94-100174 ,
91140017V
CITY OF
33530 First Way South MECHANICAL P E�I T PERMIT60
ISSUED: 01/25/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 07/24/94
ADDRESS:31110 6TH AVE S
NO. : 082104-9204
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE, HOT WATER HEATER, & PIPING.
OWNER — CONTRACTOR LENDER
GORDONODpKELSEY
yy gg AMERICAN HEATING SERVICES INC.
iii
EDERAL WAY WAE98003 TACOMA A 98404VE STE.fB
539-1702 539-1702
AMERIHS083M5
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 2 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.* $ 19.50
GAS HNT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONV 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 $ 39.50
Ills the rater supply syste• contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes. then water expansion tank is requires un Hot Water Tank)
Inspection Record Mater 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 S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITYOFFERERAL/ WAY REQUIREMENTS WILL BE NET.
it2.
OWNER OR AGENT _ . k/2-13.121,. .-- DATE /f�6 ( �.
FILE COPY
G
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CITY OF FEDERAL WAY MECHAl\TICAL PERMIT IV1I I PERMITSSUED: 01/25-0 60
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 07/24/94
ADDRESS:31110 6TH AVE S
NO. : 082104-9204
PROJECT DESCRIPTION:NVAC - INSTALL. GAS FURNACE, N01 MATER NEATER, & PIPING.
-- OWNER - — - y--- —. CONTRACTOR ------- ---=--- - _.- ---- - _..__...-_ LENDER
GORDONOKELSEY
AMERICAN HEATING SERVICES INC.
EDERAI MAI) AVEE98003 TAC WAL503 98404 VE STE.IB
539-1702 539-1702
A$FPTH A83M5
_ _
.__- ..._.e.,.W.,.. .-. ._... ._,.::Z� 'T— __. _apYs_.. _.m.csk>s,.sMsxa+..,-a:;: _. .- .._. -- - -- ... ._-_ ..... ..........,_ _.....,....w,_...._.....,_.. ._.......w..,u.................-a..
FUEL TYPES.:GAS FANS ROttfRS�`CEilIPREIiI i
GAS PIPING.: 2 ft IMOD : 0 NP 4411'
4 r ul�Isi (SSii;IM(;E... 20.00
FURN<100X.,: I DUCT MOM..,.; 0 HP Mf+' A !tt t� FEES.e $ 19.50
GAS NMT....: 1 # STOVES 0 t5 :0 HP 0 $
CONY BURNER: 0 FURN>1G _« �,: 0 3fi � +iP ...:
880 ' 0 MTSC,. tt r ,�
GAS DRYER.,: 0 AIR NA;'r.l TR=:�'+N1 10t TAPS--
RANGE......:
APS--RANGE0 t 10,00 CFA- L Cy( G OWWII
GAS LOGS...: 0 ) 10,000 CFR: r UPI) IZOOUWG. i±
TOTAL FEES $ 39.50
s the nater supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required un Hot Water Tank)
Inspection Record Water Line OX _ Medlar, n;pe ' Notes:
GAS PIPING Of0: rikli
....... «...�, _.w........r.,-�.uM.....rr.._rx....y._,.....—ns...._�...4_w..,..._........:_..c.'R^:.^.tw......w..4•':'�'.ZT'
PERNTTS EXPIRE IRO DAYS AFTER ISSUANCE IF NO MORX IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE OWE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED 101,1,1,5 RUE AND CORRECT E0 THE. BEST Of NY XNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS WTIt Rf MFT.
OWNER OR AGENT _,,,,,,2 ,(2.--___ _ ,i,,..e."
{/{ 'P;:,
FIELD COPY .. \/.\
SENT BY:DEPT, OF COMMUNITY DEV; 9-15-93 ; 1 :30PM ; CITY OF FEDERAL WAY-0 5318696;# 2
• Permit # auf` tO(oa
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
- Please Print -
BOX 1 TENANT NAME:
OWNER / ‘T-7/____ _ YC cP_IS
�, G SITE LOCATION _
OWNER'S ADDRESS_ .3//1!1 1 lr,"�` ./q ii c5otett( CITY FF_ b (..r)/q Y PHONE S---,_-:3 5' / 7l-)a
DESCRIBE JOB 47,yl S1---4_ r < a(LZ. - ues2_C- r -- r
THE PROPERTY IS OWNED BY: SINGL /MARRIED X PARTNERSHIP CORPORATION_
BOX 2 CONTRACTOR'S NAME �►Y�e f?l c��lei" I-1�=i �, CONTRACTOR'S REG. #/9/22 jd,',SG 31MMS_
Card MUST be presented
CONTRACTOR'S ADDRESS 7L _L rL&Q.6.. /L✓E CITY ' _ PHONE S39 / C :,z.
EXPIRATION DATE 7 -2:5:L__.2_
— 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 OF REGISTRATION. _
BOX 3 CONTACT PERSON _s l` /0,eC K)c -----` PHONE .<7,--- 9=(7 t 0
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION _
BOX 6 PROPERTY TAX ACCOUNT NUMBER oga O 9 - ? 2 C y
LEGAL DESCRIPTION —(If necessary,necessary, please submit a separate page with the legal description.)
K,C. Plat RecordIng # _-__ _
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR �J_ . . 2ND FLOOR I
3RD FLOOR / BASEMENT J DECK /_________ GARAGE l______
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION �»
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY _ SO FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET .„2/.- __ $ ___ _
BATHTUBS NO. / FURNACE, ELEC. GAS /\ _ $ ____
SHOWERS . / GAS HOT WATER HEATER $ �-
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE _ BTU S
_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 — $
DRAINS - - —_ T$
OTHER--_ _ -- --TM— - $ —
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.
r
OWf E /AGENT: / '. -., /----
- / - DATE: /_/ —% 7
4n P.0 9 7x90