94-100151 9y_/00 /5/
CITY
335300Firstt Way South F FEDERAL MECHANICAL P E�I T PER ISSUED: 01/24/94MIT NO: 42
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 07/23/94
ADDRESS:34012 9TH AVE S Unit: #C2
NO. : 926480-0110
PROJECT DESCRIPTION:HVAC - INSTALL (1) NEW HEATER/VENTILATION UNIT.
= OWNER — CONTRACTOR — LENDER
BALLET CASCADIA DANCE ARTS LTD HERMANSON CORPORATION
34012 - 9TH AVE S IC2 1221 - 2ND AVE N
•EDERAL NAY NA 98003 KENT NA 98032
643-8400 575-9700
HERMAC*217
FUEL TYPES.:ELE ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 PLAN CHECK DEPOSIT.= $ 30.00
FURN<100K..: 0 DUCT WORK • 1 3-15 HP - 0 MEC PRMT ISSUANCE... $ 20.00
GAS NWT - 0 WOOD STOVES...: 0 15-30 HP - 0 NFC APPLIANCE FEES.* $ 6.50
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBA - 0 NISC 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 $ 56.50
'les 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 •FTi1! ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
IICERTIFY THAT THE IN 1OR Ti; FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
5NER OR AGENT 1DAT I-741.14--
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S City of Federal Way 41/
ED APPLICATION FOR BUILDING PERMIT
JAN 1 X 1994 ftp O 2 Z Z `/ i 45 5
PLEASE PIi/8Cli[DwDEr L WAY APPLICAT/ON #: �L l r C�‘,r,,/�
� >:;: Address 3 SFO 1
'71---14_ 2.—q Avg, S +G�.br ` �;
T ant(if known) Lot# Assessor's Tax#
��ur known),.,
ct iA b cr Q---cc LTD,
Building Owner Name Address
City State Zip eG Phone (f3
Nature of Work 00 si-p}ISL N f_k),i (a-�iR- �U Ei1JT 1 1.44.1-1 6 1,)
............................................................................................
itc ...........................................................................................
Name (F,M,L)
Address 31 ` o (' t 2"114 C ' (�
City i�ti�ii C L Wk\? State w4 Zip `1 cso U'
Coytact Person Day Phone O her Phone Fax
T�+A�c�+ Rs(9-1003 - PP /VM
BUILDYNG-CONTRACTOR _ �/
Company Name
Address '
City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Date Verified ❑ Yes 0 No
•
C
AR HiTECT.....;.... .. . . ; Ae/r-
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
C00492(Rev 4/931
STRUCTURE Ey;-ting Use posed Use
Permit includes: ilding CI Plumbing Mechanics j ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units- ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor _ sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ :'Project Valuation $ .`
Zoning Lot Size Existing Bldg Valuation ;$
;Y E ER:><:::>::»>::>::::>::>>>>::::>?::>::>::>::::>:>«»>::>::i::«:;<:»>:>:> A.//4-
Name Address
City State Zip
11VIECHANICAL CONT1 ACTOR z
Contractor Name Address
=�ZM-k1..i SE;i..) " ;>(94: s,rT l i".J 1�.�l V V �7 _
City V Iv-)- State I.- Zip G SO- _
C�ti ctl C�l-4 V 1 U� t-- P? C"C� 6Fax
`� -1 �J %G O
License #1.4
f oil A L 3i.211 Expiration Date Verified ❑ Yes ❑ No
'PL1J BING CONTRACTOR A77/1
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified Cl Yes ❑ No
G
PLUMBINIXTU COUNT .:
.:......::..:..:...:.:.:...................::.:........................................:...
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
......................... .......................................
.................................................................
.................................................................
Lavatories Washing Machine Drains Total;Fixture_Count ; ::;
MECHANICAL UNIT COUNT`
Fuel Type (electric/other) -----ZE.L .. Gas Dryer ' Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range g > = 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
Cony Burner Duct Work ` 0-3 Tons Underground
........................................ .......................
..................................................................
................................. ...............................
BBQ's Wood Stoves 3-15 Tons Tota1::Unit Count
DISCLAIMER: 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 in'pstigation 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 rout 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. 1 f 1 1.
I
.Owner/Agent: I, — H-(--i Date: