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94-100093 99./60 093 CITY OF 33530 First Way South MECHANICAL PERMIT PER ISSUED: 01/11 20 994 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC 661-4000 EXPIRES: 07/10/94 ADDRESS:30102 4TH AVE S NO. : 052104-9155 PROJECT DESCRIPTION:HVAC - INSTALL UNIT HEATER GAS PIPING ONNER — CONTRACTOR — LENDER PHILLIP MARTIN GOLDEN FIRE INSTALLATIONS ill30102 - 4TH AVE S 1006 N MAIN FEDERAL NAY NA 98003 PUYALLUP NA 98371 839-2441 841-9379 839-0998 GOLDEFI088KQ FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES: GAS PIPING.: 41 ft HOOD • 0 0-3 HP • 0 NEC PRMT ISSUANCE... $ 20.00 FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 9.50 GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0 CONY BURNER: 0 FURN)100K - 0 30-50 HP • 0 BBQ • 0 MISC • 1 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 $ 29.50 'foes 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 Mater 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 INF RN ION FURN ED IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET. OWNER OR AGENT /42/ _-- _47 Gr DATE 1_ 11 1�� -- FILE COPY r 9 %"C' 0 ,4 j , CITY F RAL WAY MITT 33530©F'irstEWay South MECHINICAL 1 L/J��►lYll PERISSUED: 01/11/9420 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC 661-4000 EXPIRES: 07/10/94 ADDRESS:3O1O2 4TH AVE S NO. : 052104-9155 PROJECT DESCRIPTION:HVAC - INSTALL UNIT NEATER GAS PIPING . .�____.. __ _ COWERACIOR .. ..r. _—_—_-.—TLENDER PHILLIP MARTIN GOLDEN FIRE INSTALLATIONS 30102 - 4TH AVE S 1006 N MAIN EOERAL NAY NA 98003 PUYALLUP NA 98371 839-2441 841-9379 839-0998 • AFI . -Y_ . __. .__ -.,-„...........f.,. FUEL TYPFS.:GAS FANS........ .:v 0 ":11,5:67;1:17.;1:”: '1 Lr ��:;tD 1�hI '4_ FEES: GAS PIPING.: 41 ft MOOD , .: 0 3 i1EC PRHT ISSUANCE... $ 20.01 FURN<100X..: 0 DUCT won...*..: ORE. O 15 . �� E FEES. $ 9.50 GAS INTI • 0 N000 5�: Q ►-3Q HP .� ®'! _�, CONY BURNER: 0, FURN> ::::, :� 080 - 0 . .`'« I �,,}!g GAS DRYER .. `` AIRS la's $ , 4 ` L 1k4"�nWTk , a 4 RANGE : 0 (11''4': -1 i i ( ,,,,, . F Itr GAS LOGS C „, ERG C TOTAL FEES $ 79.50 its the Nater supply system contain a Pressure Reduction Device or Check valve? (l Yes (} No {It 'Yes' then -eater expansion tank is required on iiL-Nater Tank] Inspection Record Water tine OX __.__.___ Mechanical Inspection Notes: GAS PIPING 01 X L....t Date\' . . 8Y _. _ _ � _. �__T ._._ -_. PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NOR1 IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURN�,SED R IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMfvTS WILL 8F r(,,t ONHER OR AGENT ------, C- 4 - ` r � ---_..__---__-______-. DATE L./!./..424k.1- � �(�v FIELD COPY - • CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME:, i � O OWNER /' SITE LOCATION 3O1 U �/' Q.tx..-Jp OWNER'S ADDRESS ,3D//?,2 �/` a-a6 ASO CITY J .2 PHONE DESCRIBE JOB -%/0/e4 t / �� Gu,1ib Y r;uo /lx "THE THE PROPERTY IS WNED BY: SINGLE/MAR I D ✓ PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 4�i CONTRACTOR'S REG. # I'X n `/ 'iK( �J Card MUST be presented CONTRACTOR'S ADDRESS //1116 a), ,7U-,v2 CITY / PHONE EXPIRATION DATE .) -/2- V — 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 , '9 )110 PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER X QS-a/47 — 9xs 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 (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ NO. WATERCLOSETS GAS PIPING, FEET // $ BATHTUBS NO. 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 $ 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 AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEES, UPO THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. '11 OWNER/AGENT: Il !—V? DATE: - ANP-008 3/90