94-10050914
CITY WAY
33530°FirstERAL Way South MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:1296 SW 301ST ST
NO.: 515320-0265
PROJECT DESCRIPTION -HVAC - INSTALL GAS INSERT & PIPING.
O%MER CONTRACTOR --- LENDER
JOHN DAWSON GOLDEN FIRE INSTALLATIONS
1296 S% 301ST ST 1006 % MAIN
kEDERAL MAY NA 98023 PUYALLUP SEA 98371
941-1245 341-9379 839-0998
GOLDEFI088KQ
PERMIT NO: BLD94-0207
ISSUED: 03/16/94
BY: FLF
EXPIRES: 09/12/94
FUEL TYPES.:GAS
FANS........
0
— BOILERS/COMPRESSORS -- -- -
--- -- FEEE,- -- - --
GAS PIPING.:
30 ft
HOOD...........
0
0-3 Hp.-- 0
x;lrAAT SSUANCE... 20.00
FURN<100K..:
0
DUCT WORK--: :
0
3-15 HP,....' 0
APPLIANCE FEES.* $ 9.50
GAS HNT.... :
0
9000 STOVES...:
0
15-30 hp....: C
CONY BURNER:
0
FURN>100K.,...:
0
30-50 H,— : !?
BBQ........:
0
"ISO. .... ..
'J'NITS
0
5+ UP.......: 0 �
GAS DRYER..:
0
AIR HANb-ING
FUEL TANKS ---------
RANGE......:
0
<:10,000 CFM.
0
ABOVE GROUND:
GAS LOGS...:
1
i 10,000 C,`'M,:
0
UNDERGROUND.: 0
TOTAL FEES $ 29.50
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then mater expansion tank is required on Hot Nater Tank)
Inspection Record Mater Line OK
GAS PIPING OK
Mechanical Inspection Notes:
Date _ By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT TH�R TIOM FURMISED 8 IS TRUE AMD CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS %ILL BE MET.
OWNER OR AGENT �� e � TE
FILE COPY
RECEIVED
0 P4tit #
MAR 1 61994 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
CITY OF FEDERAL WAY — Please Print —
BUILDING DEPT.
BOX 1 TENANT NAM .
OWNER " ' ` SITE LOCATION
OWNER'S ADDRESS S D / CITY LL� d PHONE
DESCRIBE JOB
THE PROPERTY IS OWNED Y: SINGL MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # ��,�'�y2,
Card MUST be p esented
CONTRACTOR'S ADDRESS > o zl/ CITY �'w PHONE
EXPIRATION DATE <<
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH, PROHIBITS,{$SUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON ( L!f -�. '/�% i�t� PHONE
BOX 4 SEWER DISTRICT Ly WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
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
:1 •
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 20
$
N0. 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 A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE: L; f,,
ANP -008 3/90
CITY OF FEDERAL WAY
33530 First Way South MECHANICAL PERMIT
Federal Way, WA 98003 Building inspection Requests 661-4140
661-4000
ADDRESS:1296 SW 301ST ST
NO.: 515320-0265
PROJECT DESCRIPTION: RVAC - INSTALL GAS [#SERI &PIPING.
OWNER CONTRACTOR
DAVSO* GOLDEN FIRE INSTALLATIONS
296 SN 341ST S1 1006 V RAIN
EDERAI WAY VA 98023 PUYALLUP 14 98371
941-1245 IE. UlI 839-0498
FUEL TYPES.:GAS
GAS PIPING.: 30 ft
FORN<IOOK..: 0
GAS MIT....: 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOG'S... I
FANS. ...
DUCT
NY
AIR 1,
S
> 10,0 FF, FA
W
%-0,
i P.
77 W
D: 0
1� 0
- LENDER
PERMIT NO: B1_D94-0207
ISSUED: 03/16/94
BY: FLF
EXPIRES: 09/12/94
FEES:
UANCE... S 70A0
E FEESJ 9.50
Ar 1 :k
TOTAL FEES $ 29.50
Does the water supply systes contain a Pressure Reduction Device or Check valve? () Yes 0 No (If *Yes* then water expansion tank is required on Not later Tank)
Inspection Record later Line OK Ner'baniC I
tion
Notes:
0S PIPING 10K Dake By
PERMITS EXPIRE 180 DAYS AFTER ISSIANCE If NO VORI IS STARTED. AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSMNCE.
I CERTIFY THAT THE INFORMATION FURNISEU BY RE IS TRUE AND CORRECT TO THE REST Of NY KNONLEDGE AND THE APPLICABLE CITY Of FERERAL NAY REQUIREMENTS WILL Of Ki.
OWNER OF AGENI �ATE
-----------
am