93-100695 • 3 - toO &'9
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93-0306
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 03/23/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 134 SW 292ND ST
PARCEL NO.: 119600-1025
PROJECT DESCRIPTION: HVAC - INSTALL GAS PIPING, HOT WATER HEATER, & FURNACE
OWNER — CONTRACTOR -- LENDER
ED TONSETH PACIFIC GAS HEATING & AIR INC
134 SW 292ND ST 11002 34TH AVE S
FEDERAL WAY WA 98023 TACOMA WA 98444
6053 582-5882
PACIFGH110ME
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 25 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 19.50
GAS HWT • 1 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 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 39.50
INSPECTION RECORD
•ater Line OK Mechanical Inspection Notes:
GAS 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.
OWNFOR AGENT �) �� z -� DATE /-)--- /f /
mech 07/01/92
C 1 t , _ _ _.._ .—.�_. Permit
9 30 30�
' .•
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Pisan*Print—
BOX 1 TENANT NAME: p d Tb,-
OWNER _._ ,. 4,• _ SITE LOCATION --
OWNER'S ADDRESS_ ... ' CITY - PHONE
DESCRIBE JOB a WNW q ILO ' • • '4, , =l1 • r'
THE PROPERTY IS OWNED BY:SINGLE/MARRIED_ i/ PART •'SHIP_ CORPORATION..-,__ •
BOX 2 CONTRACTORS NAME -1 _. -, _ • , -- #' CONTRACTOR'S REG.M f • . - - /n 1
usr a tb
CONTRACTOR'S ADDRESS ..1LDQe r.. y ..'' , )J CITY -777:i/LW)4 PHONE �gr
EXPIRATION DATE J-7.31
-OR-•
I HAVE READ CHAPTER 18.27.01D RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
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. —
BOX 3 CONTACT PERSON , eJL)4.3 PHONE.rile; -Ziell•ml
BOX 4 SEWER DISTRICT WATER DISTRICT_
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER_ I/4'£)D-- 1.0h
LEGAL DESCRIPTION — ------
(If necessary,please submit a separate page with the legal description)
-- K.C.Plat Recording It ,______
BOX7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR_____/ 2ND FLOOR J
_ 3RD FLOOR / BASEMENT_ r____ DECK_______/ GARAGE —_ /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION -!
( ) MULTIFAMILY(NO.OF UNITS- ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY „,._SO FT
BOX 9 PLUMBING FIXTURES(Including rough-Ins) MECHANICAL APPLIANCES--BASIC FEE$
NO. -.WATERCLOSETS GAS PI?LNG,FEET p'?x $
BATHTUBS NO. / FURNACE,ELEC. GAS— ._ $
-SHOWERS J GAS HOT WATER HEATER $
LAVATORIES ___CGNVERSION BURNER $
_SINKS __BOILER,SIZE 8TU $
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 1 HE BEST OF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF 1 HE ABOVE PREMISES 10 PERFORM 1 HE 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 INVESTIGA1 ION 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 1 HE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: er14I� �S._.41/0/_________DATE: _ -12321:9- ______.... .•1.1401
•1.1.00[YM
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93-03 06
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 03/23/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 134 SW 292ND ST
PARCEL NO.: 119600 .102 5
PROJECT DESCRIPTION: HVAC - INSTALL GAS PIPING, HOT WATER HEATER, & FURNACE
OWNER — CONTRACTOR — LENDER
ED TONSETH PACIFIC GAS HEATING & AIR INC
134 SW 292ND ST 11002 34TH AVE S
FEDERAL WAY WA 98023 TACOMA WA 98444
053 582-5882
PACIFGH110ME
FUEL TYPES.:GAS FANS • BOILERS/COMPRESSORS FEES:
GAS PIPING.: 25 ft HOOD • 0-3 HP • 0 NEC PRMT ISSUANCE... $ 20.00
FURN<10OK..: 1 DUCT WORK • 3-15 HP • 0 MEC APPLIANCE FEES.* S 19.50
GAS HWT • 1 WOOD STOVES...: 15-30 HP • 0
CONY BURNER: 0 FURN>100K • 30-50 NP • 0
BBQ • 0 MISC 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNIT FUEL TANKS
RANGE • 0 <.10,000 CFM: ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: UNDERGROUND.: 0 TOTAL FEES $ 39.50
INSPECTION RECORD
liter Line OK Mechanical Inspection Notes: $i -- /h�yr -re, Xe bEA/e 1 TE S
GAS PIPING OK 6--,)0-53 mu Date 5--,)r)-- By ,f) 144/D A./07- At Se?-7 145 92 Pay=..
AU.PERMITS EXPIRE 160 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.
b�OR AGENT 2--, i3' DATE 3 /� 3 /f. 7
07/01/92 ///