The URL can be used to link to this page

95-101550 q5-76V6-6-() CITY OF FEDERAL WAY I PERMIT NO: BLD95-0527 33530 First Way South MECHANICAL. P ERM �. 1�r ISSUED: 07/11/95 Federal Way, WA 9E3003 Building Inspection Requests 661-41411 BY: FC2 661-4000 EXPIRES: 01/07/96 ADDRESS:28806 MILITARY RD S NO. : 042104-9117 PROJECT DESCRIPTION:NVAC - REMOVE EXISTING OIL FURNACE & REPLACE N/GAS FURNACE 120,000 PTU a OWNER M===9,,Z111000====n1=.21,121UMMUAMME=Mlenri======UUMUirrAlatian=ill ! CONTRACTOR ......................................... LENDER ==a<xm,aQ aalaQQaa: a=slmlr-xll..ea.!!!!lQlaa.ml CHEVRON A L SLEISTER & SONS CONST INC GRIFFIN 28806 MILITARY RD S 12303 CYRUS WAY MUKILTEO WA 98215 28806 MIIITARY RD S FEDERAL NAY WA 98003 FEDERAL WAY WA 98003 742-4944 ALSLESC199DB aaazaalaaaam:tmasmaam^lamm_as:a:acza-minu==s»=.==aria-.r,:aasazxaa._amcac;_ ,,,=..====acex:K====.===Qacaraarr-mesmmcou. Qzacc msajzr..axcx,::.mumm.,x+a:ma.A,erasam=gaaaaxnammrsamaxeaa!!=!llaua=aa US CONTRACTORS; PLEASE USE, LOCATION CODE 1732 WREN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.25 SO C.aalxa=xacal=m.,===aaaa2am=mCQS.'2maLa..rtm.==....:S:ravtpapmsm......95..' �•99ftwiti ammitoJ!y¢jFM=omemm.s.a=ar^.,ISaas=ammomQlaa:!mmaauQrmates Amax=maCaiaa====,aa.a==ma==e:al3m=aa..9maaaCmumas====aSsaam FUEL TYPES.:GAS ? FANS..........: 0 :1tILERS/COMPRESSORS FEES: GAS PIPING.: 65 ft WOOD...,......: 0 0-3 NP. .....: 0 NEC P MI ISSUANCE... $ 20.00 FURN<100K..: 0 DUCT WORK.....: 0 3-15 HP ....: 0 MEC APPLIANCE FEES.* $ 14.00 GAS NWT • 0 WOOD STOVES...: '0 15-30 HP...,: 0 CONV BURNER: 0 FUP?'100+". .:. .` 1 3`'i-50 HP • 0 BBO • 0 MIS( : 0 ;+ NP ..,...: 0 GAS DRYER..: 0 AIR HANLLING UNTiS FUEL TANKS--------- RANGE ANKS-•------.RANGE • 0 <=10,060 CFM 0 ABOVE GROUND: 0` GAS LOGS...: 0 > 10,000 (FM: 0 UNDERGROUND.: 0 TOTAL FEES 1 34.00 S=Qs3aaal:zasaa=mm====,.Cmaaax==G.affaar4.Mm=c1-t,a.=ate v3a.-==maataa=amx Qaaa SaS=aatCCm=902=as':1==s=ammm=.n========ra==rolls::==s=.===ummaaxQ!'YcatWx=macM, 1=M.MW...Y'.mma^3lmaaC^4202x!.22.2➢-a=a3s.'-.miga 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-2-/3-525 Date7i 5By lam""/ :C===s3m 9arf=x==acaClax=02caamama=='FF=l=IQallaaalm."..aaiamma SaaC�_vm.ata.Wr lama QQQaoalpt!!l/a SAmG2a=aaaL`SRQam9pma=n°.s=.a02lal9a=u6=MSMWra21 r====Ssa==]Saam======aAmaa'.-.Y:===ft.9=l=aCamsm===.:3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THE INFOIMMTIlN-- ' MED DY it-TRINE ORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL BE MET. OWNER OR AGENT ` f' '� L ,5 , ..— i ._; •�w l _---_------ _ DATE -� FIELD COPY CITY OF FEDERAL WAY PERMIT NO: BLD95-0527 33530 First Way South MECHANICAL. PERM T ISSUED: 07/11/95 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2 661-4000 EXPIRES: 01/07/96 ADDRESS:28806 MILITARY RD S NO. : 042104-9117 PROJECT DESCRIPTION:HVAC - REMOVE EXISTING OIL FURNACE & REPLACE W/GAS FURNACE 120,000 BTU = OWNER CONTRACTOR =__= LENDER CHEVRON T A L SLEISTER & SONS CONST INC J GRIFFIN 28806 MILITARY RD S 12303 CYRUS WAY 28806 MILITARY RD S EDERAL WAY WA 9800311 MUKILTEO WA 98215 FEDERAL WAY WA 98003 142-4944 ALSLESC199DB 1 1 *** CONTRACTORS. PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 *** I FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES: GAS PIPING.: 65 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00 FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 14.00 GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0 CONV BURNER: 0 FURN>100K • 1 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 $ 34.00 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 = = ==a a=a = = PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THE INFORMATION URNISHED BY IS TRUE�AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OR AGENT _ _ y J71 A:l2/.!4 .� -`;=. i. DATE M�J 1�� FILE COPY 100.. • Pipit �- CITY OF FEDERAL WAY RECEIVED i BUILDING PERMIT APPLICATION JUL 1 1 1995 — Please Print— t;ITY OF rEDEMAL WAY BOX 1 TENANT NAME: C/4 .E1//2'0-pJ BUILDING DEPT. OWNER Cl-ta20-$4 SITE LOCATION ;1_3 .e_0____/!'I ZLr7f � ,2n- OWNER'S ADDRESS 0Oa° fnZLt7, -' /PAO 54.9, CITY/ 4M-A-L t& PHONE '39 - 11030 DESCRIBE JOB (balov6 1C 7 .5 Z4CA arc_ Fit/t4 4-c( k /L6/21.4 c / Cs4S f Lc,2nIA- THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X BOX 2 CONTRACTOR'S NAME /YIGK�-gr -( 6, CONTRACTOR'S REG. #Mc 3.1.3"iO �/�p Card MUST be presented CONTRACTOR'S ADDRESS a_-J A- - G .% CITY 77( PHONE f -t-J EXPIRATION DATE q-( -q G — 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 - .%rn I A S -- I c"kr^C 5'n• � PHONE 76.0.33-(-13/ '- BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST .6 c:71/ / 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 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) 'EXISTING STRUCTURE t).4cCOMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE $ NO. WATERCLOSETS GAS PIPING, FEET (o4j BATHTUBS NO. / FURNACE, ELEC. GAS $ 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 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. .iy --ri/ovywl- OWNER/AGENT:j4, ► /l `L ©, - DATE: 7_7 1 S ANP0083/90