94-100860CITY OF FEDERAL
33530 First Way
Federal Way, WA
661-4000
WAY SouthSouthMECHANICAL PERMIT
98003 Building Inspection Requests 661-4140
ADDRESS:122 S 3 7TH ST
NO.: 114000-006
PROJECT DESCRIP ION:HVAC - INSTALL GAS WATER HEATER
OWNER
ROSEMARIE LENNON
122 S 357TH ST
FEDERAL WAY NA 98003
CONTRACTOR
xxs OWNER IS CONTRACTOR Ut
us NONE $ss
LENDER
PERMIT NO: BL_D94-0355
ISSUED: 05/03/94
BY: FC
EXPIRES: 10/30/94
FUEL TYPES.:GAS ?
F
NS.......... :
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 7 ft
H
OD..........:
0
0-3 HP......: 0
Mt PR .-ISSUANCE...
$ 20.00
FURN<100K..: 0
CT HORK.....:
0
3-15 HP.....: 0
'*C-APFWNCE FEES.*
$ 9.50
GAS HWT....: 1
N
OD STOVES...:
0
15-30 HP....: 0
CONY BURNER: 0
F
0100K.....:
0
30-50 HP....: 0
BBQ........ . 0
M
SC...........
0
5; HP........ 0
GAS DRYER..: 0
A
R HANDLING UNITS
FUEL TARS ---------
RANGE ...... : 0
<:10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
3 29.50
Does the eater supply
sya
es contain a
Pressure
Reduction Device or Check valve?
() Yes (} No (If 'Yes" then xater expansion tank is required
an Hot Water Tank)
Inspection Record
Nat
r Line OK
Mechanical Inspection Notes:
GAS
PIPING OK
Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK I
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TR
OWNER OR AGENT
S STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
UE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
DATE =3 '_
City of Federal Way
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT
I
ELOCATION
enant (if known)
Building d r Name
City
Nature of Work
APP JCA' T .:.
Name (F,M,L)
Address
City
Contact Person
T
G;CONTRACTOR.ny Name
st Personctor's # (card must be presented)
Name
Address
Cites
Contact Person
_ --LEGAL_ DESCRIPTION
I Z2-5j,3Ji-,5I
Address 7 xez!
Lot #
Address
YIr77rJ I/aft
State Zip ��-
Day Phone
uV
APPL/CAT/ON #: 0
E
essor's Tax #
Phone
State
Other Phone
State
Phone
Expiration Date
State
Phone
Zip
Fax
Verified ❑ Yes ❑ No
Zip
Fax
Plesse Ca.r+ lete Reverse Side CD0492 (Rev 4193)
3tYilC`"'UR
Exist Use
Permit includes:
rype of Work:
Residential
I_3 Building
❑ Plumbing
❑ Commercial
❑ New
❑ Addition
El Remodel
Enter Iat Floor
sq ft
❑ Garage
Area Basement
sq ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
Water Availability
❑ sq ft Garage sq ft
Sewer Availability ❑
Zoning
On -Site
Septic System Availability ❑
Lot Size
Pro d Use
Ca"Mechanical
❑
Other
❑ Number of Units
❑
Deck
❑ Shed
❑
Other
Existing Floor Area
Proposed Total Area
sq ft
�
sq ft
P.rolact Vbivatran
Fai!fil VaIua#I.an
LENDER ..
Ime
Address
State Zip
9ECRANWAL CONTRACTOR
Contractor Name
Address
City
Contact
State Zip
Phone Fax
License #
Expiration Date Verified ❑ Yes ❑ No
FLY]MBING CONTRACTOR
Contractor Name
Address
City
Contact State Zip
Phone Fax
License #
Expiration Date Verified ❑ Yes ❑ No
UMBING_FWURE COUNT
Water Closets
Sinks Urinals Bathtubs Lawn Sprinklers
Dish Washers Showers Drinking Fountains
Other
Electric Water Heaters
Lavatories Sumps
Washing Machine
Drains
Total, Fiat Fre.:Cdunt•
ME AN [CAL UNIT COUNT
Fuel Type (electric/other)
Length of Gas Piping
Gas Dryer
Air Handlin <
g = 10,000 CFM
15-30 Tons
Furn <100K BTUs
Range
Air Handlin >
g = 10,000 CFM
30-50 Tons
Furn >100 BTUs
Gas Log
Unit Heater
Fans
50+ Tons
Gas Hwt
Hood
Miscellaneous
Fuel Tanks
Conv Burner
Duct ork
W
Boilers
Above Ground
RRrI'�
Wood Stoves
O-R_ T
Underground
3-15 Tons
Total'Uhit Cou�lt
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the beat of my knowledge and further that I am authorized b the o
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 b an Y caner
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
Y y person, including the undersigned, end filed against the City of Federal Way,
application.
rOwner/Agent: � ���• � � Q
— - - - - - - Data: 3_ / '�
RAL WAY IT NO:
3CITY 35300First EWay South MECHANICAL PERMIT PERISSUED: 05/03/9455
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 10/30/94
ADDRESS:122 S �'17TH ST
NO.: 114000-006
PROJECT DESCRIi' ION:111W - INSTALL CAS OATEN NEATER
ONRNER CONTRACTOR F LE"ER -- --..
! ROSENARIE LE"NlON M 0*09 IS CONTRACTOR $$$
122 S 357TN ST
FEDERAL NAY NA 98003
$ss N� t$o►
FUEL TYPES.:GAS ? A*S. FEES:
CAS PIPING.: 7 ft #Oi1G... 0 q-3 }lP.... . - ^ !ISSUAKE... S 20.00
F119N<IGK..: O T _..... ;-!5 Nff'...... 4 RCE FEES.$ S 9.50
GAS LINT ....: 1 OOD SIGHS—: +: �, ! 5-34 IIP.... ; 0
CIA BURNER: 0 50 IIF. _.. = 3
too GAS.'ff
DRYER..: 0 MMOf
RANGE......: 0ud, p Af-'AbovN-SOUND: R
GAS LBO— 0 ZO,IIOD 0: a LIDERG .; 4
TOTAL FEES ! 29-50
Does the eater sepply s stes contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then eater expansion task is required on Not Natar Talk)
Inspection Record N Ler Line OK Nechamical Iwmwtioe Notes:
r PIPING ok'oMw�Da, .5-6 [
PERMITS EXPIRE !BO DAYS O TIR ISSOWE IF NO NORIi IS STARTED. RESIDENTIAL AND GRINOIV& PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANNCE.
I CERTIFY THAT THE 11I1' , TIONN FURNISED BY NE 15 TRUE AND CORRECT TO TOE BEST OF MY KN NLEDGE AND THE APPLICABLE CITY LOFFFFERERAL NAY REQUIREMENTS MILL BE NET.
z I TE �'�-- %_7_
ONNER OP AGENT=-} 1--� ' ---- - - ------ - - - - - - --- __ - In
FIELD COPY
SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH -IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH -IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1 ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CDO193