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CITY OF FEDERAL WAY MECHANICAL PERMITPERMITNO!: J BLD93-0030
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 01/14/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 1208 SW 347TH PL
PARCEL NO.: 666490-0350
PROJECT DESCRIPTION: HVAC
OWNERCONTRACTOR — LENDER
YOUNG CHOI ABC GAS INSTALLATIONS
1208 SW 347TH PL 9923 64TH CT E
FEDERAL WAY WA 98023 PUYALLUP WA 98373
952-3304 845-7482
ABCGAI*113N3
TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
G S PIPING.: 10 ft HOOD •
0 0-3 HP • 0 MEC PRMT ISSUANCE... S 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* S 9.50
GAS HWT • 0 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..: 1 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 S 29.50
1
P
—y
INSPECTION RECORD
Water 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.
7
OWNER OR AGENT �� --- ---L ---•--+`-cDATE /-/cF^ ?-3
bld_mech 07/01/92
•
• \ • permit # 0(/0 13 CO3—�
N
N
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME:
- OWNER %--er------,- - 1 `f I ,, SITE LOCATION / 0‘ 'Z' ? u 7 �'.c
OWNER'SDR " = CITY
DESCRIBE JOB
/` `� � `�' = ����� PHONE '?.ti�� 33 A y
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Cf Vic.,. -9 ._,Z-z--67.-:t--e(e.--C-_,,,-- -, CONTRACTOR'S REG. #Q*'°'`X6'4 if Cit 3
Card MUST be presented
CONTRACTOR'S ADDRESS 9. -•-R 5 c=:-;• G= C- �-,-1 CITY 7-7-7- -L4---' PHONE F`'> %-` 6
EXPIRATION DATE cL<.?-, y > j
— 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 ..---/-7 .--.4",-_ PHONE `4 ' - 7'Y `4'
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER G " '2 ' C: _, c
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
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET / $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER S
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 100D $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER &-7,---/-,-,-- $
DRAINS
OTHER $
S
TOTAL FIXTURES $
TOTAL MECHANICAL FEE S
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.
OWNER/AGENT: - yti .� i -� DATE: / - /--"71-- i
ANP 008 3'9'
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93-0030
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 01/14/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 1208 SW 347TH PL
PARCEL NO.: 666490-0350
PROJECT DESCRIPTION: HVAC
OWNER — CONTRACTOR -- LENDER
YOUNG CHOI ABC GAS INSTALLATIONS
1208 SW 347TH PL 9923 64TH CT E
FEDERAL WAY WA 98023 PUYALLUP WA 98373
41111/1ta4 845-7482
0
ABCGAI*113N3
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 10 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... S 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* S 9.50
GAS HWT • 0 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..: 1 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 S 29.50
INSPECTION RECORD
Aliter Line OK Mechanical Inspection Notes:
We
GAS PIPING OK Date By /
L--Prile
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.
...-- a
OWNER OR AGENT
., ;77/7 / DATE / —/',". 9 3
blmech 07/01/92
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE_ BY_ __ ___ DATE _BY _ __ ___ DATE __ __ __BY
^
PLUMBING ROUGH IN WATER LINE O.K. _ __ MECHANICAL INSPECTION
DATE _ -_BY GAS PIPING O.K._________ _ - DATE __ -__ BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATEBY _ ___ __ _ DATE _ BY _ __ DATE _____-_ BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE _ BY _ _ -___
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