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93-101199CITY OF FEDERAL WAY MECHANICAL PERMIT 33530 First Way South BUILDING INSPECTION - 661-4140 Federal Way, WA 98003 661-4000 SITE ADDRESS: 2741 SW 314TH ST PARCEL NO.: 150310-0320 PROJECT DESCRIPTION: HVAC - INSTALL GAS FURNACE OWNER CONTRACTOR LENDER DOUGLASS ALDEN WESTERN FURNACES INC. 2741 SW 314TH ST P.O. BOX 11145 FEDERAL WAY WA 98023 TACOMA WA 98411 3762 206-474-8401 WESTEF*372ND FUEL 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 AS PIPING OK I CERTIFY THAT THE INFORMATION FURNISHED BY OWNER OR AGENT bld mech 07/01/92 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 91- /01/99 PERMIT NO.: BLD93-0510 ISSUED: 05/19/93 BY: FLF FEES: MEC PRMT ISSUANCE... $ 20.00 MEC APPLIANCE FEES.* $ 10.00 TOTAL FEES $ 30.00 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. DATE j �i • P��t # i o CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: OWNER SITE LOCATION OWNER'S ADDRE CITY PHONE DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MARRIED ✓ PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #&45fTEr--03'72AI® CONTRACTOR'S ADDRESS ® O11 �5 CITY ",/4 PHONE 474-'V ' / EXPIRATION DATE 42 / ( / -PDD- W/ —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 PHONE BOX 4 SEWER DISTRICT 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 (X) $ANGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ �© N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO.—FURNACE, ELEC. GAS_X— $ —a SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ TOTAL FIXTURES $ 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 FURTHERTHAT 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: �:�W/ 7 ANP -008 3/90 -CITY OF FEDERAL WAY MECHANICAL P 33530 First Way South BUILDING INSPECTION - 661-4140 Federal Way, WA 98003 661-4000 SITE ADDRESS: 2741 SA 314TH ST PARCEL NO.: 150310®0320 PROJECT DESCRIPTION: HVAC ® INSTALL GAS FURNACE OWNER DOUGLASS ALDEN 2741 SW 314TH ST FEDERAL WAY WA 98023 3762 FUEL TYPES.:GAS GAS PIPING.: 0 ft FURN<100K..: 1 GAS HWT....: 0 CONV BURNER: 0 BBQ........: 0 GAS DRYER..: 0 RANGE......: 0 GAS LOGS...: 0 FANS..........: 0 HOOD..........: 0 DUCT WORK.....: 0 WOOD STOVES...: 0 FURN>10OK.....: 0 MISC..........: 0 AIR HANDLING UNITS <=10,000 CFM: 0 > 10,000 CFM: 0 CONTRACTOR WESTERN FURNACES INC. P.O. BOX 11145 TACOMA WA 98411 206-474-8401 WESTEF*372ND 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 LENDER PERMIT NO.: BLD93®0510 ISSUED: 05/19/93 BY: FLF FEES: MEC PRMT ISSUANCE... S 20.00 MEC APPLIANCE FEES.* S 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 OR AGENT bld mech 07/01/92 DATE f. 1 INSPECTION RECORD Water Line OK Mechanical Inspection Notes: 0S PIPING OK 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 f. 1 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 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 PSD FD _ - 0-