93-100241CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
SITE ADDRESS: 3402 SW 340TH PL
PARCEL NO.: 858120-0470
PROJECT DESCRIPTION: INSTALL GAS FURNACE
OWNER
ELBERT FIELD
3402 SW 340TH PL
FEDERAL WAY WA 98023
661-2327
JW TYPES.:GAS
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<100K..:
1
DUCT WORK.....: 0
GAS HWT....:
0
WOOD STOVES...: 0
CONV 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
Water Line OK
NGA S PIPING OK
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
Mechanical Inspection Notes:
Date By
LENDER
93- 100.1y/
PERMIT NO.: BLD93-0087
ISSUED: 02/02/93
BY: JJ
FEES:
MEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* $ 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 AGENT r DATE 7
h 07/01/92
t *ermit #
RECEIVE& CITY OF FEDERAL WAY
JAN 2 8 1993 BUILDING PERMIT APPLICATION
F�C-rlItl z,. — Please Print —
rX
BOX 1 TENANT NAME: ��' cam„-, v
OWNER T-1 ba Af: I
OWNER'S ADDRESS 1-516-
DESCRIBE
QDESCRIBE JOBS I I
THE PROPERTY IS OWNED BY: SI
SITE LOCATI
CITY
="t n a dAL
✓ PARTNERSHIP
PHONE t a If I - '1
CORPORATION
BOX 2 CONTRACTOR'S NAME ,aO 7& CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS I I DD Q } CITY � (4 PHONE
EXPIRATION DATE 2-S - 9��.
—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 PHONES 8 ;;) -189 a
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 9tk Jab
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_____J_ 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)
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 $
GAS PIPING, FEET -t7l $
NO. FURNACE, ELEC. GAS $
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 EMPLOYEES,UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS�jA PART OF THIS APPLICATION.
nwNFR/Ar;FIUT- � /,a, _1/ Alldil nATF• / 9'- /
ANP4= 3/90
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICALPERMIT PERMIT NO.: BLD93-0087
BUILDING INSPECTION - 661-4140 ISSUED: 02/02/93
BY: JJ
SITE ADDRESS: 3402 SW 340TH PL
PARCEL NO.: 858120-0470
PROJECT DESCRIPTION: INSTALL GAS FURNACE
OWNER
ELBERT FIELD
3402 SW 340TH PL
FEDERAL WAY WA 98023
661-2327
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN<100K..: 1
GAS HWT....: 0
CONV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
FANS..........: 0
ft HOOD..........: 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K..... : 0
MISC..........: 0
AIR HANDLING UNITS
<=10,000 CFM: 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
Water Line OK Mechanical Inspect on Notes:
•S PIPING OK Date3.:���y
LENDER
FEES:
NEC PRMT ISSUANCE... $ 20.00
NEC APPLIANCE FEES.* S 10.00
TOTAL FEES $ 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.
OW R OR AGENT 4,- DATE �-/771
bld meth 07/01/92