92-102347CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
SITE ADDRESS: 31816 47TH AVE SW
PARCEL NO.: 112103-9054
PROJECT DESCRIPTION: MECHANICAL ONLY - DUCT AND FLUE WORK
OWNER CONTRACTOR
LDS CHURCH AIR SYSTEMS ENGINEERING INC.
31816 47TH AVE SW 909 S 28TH ST
FEDERAL WAY WA 98023 TACOMA WA 98409
572-9484
AIRSYE*229KN
FUEL TYPES.:? ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAJ LOGS...: 0
4
dfter Line OK
GAS PIPING OK
LENDER
y;- )0.)3y7
PERMIT NO.: BLD92-2621
ISSUED: 01/07/93
BY: FLF
FANS..........: 1 BOILERS/COMPRESSORS FEES:
HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... $ 20.00
DUCT WORK.....: 1 3-15 HP.....: 0 MEC APPLIANCE FEES.* $ 17.50
WOOD STOVES...: 0 15-30 HP....: 0
FURN>100K...... 0 30-50 HP..... 0
MISC........... 1 5+ HP........ 0
AIR HANDLING UNITS FUEL TANKS ---------
<=10,000 CFM: 0 ABOVE GROUND: 0
> 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 37.50
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 REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE
���/>� DATE /" I
bld_mech 07/01/92
CavE
Perot # o iL -- 2 e/
DEC 3 0 1992 CITY OF FEDERAL WAY
Orly OF BUILDING PERMIT APPLICATION
R1jy1_�M — Please Print —
OWNER Z _t l n u /Z C. SITE LOCATION `? I k 1 1:� `t 2 fh 4V`C= SLAV
OWNER'S ADDRESS CITY PHONE
DESCRIBE JOB L I Tz-- L --
THE
-THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME A 11,,/- �S YST-377AA S Nf- 741 N/, CONTRACTOR'S REG.
.� CaYd MUST be presented
CONTRACTOR'S ADDRESS 110�>d . 2114L -"I CITY L41MA PHONE 57d- - 4� f 2f
EXPIRATION DATE � - ( -Gt
—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 15A >--� V4A N` l L 7-0 1-� PHONE , 5
BOX 4 SEWER DISTRICT WATER DISTRICT
LEGAL DESCRIPTION 5�A TPA-644GA
(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
:m
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 $
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 H $
OTHER
�a l`f F.+Z0C.-ilv,,, $
$
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 EMPLDN%ES. UPDPd TRF ACCURACY-OFnTHE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: %C`tlw� DATE: /2 36 4 / Z"
ANP -008 3/90
CITY OF FEDERAL WAY MECHANICAL PERMIT
33-30 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 31816 47TH AVE SW
PARCEL NO.: 112103-9054
PROJECT DESCRIPTION: MECHANICAL ONLY - DUCT AND FLUE WORK
OWNER CONTRACTOR LENDER
LDS CHURCH AIR SYSTEMS ENGINEERING INC.
31816 47TH AVE SW 909 S 28TH ST
FEDERAL WAY WA 98023 TACOMA WA 98409
• 572-9484
AIRSYE*229KN
FUEL TYPES.:? ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
fSter Line OK
PIPING OK
PERMIT NO.: BLD92-2621
ISSUED: 01/07/93
BY: FLF
FANS..........: 1
BOILERS/COMPRESSORS
FEES:
HOOD..........: 0
0-3 HP......: 0
MEC PRMT ISSUANCE... $
20.00
DUCT WORK.....: 1
3-15 HP.....: 0
MEC APPLIANCE FEES.* $
17.50
WOOD STOVES...: 0
15-30 HP....: 0
FURN>10OK.....: 0
30-50 HP....: 0
MISC........... 1
5+ HP........ 0
AIR HANDLING UNITS
FUEL TANKS ---------
<=10,000 CFM: 0
ABOVE GROUND: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES $
37.50
INSPECTION RECORD
Mechanical Inspection Notes:
Date By
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
P 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/ /
� - ��/�'ir GIi,�� DATE
bid mech 07/01/92 11
CITY OF FEDERAL WAY MECHANICAL PERMIT
:33530 First Way South BUILDING INSPECTION - 661-4140
,Federal Way, WA 98003
661-4000
SITE ADDRESS: 31816 47TH AVE SW
PARCEL NO.: 112103-9054
PROJECT DESCRIPTION: MECHANICAL ONLY — DUCT AND FLUE WORK
OWNER CONTRACTOR
LDS CHURCH AIR SYSTEMS ENGINEERING INC.
31816 47TH AVE SW 909 S 28TH ST
FEDERAL WAY WA 98023 TACOMA WA 98409
572-9484
AIRSYE*229KN
FUEL TYPES.:? ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HUT....: 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
R GE....... 0
G LOGS...: 0
T.Tater Line OK
GAS PIPING OK
LENDER
PERMIT NO.: BLD92-2621
ISSUED: 01/07/93
BY: FLF
FANS..........: 1 BOILERS/COMPRESSORS FEES:
HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... E 20.00
DUCT WORK.....: 1 3-15 HP.....: 0 MEC APPLIANCE FEES.* $ 17.50
WOOD STOVES...: 0 15-30 HP....: 0
FURN>10OK..... : 0 30-50 HP....: 0
MISC........... 1 5+ HP........ 0
AIR HANDLING UNITS FUEL TANKS ---------
<=10,000 CFM: 0 ABOVE GROUND: 0
> 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES S 37.50
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 REQUIREMENTS WILL BE MET.
OWNER OR AGENT
bld mech 07/01/92
DATE
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
-u-..�
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 JPSD
FD