93-101704CITY OF FEDERAL WAY MECHANICAL P
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 32536 24TH AVE SW
PARCEL NO.: 638670-0400
PROJECT DESCRIPTION: HVAC — INSTALL GAS FURNACE
OWNER
SHEREE STEVENS
32536 - 24TH AVE SW
FEDERAL WAY WA 98023
is 0079
FUEL TYPES.:GAS
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<100K..:
1
DUCT WORK.....: 0
GAS HWT....:
0
WOOD STOVES...: 0
CONY BURNER:
0
FURN>100K..... : 0
BBQ........:
0
MISC..........: 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<=10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
CONTRACTOR
PACIFIC GAS HEATING & AIR INC
11002 34TH AVE S
TACOMA WA 98444
582-5882
PACIFGH110ME
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP.......: 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
ater Line OK Mechani al Inspection
S PIPING OK Date By
Notes:
LENDER
b,'
IbL16�
PERMIT NO.: BLD93-0748
ISSUED:
07/14/93
BY: FLF
FEES:
NEC PRMT ISSUANCE... S 20.00
NEC APPLIANCE FEES.* S 10.00
TOTAL FEES S 30.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
bld wh 07/01/92
DATE & &Z '0"
SET BACKS AND FOOTINGS
DATE BY
OX TO POUR FOUNDATION WALLS
DATE BY
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE BY
WATER LINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE BY
O.K. TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE BY
DCD
PSD
FD
2
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#.:2'L-�i
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CITY OF FI:DkRAL WAY
BUILDING PERMIT APPLICATION
- Pleats N1,11
BOX 1 TENANT NAME: -
OWNER .—... ct � . SITE LOCATION.t�•_ �.
OWNER'S, ADDRESS.. .,
, ' _- CIT �7� PHONE_.. ' `
DESCRIBE JOB -� — /�� ,
THE PROPERTY IS OWNED BY: SINGLEIM JRIEp - -
---- PARTNERSHIP---_..�,.__ CORPORATION__. .
BOX 2 CONTRACTOR'S NAME ... �yjx-
CONTRACTORS
ADDRESS f �'`'' �S CITY- fi r pypNE^ `� 7
EXPIRATION DATE_
�.
OR -
I
R -I HAVE BEAD CHAPTER 16, 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
BOX 4 SEWER DISTRICT, WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST _ _�. EXISTING BUILDING VALUATION ----
BOX 5 PROPERTY TAX ACCOUNT NUMBER to _110 0 0
LEGAL DESCRIPTION .m.�
(If necessary, please submit a separate page with the legal description.) -
K.C. Plat Recording #
L40X 7 BUILDING . SQUARE FOOTAGE: (EK1309/Proposed) 1ST FLOOR� _ 2ND FLOOR
D FLOOR _J.,. BASEMENT-.- ...... DECK—/ -. GARAGE-__,....
BOX S ( } SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = _) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OP PROPERTY gQ pT
BOX 9 PLUMBINO FIXTURES (Including rough -Ins) MECHANICAL APPLIANCES BASIC FEE $� yw
NO....,._. WATERCLOSETS OAS PWINP, FEET -" 3 _._.._
DATHTUBS NO. FURNACE, ELEC.. _ `— GAS_...t -- $ _-_..._.... ,
--SHOW m- S .. GAS HOT WATER HEATER $ ,
_..L.AVl41 UnIEs _-_ —CONVERSION BURNEH $
BOILER, SITE BTU $
DISHWASHERS AIR HANDLING UNITS $
__ .. _._-ELEG I HIL; NOF WATER HEATER ..-,.,,,_...__HEAT PUMPS, SIZE _ $ ,
LAUNDRY WASHER UUT LET UNIT HEATERS $
CODLING UNITS, SIZE
DRINKING FOUNTAINS COMMERCIAL HOOT) $ -
SPRINKLER VACUUM BREAKERS
--•--...DRAINS ,... _.___._ .. _ ......_.............._ S
.-TOTAL FIXTURES
__-- TOTAL MECHANICAL FEE $ ...
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECTTO THE BEST OF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED I3Y THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE, I FURTHER ACRE E TO SAVE HARMLESS THE CITY OF FEUERAL 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 AGAINSTTHE CITY OF FEDEAAI. WAY, BUT ONLY INHERE 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/AGEN T:
DATE: _.
a1.,• 104 ,'p
,AA
CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 32536 24TH AVE SW
PARCEL NO.: 638670-0400
PROJECT DESCRIPTION: HVAC - INSTALL GAS FURNACE
OWNER
SHEREE STEVENS
32536 - 24TH AVE SW
FEDERAL WAY WA 98023
0079
CONTRACTOR
PACIFIC GAS HEATING & AIR INC
11002 34TH AVE S
TACOMA WA 98444
582-5882
PACIFGH110ME
LENDER
PERMIT NO.: BLD93-0748
ISSUED: 07/1.4/93
BY: FLF
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 HP......: 0
MEC PRMT ISSUANCE... S 20.00
FURN<100K..:
1
DUCT WORK.....:
0
3-15 HP.....: 0
MEC APPLIANCE FEES.* S 10.00
GAS HWT....:
0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER:
0
FURN>100K..... :
0
30-50 HP....: 0
BBQ.......:
0
MISC..........:
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 S 30.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
PIPING OK
Date By
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE / l
bld meth 07/01/92