94-101006 9y- to�oo�,
�ITY o� ������� ��Y 1VIEC�-I.ANICAL PE�;MIT - : _ _
33530 First Way South i.; U : �c,, v.:,; �-i
Federal Way, WA 98003 Building Inspection Rei�uests 6b1-414C� BY� FC
661-4000 �XPIRES: lI/30/94
ADDRESS;27763 23RD AVE S
NO_ : 757561-0310
PROJECT DESCRIPTION�MVAC - 6AS TO 6AS EOATER NEATER CHAN6EOUT.
OMNER CORTRACTOR LE�EDER
PAUI SCOTT tAN6'S MECNAkICAI INC
277b3 23RD AVE S 912 IMDUSTRY DA
fEDERAI IEAY IOA 98003 .TUKMILA NA 98188
� 659-3383 575-6707
i.At�GS19I:5785
_
.�
_ ,;
FUEL TYPES.:6AS ? fANS ..� .��� 0 �ILERSf�'�J��RESSO�S �" ' �� fEES-
6AS PIPIi46.: D ft HOOD.....'��..,.::�� 0 ����� ' 0-:3� y� ..,... 4 ..R� � � �� � �� �� ,""" .,� ,> P�t=C �RMT :SSUANCE... S 20.00
FURN<100K..: 0 DUCi MQRi(��..:..: 0 ���� 3-�:5 hP...,.: � ��� � �„ �° �;�� f;?P�.i�RCE FEES.r S 6.50
��� �
u
6AS HpT....: 1 10�OC�ST�YES...: 0 � 15-34 #3P�....: 0 �;:,.��' ��� . m y. A _3 .�a ,;;
CONV BURMER: 0 fURk>I��K���....,.� 0 __ 30-5G ��Y . . � �; � . �. . , . -
88G........: 0 MIS�C...... ..: ,� S�t i�P. ..� � _ . ;
6A5 DRYER,.. 0 AIR NAkDlIt46 UlIIT�=' �'JxC TR�KS--------- � �°
A �, ,.
RAN6E......: 0 t=i0,404 CFPI: ::=� AQv4�f 6r��?.�.;: s�
6AS LD6S...: 0 > 1�,�1 ��M: �� l;�dDER6R0UND.: 0
TOTAL FEES Y 2'6.50
Does the rater supply syste� contain a Pressure Reduction Device or Check valve? () Yes () Mo (If 'lfes' then Mater expansion tank is required on Hot OCater Tank)
inspection Recard Mater Line OK Mechanical Inspection Notes:
6AS PIPIN6 OK _ Date By
PERP4ITS EXPiRE 180 DA1'S AFTER ISSUANCE IF �0 � R9( IS STARTED. RESIDENTIAL AND 6RADIN6 PERMITS EXAIRE ONE YEAR AFTER DATE OF ISSUAHCE.
I CERTIFY T�;A� T;3� i#"!IPf�AT_�� �URMISED Y PIE 7ftJE AP{D CGit��CT T4 i;E 3ESi Of P�Y �i�Ob!'tED�E A�D Tii� (�°�i iCA�IE CI"sY t3� �ERE�AI MAY REQUIREMENTS idILL BE MET,
�c � - - \ _�t,
� " " ''^ _- - -- - — - - - � --
. „ ,
- -� ___ _-- ------ _ -- ----__--_- ___________------ - __ -�-� � � �.
1 � .
FILE COPY
, �5'O�Fir-st�W���+ �oiuth ������J�������� �����r1V11 �� ��tdISSUFD: C)6/p4/���1
� c:deral Way, WA 48043 B�.�ildin� Inspection R�quests 661.-4140 E�Y: FC
�561--A400 EXPT RES: 1 1%3(7/�4
ADDRESS:277�3 23RD AVE S
NO. : 7 57 561--031 O
PROJECT DFSCRIPTIQN:IfYI� - 6AS 1'0 6A3 iIATER NEATER CNAM6E�lT.
�ER - COMTRaCTOR tEl�fR �-- -�
SCOTT lAM6'S MEfIhiMILAI [IIC
� .�� 7�RD AVf S 912 iNDifSTRY DR
�Al MA� MA 48003 TU�M�IA IR{1 98188
,��-3383 5��-�t9I .;_
� `�' � ���h�� ,e ;�s Lii�:+��� � �
�
� , r, �� -�.;
�rn�ev iiE,�--�i�.es wae,� am�rr-
�
w�� d� . �,�'
FUEL iYPES.:6AS ? FANS ��� �; 0 Il��/i� �'���""� ' Ff�
� � � < � � s m
�
6AS P[PtlIG.. 4 ft HOOD ....:.����. 0 �� U �,����fP "�� � ` .��� ����" � � t�€�' �l�4� �..��AfS1MCE... S 20_00
. � �,�" � ��»���� � � � t=,
�U�M<144K..: 9 Q#fCt M�: ��d����, ��3_' ' N{� ��°a� i� ��„� � ,. � � �,� �r.� �'�.ft'��p�"£ fE��.� 3 b.50
� � a�S ��� � _
:� _..� �
�1�5 NMT..,., t �'�i19 STKfV�S. � �� t . ���������: �'�� ������ �"� .F, �
..
CONV BIHCNER; Q ", �i1�,�0 �_� �0 � il�� 8P 4
Q�......... �i k�. � �{� _��"��u
. ��
�6A8 D��€R..: 0 AI �lT���� ��1' ��� � `
,
RAN6f....... 0 <-t F B(3 . #NI): ^�� �
6AS L06S...: 0 > !0, . ttNDER6R0UItG : +3
, ' TOTAt FEES f 26.5A
Does t.be Mater suppiy syste� contaia a Pressure Reducta���f � ;:ve". () Yes () Mo (If 'Yes� tAsn rater expaasion tank is re�uired on liot N�ter Tank)
Inspectioo Record Nater line �tr �;� �� ' ,.�.__ _._.- .
� �,
�,�
'�IiS EXPIRE 18Q DAYS RFfER ISSUANCE IF NO K IS STARTED. RESIDf�TIAt AiN GRA�IM6 PERliI�S EXPtRE 4ME YEAR AFTER OAT� i�� iSSttA1�GF
. �RTIFY TNAT iHE INFO1t�Ai10N FURNISED T NE� iRUE AND CORRF:CT T9 TNE HEST Of Mll XMOIIlED6F. �i� 1HE APPi.l�A81.E C[Tr Df � ,_,;.�:�: ~ .,
� /�.
,�:H ��� ��r�, �___�w_..___ �(__�_�-`___ .�� r i %- , 1 l�; , I�
� r 4v
a �
C l FtELD COP'V
_ - , ermit #�������-�
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME: , S� �
OWNER `� � ' SITE LOCATION � ��l ' ` �I ' �
OWNER'S ADDRESS �'` �.. � ' � CITY - \ C �. PHONE �'� - � '
DESCRIBE JOB .1 `' . ,� n � � C�. �- - � C � `( � . � C " 't � C�i_
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ��CL�'�.� �(1�C`\'�(����C�C�t� CONTRACTOR'S REG. #\.t\�.�.�����RI. �1'���J
� Card MUST be presented
CONTRACTOR'S ADDRESS � �-• � ' ' ' �� CITY l l ���`�t��. PHONE "J1�J �C>1O—I
EXPIRATION DATE 17���� �
—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 � PHONE ►�1���-���;i�-[(���
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 1���l�1 - C�t
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 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
N0. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS N0. 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 $
i OTAL 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 AG/�INST 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.
OWNER/AGENT: ' DATE: �
ANP-008 3/90