUILDING VALUATION
=
__ _____. ,-------=..„ 7 --... _- ..--
BOX 6 PROPERT'r TAX ACCOUNT NUMBE .,
di.. ..-•...........e...........-....... .......,•••=••••••••...,..k.......•...../...1....................
LEGAL DESCRIPTION ........................y.A.L..r.-.-....•.•••............... -1,-....................x.x....-.
(It necessary, please subtrII a saoarato pace p -•••••.-••••••.e•••••••
with • •...........s-..............-...-........ .-. ........—.---,--.•—• .••••••••••••tal........-.-.........._—...........-........•—,.......—...—
......
K.C. Plat RecardIng #
-......--- aa•mm.................. ......11-.1reftaimmanka.,• • . ....,..........................11•••••••••••••••••••, 4
_ am ................. •. •••••-.•••1•0 .....r.a•mme.........1
ri 0 X 7 8WLOING SQUARE roorge (Exl$1109/Proposed) 1ST FLOOR J 2ND FLOOR 3RD FLOOR_ __L .. BASEMNT__ DECARAE„_1.
,. — J__ __-_ G „
BOX
8 ( ) SINGL FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNiTS . ) I ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREAOF PrOPERTY _ SO FT
•- _
BOX 9 PLUMBING FIXTURES (Inciudlig rugh-los) MECHAM CALIPPLIANCES- BASIC FEE$
NO, ,__WATEFICLOSETS GAS FINNS, FEET
_BATHTUBS NO.. FURNACE, ELEC._ GAL.._
„SHOWERS GAS HOT WATER HEAVER $ _______
, __LAVATORIES __CONVERSION BURNER $
__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 a REAqRS _ I OTHERF--nee.ez,-,ac,.<_,,_ _ $ .,
_DRAINS r_______ $ —
OTHER ________._____-__________„___ $ ______
. . _TOTAL FIXTURES ___________________ . C
____ , _____
______ ______
TOTAL MECHANICAL rEE S
—L..—
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,AurHoRIZEO SY 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 PEOFRAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPiNGRS,AND ATTORNEY&
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),'NH cH MAY BE MADE BY ANY PERSON,iNcLuDING THE UNOEASIONED,
AND FILEQ AGAINST THE CITY OF rEDERAL WAY,RUT ONLY INHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
ormERS ANC EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION suRpii ED TO THE CITY AS A PART OF THIS APPLICATION,
7-7_.../
-OWNER/AGENT! ---.4 ...1.-‘24-,;?3--.1.1::.--- '2,/:4"--Y_ DATE: . ./ 2 'a - ,F-__3
______...... _..._.
............................,____:, --......,..........„-...._______............. ____,