93-100770G'TY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
SITE ADDRESS: 2101 S 324TH ST Unit: #43
PARCEL NO.: 1621049037
PROJECT DESCRIPTION: GAS PIPING
OWNER
CARROL BAGBY
231 OCTOPUS AVE NE
OCEAN SHORES WA
3354
FUEL TYPES.:GAS ?
GAS PIPING.: 40 ft
FURN<100K..: 0
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>100K.....: 0
MISC........... 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
Water Line OK
P'S PIPING OK �� 3
CONTf?ACTOR
CENTRAL HEATING & A/C
9624 CANYON RD. E.
PUYALLUP WA 98373
206-531-5871
CENTRHA154B4
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
mit/ Date
By
LENDER
q 3— Ito -l -lo
PERMIT NO.: BLD93-0339
ISSUED: 03/29/93
BY: JJ
FEES:
MEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* $ 3.00
TOTAL FEES $ 23.00
Notes: Cris e,P,IJ Y. 1-16—&- A,UD
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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 !C > c- �.� ' DATE — p� �j�
bt-%mech 07/01/92
�� /�,S �oi,i✓� .`5 � 2�Pt'� � O,lc /-/- T��i 3 /z„v� � f(✓�,f/II
V
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICALPERMIT PERMIT NO.: BLD93-0339
BUILDING INSPECTION - 661-4140 ISSUED: 03/29/93
BY: JJ
SITE ADDRESS: 2101 S 324TH ST Unit: #43
PARCEL NO.: 162104-9037
PROJECT DESCRIPTION: GAS PIPING
OWNER
CARROL BAGBY
231 OCTOPUS AVE NE
OCEAN SHORES WA
3354
FUEL TYPES.:GAS
GAS PIPING.: 40
FURN<100K..: 0
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GA$ 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
iter Line OK
GAS PIPING OK
CONTRACTOR
CENTRAL HEATING & A/C
9624 CANYON RD. E.
PUYALLUP WA 98373
206-531-5871
CENTRHA154B4
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
FEES:
MEC PRMT ISSUANCE... S 20.00
MEC APPLIANCE FEES.* S 3.00
TOTAL FEES S 23.00
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 �' �_ �L�%�-:L/�/� DATE
bld mech 07/01/92
PLEASE PRINT
IS
•
APPLICATION FOR DEVELOPMENT PERMIT
.4 PPI 1r.4TInA/ tt-
TE LOCATION
Address�-
Tenant
)
Lot #
Assessor's Tax #
Building Owner Name
S�
Phone
Cit
State
Zip
e aa.e....
STRUCTURE..'.
Existing Use
Permit includes:
❑ Plumbing
❑ Building
❑
Type of Work:
❑ Residential
❑ Commercial
❑ New
❑ Addition
❑
❑
Enter 1st Floor
Area Basement
sq ft
sq ft
2nd Floor _
Decks
Existing Floor Area
Proposed Total Area
Water Availability
❑ Sewer Approval ❑
Please Complete Reverse Side
CD0492 (Rev 2W'
(Proposed Use
❑ Plumbing
❑ Mechanical
❑
Other
❑ Remodel
❑ Garage
❑ Number of Units _
❑ Shed
❑
❑
Deck
Other
sq ft 3rd Floor
sq ft Garage
sq ft
sq ft
Existing Floor Area
Proposed Total Area
sq ft
sq ft
Project Valuation
I $
Please Complete Reverse Side
CD0492 (Rev 2W'
LENDER 46
1 , It a
Name
Address
City
State
Zip
Contact
Phone
Fax
riECAANICAL CONTRACTOR
Contractor Name
S e c cl
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified
License #
Expiration Date
❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name
Sinks
Urinals Lawn Sprinklers
Address
Dish Washers
Drinking Fountains Other
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified
❑ Yes ❑ No
PLUA GING FIXTURE COUNT
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains Total Fixture Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other)
Gas Dryer
Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping /;
Range
Air Handling > = 10,000 CFM
30-50 Tons
Furn <100K BTUs
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
Total Unit Count
DISCLAIMER: 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 officersandemployees, upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent: G 7_- Date: --- Date: