95-102374 '75 10g3111"
CITY OF FEDERAL WAY PERMIT NO: ULD95-074/3
33530 First way South MECHANICAL PERMIT ISSUE 0: 09/13/95
Federal Way., WA 9800:f Bui idi fig lrr,pection Requests 661-.4140 13Y: FC
661-4000 EXPIRES: 0:3/11/96
ADDRESS:3013 SW 342ND Si
NO.. : 294451 -0290
PROJECT DESCR IP f ION:HVAC - INSTALLATION Of GAS INSERT AND 60' GAS PIPE.
GROUSEPOINTE II. LOT IP.
CHAFFEY CORPORATION I RELIABLE SHEET METAL
3013 SW 342ND ST I 11447 1201N AVE NE
FEDERAL WAY WA 98023 I TIMM WA 98033
124.7444 ,
40.0140
L.......................w..w:a..,i,.;,:..;. -ymat..f4I iii!a.44iikll ..............
*** CONINACTORS, PLEASE USE 1.04111111 rODI Err VHCIl 14,00144 SALES LAX FOR PROJECTS 111111E11,1111 CITY Of II DEPAI MAY. fAX RAIL : 8.25 sts
vnme
FUEL TYPES.:GAS ? FANS ,: ..,......v4
It* ' '' Attak 11 - --
****_,--15,A, BO.E COMP .,-(Toon,E.oro* ---- A -=-';'.'.'' ..:.-' ', .. -= fa :
-._44.- ,iiii, 41, r0i0 .00 '..--.-41,r, Aims: /, . 4tit, malssno(E.,. $ 20.00
GAS PIPING.: 60 ft 0000,4,44, ,, A1 , . ...,, Ars fr.. . ..___ , ,I.4,
FORN<1001(..: 0 m v 0",ZW, -. ggK,. ,,i,, , ,..,......,. . , ,,,E$ E [us * $ 9.50
DIXISO* ••ePdit'x'4*'' '< 11;)1P*'';., itr I W4 ''.1 -.6':- :it ''' i''4 41k
GAS NWT • 0 I.A4., ':. itisph iolp4007,f.., ,,c: i
NO9D;'ME4 -. .,-*,-_ -.'4, , ..... ',,,,,,,,,,
((INV BURNER: 0 -
IdRtfI* 2544 '' 7',,, ''''; , . "IN
4 ,,,
880 • 0 MIS6 k% 4, `,10
1-_V"/10-:441 ° \.'i-,2 s'1' ',,;'" 'V€--
W,
GAS DRYER..: 0 AIR NA Nti
M 4f-'
* , t ,4 '''' A
RANGE • 0 , ,
(:10,00(ElITflf O ABOVE GROUND: 0
GAS LOGS • 1 ) 10, ; 4 000 O. 0 ''it UNDERGROUND.: 0
TOTAL FEES $ 29.50
Does the water supply system contain a Pressure Reduction Device or Check valve? (I Yes ('I No (If "Yesthen water expansion tank is required on Hot Water lank)
Inspection Record Water Line Of Mechanical Inspection Notes:
IGAS PIPING Of -->3—iS ....ate//-45-q5By m4/
..t4r...r=osta,,,,x. 88tr. 7.--,, ,6:,8,,,8,,,,,,,,8,,8r4=7,otr14,-4-481 ,—.,-.4.-nor..,,,.,,,a1-.,,,,,,,rrt,.......4,4,- WW,..4=m-U=.,-ral..,a,UUXU- - ...
PERMITS EXPIRE IVO PAYS ALIEN ISSUANCE. If if) 11021 IS SEARED. RESIKNIIAL AND gRADING PURIM EXPIRE ONE Ytilt AIIIII NMI OF ISSUANCE.
I MEM' THE INIORNAIREN RIRNISREN Of NI IS MN AND CORRECT 10 IR RES1 Of MY INONLEOGI OD ON APPLICAINI CITY Of HOERR NAY RIOUIRENENIS VIII IN Ntf.
-------_ ---) V
OWNER OR AGENT
--z
FIELD COPY \ r
- -
C:IIY OF FEDERAL WAY „ „„ PERMIT NO: BLD95--0748
Way .„„ „ d � i' , . . ISSUED: 09/13/95
33530 First South . ,.�,.,.. ..° i�°°'G �� �` '�
Federal Way , WA 98003 Building Inspection Requests 661-4140 BY: FC
661•-4000 EXPIRES: 03/11/96
ADDRESS: 3013 SW 342ND ST
NO. : 294451.-0290
PROJECT DESCRIPTION-HVAC - INSTALLATION OF GAS INSERT AND 60' GAS PIPE.
GROUSEPOINTE II, LOT #29.
f= OWNER •-_-___- . =^^-^T-• CONTRACTOR ---_---- _ = LENDER = _
9
1 CHAFFEY CORPORATION RELIABLE SHEET METAL
'
01013 SW 342ND ST 11447 120TH AVE NE
EDERAL WAY WA 98023 , KIRKLAND WA 98033 1
I
1 823-6868
f q9 RELIASM345LE
I=x x -----x=^^_ __= i.__._._ _ .____._ ••_-__ _a====== _ _= = _
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ***
=__ -. ..________ _ =_______-- -'-^^-_= a== =___r. _^ c^
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES: ^�
GAS PIPING.: 60 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.* $ 9.50
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BB0 • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
4111i
AS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 29.50
Does 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
____=_______..-........._____.. = .- -- ===x-•••••••^_=--^-a^•`•-_______._ ____ ==x =
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ---' _��—���- DATEy/Z
(((.J�� / 'E3 -___
FILE COPY
Pit # `5EI5 - 0744b
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER . .t dr. SITE LOCATION .30. S(& 3 end Sf -�Cc� ln7c�,
OWNER'S ADDRESS actefi D1 in j .0 F 'S 11 CITYt r)1c--- PHONE
DESCRIBE JOB (ire c11) c}-rTh fpx_t.pL
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 1zbU. CONTRACTOR'S REG. # RE=L(74 /'{31j /--F
A '' 11 Card MUST be presented
CONTRACTOR'S ADDRESS 114' - I ISE CITY �1Acl,a,rtck PHONE S23--Cok.
EXPIRATION DATE 'J
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHIC 'ROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 'a a 1 U " ' PHONE _23-fn�12S
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
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 (j ) 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$
NO. WATERCLOSETS GAS PIPING, FEET $ •
BATHTUBS NO. FURNACE, ELEC. 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 V - j $
DRAINS $
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 EMS E ., UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
R
OWNER/AGENT. �� ! DATE:
ANP-008 3/90