94-101924r
CITY FEDERAL
335300Firstt Way Soouth MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:3904 SW 314TH ST
NO.: 873198-1900
PROJECT DESCRIPTION: new free standing gas heater and gas piping
OWNER
GOLDENFIRE INSTALLATION
1006 NEST MAIN
PUYALLUP NA 98371
841-9679
CONTRACTOR LENDER
GOLDENFIRE INSTALLATION
1006 NEST MAIN
PUYALLUP NA 98371
841-9679
GOLDEF1088KO
9 q, /o/ 4d y
PERMIT NO: BLD94-0771
ISSUED: 10/04/94
BY: FC
EXPIRES: 04/02/95
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 10 ft
HOOD..........:
0
0-3 HP......: 0
NEC PRNT ISSUANCE...
= 20.00
FURN<100K..: 1
DUCT WORK.....:
0
3-15 HP.....: 0
NEC APPLIANCE FEES.*
= 13.00
GAS HNT....: 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 CFN:
0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFN:
0
UNDERGROUND.: 0
TOTAL FEES
= 33.00
Does the water supply
system contain a
Pressure
Reduction Device or Check valve? () Yes
() No (If 'Yes' then water expansion tank is required
on Hot Water Tank)
Inspection Record
Water 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 INFgMATION FURNISED ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS HILL BE MET.
OWNER OR AGENT 64 / �� `/
-------------------------------------- DATE -_'- T---7--' _
ELLE COPY
emit # �2_7;71
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER 1j : t' h G ✓
- CC ba:!V�
SITE LOCATION
PHONE
OWNER'S ADDRESS J90�Z
y-W -3 Alt
CITY e(0(fin: r2A4,t_4HONE
9aR,?- ? ? i
DESCRIBE JOB
EXISTING BUILDING VALUATION
3
BOX 6
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP CORPORATION
HEAT PUMPS, SIZE
BOX 2 CONTRACTOR'S NAME G,Q
IJ -P–n` Q_
CONTRACTOR'S REG. #
AIR COOLING UNITS, SIZE
$
(If necessary, please submit a separate page with the legal description.)
$
Card MUST be presented
CONTRACTOR'S ADDRESS
/QO 0 PS 4 I -M i /7
CITY ��,1 is !° ll�an„:V4 PHONE
<f_'//- XC ?9
EXPIRATION DATE 6”;
I � � 19 S
rr z li
TOTAL MECHANICAL FEE
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 (4 [.
11XV% Lj=
PHONE
BOX 4 SEWER DISTRICT
WATER DISTRICT
GAS HOT WATER HEATER
BOX 5
ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION
BOILER, SIZE BTU
BOX 6
PROPERTY TAX ACCOUNT NUMBER
$
HEAT PUMPS, SIZE
$
LEGAL DESCRIPTION
$
AIR COOLING UNITS, SIZE
$
(If necessary, please submit a separate page with the legal description.)
$
OTHER r=/r EAS hb?Zev~
K.C. Plat Recording #
BOX 7
BUILDING SQUARE FOOTAGE:
(Existing/Proposed) 1ST FLOOR / 2ND
FLOOR /
TOTAL MECHANICAL FEE
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
:�A •
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 1t,="
$
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 r=/r EAS hb?Zev~
$
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:
ANP -008 3190
CITY OF FEDERAL WAY MECHANICAL PERMIT
335.50 First Way South
Federal Way, WA 98003 Building Inspection Requests 661•-4140
661-4000
ADDRESS 3904 SW 314TH ST
MO.: 873198-1900
PROJECT DESCRIPTION : nm free standing gas heater and Nay piping
ONNFk - - _ --- =_—=_ - _ CONTRACTOR
GOLOFKFIRE INSTALLATION GOLDENFIRE INSTALLATION
1006 NEST MAIN 1006 NEST MAIN
PUYALLUP NA 98371 PUYALIUP NA "371
G il.OFF loam
FUEL TYPES.:GAS ?
GAS PIPING.: 10 ft
FURCIOOK..: 1
GA`_• HMT....: 0
CONY BURNER: 0
880......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
0
R 0
!I
TENDER
r
PERMIT NO: BLD94-0771
ISSUED: 10/04/94
BY : FC
EXPIRES: 04/02/95
IS E... i 20.00
ANCt FEES.* 3 13.00
TOTAL FEES S 33.00
Does the eater supply systes contain a Pressure Reduction Device or Check valve'? () Yes () No (If 'Yes' then water expansion tank is required on Hot Nater Tank)
Inspection Recvrd Nater { isw OX r Nuchan'cal Ins ion Notes:
�1�y
PERMITS EMPIRE 180 DAYS AFTER ISSUANCE IE 00 NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISEDY ME IS TRUE AND CORRECT TO THE BEST OF NY XNOV EDGE AND THE APPLICABLE CITY OF FFRERAL NAY REQUIRLMENTS NIU BE NfT
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FIELD COPY
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'J#i ii %0009.:
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TENDER
r
PERMIT NO: BLD94-0771
ISSUED: 10/04/94
BY : FC
EXPIRES: 04/02/95
IS E... i 20.00
ANCt FEES.* 3 13.00
TOTAL FEES S 33.00
Does the eater supply systes contain a Pressure Reduction Device or Check valve'? () Yes () No (If 'Yes' then water expansion tank is required on Hot Nater Tank)
Inspection Recvrd Nater { isw OX r Nuchan'cal Ins ion Notes:
�1�y
PERMITS EMPIRE 180 DAYS AFTER ISSUANCE IE 00 NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISEDY ME IS TRUE AND CORRECT TO THE BEST OF NY XNOV EDGE AND THE APPLICABLE CITY OF FFRERAL NAY REQUIRLMENTS NIU BE NfT
* QW"+EF ?E' riLGfi-
`
FIELD COPY