93-102642 . � r�3-laa��ia
CITY OF FEDERAL WAY MEC�i��NICAL PERMIT Q�RISSUED: 10/15/9303
33530 First Way South
Federal Way, WA 96003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/13/94
ADDRESS:1334 SW 350TH ST
NO. : 502860-0760
PROJECT DESCRIPTION:NVAC - IMSTALL 6AS L06
OMMER CONTRACTOR LENDER
BOB COYELL RA RUPP CONTRACTIN6
1334 SM 350TH ST 19118 - 58TH ST E �
FEDERAL MAIf MA 98023 SUMMER MA 98390
874-8366 862-5267 Sb2-5266
RARUPC#098P1
FUEL TYPES.:6AS FANS..........: 0 BOILERS/COMPRESSORS FEES:
6AS PIPIN6.: 10 ft HOOD.........,; 0 0-3 HP......: 0 MEC PRMT ISSUAMCE... = 20.00
FURN<100K..: 0 DUCT IdORK,....: 0 3-15 NP.....: 0 ' ` MEC APPLIARCE FEES.� s 9.50
6AS HMT....: 0 MOOD STOVES...: 0 15-30 HP....: 0 ��'� ��'�������' `�� ���
CONV BURNER: 0 FURM>100K.....: 0 30-50 HP....: 0 .�'�
BBG........: 0 !lISC..........: 0 5+ HP..,....: 0
6AS DRYER..: 0 AIR NANDLING U!lTTS fUEL TAMKS---------
RAM6E......: 0 <=10,000 CFM: 0 ABOYE 6ROUND: 0
6AS L06S...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES = 24.50
Does the rater supply syste� contain a Pressure Reduction Device or Check valve? () lfes () No (If 'Yes' then Mater expansion tank is required on Not Mater Tank)
Inspection Record Mater Line OK Mechanical Inspection Notes;
6AS PIPIN6 OK Date By
PERMITS EXPIRE 180 DArS AFTER ISSUANCE IF NO NORK IS STARtED. RESIDENTIAL AMD 6RADIf16 PERMITS EXPIRE ONE 1fEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAT THE IMFORMATION fURMISED BY ME IS TRUE AND ORREC� TO THE BES Of MY KMOMLED6E AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS MILL BE MET.
OWNER OR A6ENT � ,��',�,t,,` .
--- - - -- - ---------------- DATE �—����
Fl�.E CI�PY
�..� G City of Federal Way '
-�- F-,�r=�
�� �' APPLICATION FOR BUILDING PERMIT - ,
PLEASE PR/NT APPL/CAT/ON #:
STTE LOCATION � Address "� � �� •��—" �f�� ,�� � � ��
Tenant (if known) ;, + � + Lot A' Assessor' Tax # '
� � !
- n "� X
Buiiding Owner Name � � ry � ' Address : •
,� . f > "�`� ���. ����� �-'�`:
City .� � � l state Zip (', Phone > — j �
Nature of Work C' C ('� �
)
APPLICANT '
Name (F,M,U ' '
r 1
/
Address '�// �`I � �
City ` r � State � Zip � � �
�
Contact Pe ` Day Phone , `� /' Oth ne . ax
. _�`� l� i [�1�� `�3-��yi ',1 '��' , �—�� ; 7 ---
�BUII.DING CONTRACTOR `
CompanyName
Address •
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
P/ease Complete Reveise Side
CDoea2(Re�are3i
STRUCTURE ting Use oposed Use
�Permit inciudes: O Building O Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential O New ❑ Remodei ❑ Number of Units_ ❑ Deck
❑ Commercial ❑ Addition O Garage ❑ Shed O Other
Enter lst Floor sq ft 2nd Floor sq ft 3rd Fioor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability O Sewer Availability O On-Site Septic System Availability O Projact Valuation S
Zoning Lot Size Existing Bidg Valuation S
LENDER'
Name Address
City State Zip
hTECHA1vICAI. CONTRACTOR '
Contractor Name � � \ Ad r ,-- �-�� � �._
,� � ) ' U �����' � � J � � � _
City � State � � � Zip 1
Contact •�-�' ��� � Pho � �� ,� Fax �
✓�� r
License # � ) Expiration Date Verified ❑ Yes ❑ No
/�' -- / i
PLUI�LBING CONTRACTOR '
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLLTA�II�'G FIXTURE COUNT
Water Ciosets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers . Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fxture Count
AfECHAIVICAI.. LJNIT COUN'I'
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log � Unit Heater • 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I ceRify under penaity of perjury that the informetion furnished by me ie true end correct to the beat of my knowledAe and further thet I em euthorized by the owner
o(the above premises to per(orm the work for which permit epplicetion is made.I further agree to save harmless the City of Federal Wey ae to any cleim(including costs,expenses,
and attorneys'fees incurred in inveatipetion end defense of such claim�,which may be made by any person,includinp the undersipned,and tiled aeainat the City of Federel Way,
but only where such erises out of the relience of the City, inci inA itc icere and employe ,upon the accurecy ot the informetion supplied to the City es e part of th�s
applicetion. "
i � �-7
Owner/Agen`t;� C Date: ` �� �'' �t�
\s
, )t11 X01311
31V0 -
— 11139V
iN39V +l6 81NMO
'13N 311 111N S1N3W3d1n03d AVM 1V113d39 90 All) 31811:111/14V 3111 (INV 39031110111 Ail JO 518 3111 01 ridd01 (INV 3n81 SI 3W A8 0351111111.1 NOI1V14109N1 3111 lVNl A3l1833 1
'33NVASSI 90 3100 d319V NV3A 3110 38IdX3 S1IW83d 9110Vd9 OMV 1VI11130I538 '031lVIS SI 10OM ON 3I 3311V1ISSI d319V SAVO 081 381dX3 511143d
/OW Al Gli-tait yf Mzotoil0 9111dId sV9
:saps uotlaadsul Ie3tueyaaw 10 atm Jam pJola8 uomadsul
Gael JalaM ION VO paiinbai st lue1 uozsuedxa joie* uaya .saA. I0 oN () saA () Zaalen l3 q) JO a3tna0 uatpnpad aJnssDJd P UTFauoa ualsois Alddns aaaen a4i SaoO
- . _ __. — __ _
OS'6Z $ 5331 10101
tsa 0
01�1111Wy1d1'1 0a 4�i n t
* 1 < • .5901 SV9
1ir �*�
' :) 0 • 3911011
* 0 • •d3A80 509
r.. H1H 1 0 :....3S14 0 • 088
,ems_, s ` 4 Via. 0 • •— 1t08n: 0 :0310109 AMOK
rat, ti 0;