93-100544CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 701 S 320TH ST
PARCEL NO.: 172104-9075
PROJECT DESCRIPTION: HVAC 2 FURNACES & PIPING
OWNER
OUR SAVIOUR BAPTIST CHURCH
701 S 320TH
FEDERAL WAY WA 98003
839-6822
1W TYPES.:GAS ?
GAS PIPING.: 50 ft
FURN<100K..: 2
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
Water Line OK
GAS PIPING OK
•
CONTRACTOR LENDER
LEONARD HILLMAN INC
5695 IMPERIAL WAY SW
PORT ORCHARD WA 98366
674-2500
LEONAI126R7
93• /0as7y
PERMIT NO.: BLD93-0247
ISSUED: 03/05/93
BY: FC
FANS..........: 0 BOILERS/COMPRESSORS FEES:
HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... $ 20.00
DUCT WORK.....: 0 3-15 HP.....: 0 MEC APPLIANCE FEES.* $ 23.00
WOOD STOVES...: 0 15-30 HP....: 0
FURN>100K..... . 0 30-50 HP..... 0
MISC........... 0 5+ HP........ 0
AIR HANDLING UNITS FUEL TANKS ---------
-10,000 CFM: 0 ABOVE GROUND: 0
> 10,000 CFM: 0 UNDERGROUND.: 0 N TOTAL FEES $ 43.00
INSPECTION RECORD
Mechanical Inspection Notes:
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 RFOL)IRFMFNTR WII I RF MFT
OWNER OR AGENT
bld mech 07/01/92
DATE 3 ZS�!7 3
Is Permit # .2c'
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: D --e .Spw'%oia C. wzch
OWNER Dv -r Savior- &td-k',st 0% -,r h SITE LOCATION Feil-rAt- UJ P,,,, QAsk,L4�
OWNER'S ADDRESS -7c)( S . 32-D`t'' CITY ')K PHONE
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME h-Eowaaa / H, Cl kan1 CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS 5tpQs�,,.�,eci,�� c,1a� Sc,J CITY-BEt OQLVIP ad PHONE 906 67q 500
EXPIRATION DATE 1,2 - a -7- 93
—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 -bf ` 5 a c c; V6 N PHONE 1'o4 2 S 0
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST -7; 00 O • o - EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBE
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
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
o o
GAS PIPING, FEET
$
NO. Z FURNACE, ELEC. GAS
$
�o °
GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
_OTHER
$
$
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 EM PLO ES, UPON THE ACCUR CY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE: 313
ANP -008 3/90
CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 701 S 320TH ST
PARCEL NO.: 172104-9075
PROJECT DESCRIPTION: HVAC 2 FURNACES & PIPING
OWNER
OUR SAVIOUR BAPTIST CHURCH
701 S 320TH
FEDERAL WAY WA 98003
839-6822
FUEL TYPPS.:GAS ?
GAS PIPING.: 50 ft
FURN<100K..: 2
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
CONTRACTOR
LEONARD HILLMAN INC
5695 IMPERIAL WAY SW
PORT ORCHARD WA 98366
674-2500
LEONAI126R7
LENDER
PERMIT NO.: BLD93-0247
ISSUED: 03/05/93
BY: FC
FANS..........: 0
BOILERS/COMPRESSORS
FEES:
HOOD..........: 0
0-3 HP......: 0
MEC PRMT ISSUANCE... $ 20.00
DUCT WORK.....: 0
3-15 HP.....: 0
MEC APPLIANCE FEES.* $ 23.00
WOOD STOVES...: 0
15-30 HP....: 0
FURN>100K..... : 0
30-50 HP....: 0
MISC........... 0
5+ HP........ 0
AIR HANDLING UNITS
FUEL TANKS ---------
<=10,000 CFM: 0
ABOVE GROUND: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES $ 43.00
INSPECTION RECORD
Water Line OK Mechanical Inspection
�S PIPING OK ��iL y3 s ate 5 By >
Notes:
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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 k 2
bld mech 07/01/92