94-1008379Y,A OR37
CITY OF FEDERAL WAY MECHANICAL PER -MIT
33S30 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:120 SW 30STH ST
NO.: SS6000-0220
PROJECT DESCRIPTION:HVAC - GAS HOT WATER HEATER K FURNACE RELACEMENT
(RELATED N/ BLD94-0247)
PERMIT NO: BLD94-0346
ISSUED: 04/29/94
BY: FC
EXPIRES: 10/26/94
r ONNER
- — = CONTRACTOR -- LENDER
KENNETH PELTON WESTERN MECHANICAL
120 SW 305TH ST 19835 - 142ND AVE SE
FEDERAL WAY WA 98023 RENTON NA 98058
839-1994 634-0395 i
NESTEM=077JN
FUEL TYPES.:GAS FANS ... 0 BOILERS/COMPRESSORS FEES_:
GAS PIPING.: 0 ft HOOD........... 0 0-3 HP......: 0 ft POT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK.....: 0 3-15 HP.....: 0 1POW `NEC APPLIANCE FEES.* K 16.50
GAS HNT....: 1 WOOD STOVES...: 0 15-30 NP....: 0
IE=-
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 —
BBQ........ : 0 MISC..— 0 54 HP.......: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ---------
RANGE ...... : 0 <:10,000 CFN: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES S 36.50
1
Does the water supply systes 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 FURNISED BY E ku'. AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET
OWNER OR AGENT` '_``�-. DATE �`Zj!
CITY WAY
RAL
335300Fir5DtEWay South MECHANICAL P ERM I T
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:120 SW 305TH ST
NO.: 556000-0220
PROJECT DESCRIPTION:NVAC - GAS NOT HATER NEATER i FURNACE RELACENENT
(RELATED N/ BLD94-0247)
ONNER
KENNfTN PELTON
120 SO 305TH ST
I FEDERAL NAY NA 98023
839-1994
FUEL TYPES.:GAS
GAS PIPING.:
0 ft
FURN<100K..:
1
GAS LNNT.....
1
CONY BURNER:
0
890.........
0
GAS DRYER..:
0
RANGE.......
0
GAS LOGS...:
0
FANS............ 0
twD........... 0
DUCT
NN%10 SNiN►ES.. 0
f#pH31N�►R.... v
tIiSC...... .. 0
AIR NMWNtIK MfS
<:10'W CA- I
> 10'J" CIA: 0
CONTRACTOR
NESTERN NECNANICAL
19835 - 142ND AVE SE
RENTOIN NA 98058
Q3f t345
Hf9TW0777NN
Bo I I. ERS I C ON4PRESSO.RS
u-s lip.......
6
—
40-50 AP.....
0
iOft TAKE---- ..
.
ABOY.I f, 0110D.
{�
UNDERGROUND.:
0
LENDER
PERMIT NO: BLD94-0346
ISSUED: 04/29/94
BY: FC
EXPIRES: 10/26/94
FEE:_
NrC IRV 1SSUAKE... S 20.00
1!'ft iIPPLIAOCE FEES.$ S 16.50
TOTAL FEES S 36.50
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' they water expansion tank is required on Not Nater Task)
Inspection Record Nater Line OK _
GAS PIPING OK
Nechanical Inspection Notes:
PERMITS EXPIRE 180 DAYS AFTER ISSi"I IF NO *011 IS STARTED. RESIDENTIAL AMD GRADIMC PERMITS EXPIRE DNE YEAR AFTER DATE OF ISSME.
I CERTIFY THAT THE INFORMATION FMISED BY ME IS SNllif AND CORRECT TO THE BEST OF MY KINONLEDGE AND THE APPLICABLE CITY Of FEDERAL NAY REWIIRENENTS HILL BE NNET.
_IWNER OR AGENT ��� � � __ DATE
FIELD COPY
Permit # d6,4)'1Yf
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION.
— Please Print —
NAME:
v OWNER I VA 1 &07" Z r 0A SITE LOCATION
OWNER'S DDRESS. 120 CITY LVOV PHONE /-3,SV Lczi'2j�
DESCRIBE JOB _.Z c�r'.fic� :._n. -- �'7 fi +�`�' ' G -Z
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
8OX 2-,2bNTRACTOR'S NAME �/_C �7��='�?' MA Z-" JL c-4 5— _ CONTRACTOR'S REG. # t4U1 J7701M
Card MUST be presented
CONTRACTOR'S ADDRESS 16 7� a 2 CITY_S� fic- PHONE 6 29- % % �
EXPIRATION DATE
f
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. .. _.
� 1 , T-
X�CONTACT PERSON i� � .1� _ PHONE-4 2S
BOX 4 SEWER DISTRICT WATER DISTRICT .
BOX 5 ESTIMATED PROJECT COST , - EXISTING BUILDING VALUATION -
OX 6 ROPERTY TAX ACCOUNT NUMBER_ 2 d
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 (�e) SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = }
( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY
SQ
FT
Qi3bPLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES -
BASIC FEE $
NO. WATERCLOSETS
GAS PIPING, FEET -
$
_BATHTUBS
NO. L -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
$
DRAINS
_ _
$
OTHER
$
TOTAL FIXTURES
$
_
TOTAL MECHANICAL FEE
$
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.
ANNER/AGENTA DATE
ANP-006 3/90