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SETBACKS& FOOTINGS
Date By
FOUNDATIOP41 WALLS
Date By
PLUMBING GROUNDWORK
Date By
....................................
UNDERFLOOR FRAMING
-
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date 7-f5-5(_( By
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
77:711-11S T LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CD0193
s . . •
CITY OF FEDERAL WAY PERMIT NO: MEC96-- 136
33 530 First Way South IHi I!I",;;4n::;., 1It 'b f !;Itl 1..c .fi..1li....• IR t••.,, ;► h,,tal►7!,E. 111 ISSUED: 07/16/96
Federal Way, WA 98003 Building Inspection Requests 661•-4140 BY: FC2
661-4000 EXPIRES: 07/10/97
ADDRESS : 2620 SW 332ND PL
NO . : 894430--0730
PROJECT DESCRIPTION:HVAC - INSTALLING 40' GAS PIPE.
— OWNER ......_-.._____ _=___.-.__.._...._ _= .__.-3_ CONTRACTOR = _ . =-..-..___..x_ LENDER ------•- T
SANDRA FURLONGNATIONAL CONSTRUCTION SERVICES I
I 2620 SW 332ND PL f 25432 74TH AVE S
FEDERAL WAY WA 98023 KENT WA 98072
s,
927-5906 850-1616
NATIOCS06O6M
44
Zs* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FORPROJECTSWITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.25 ##i
PROJECT VALUATION 200 1 FEES:
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS MEC PRMT ISSUANCE... $ 20.00
GAS PIPING.: 40 ft HOOD • 0 0-3 HP • 0 Mechanical Permit* $ 22.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0
GAS NWT • 0 WOOD STOVES...: 0 15-30 HP....: 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC . 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS a
► RANGE • 0 :10,000 CFM: 0 ABOVE GROUND: 0 I
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 I TOTAL FEES $ 42.00
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 lank)
1 !
Inspection Record Water Line OK .__. Mechanical Inspection Notes: ._.__..___,•_•______._.__.____.__�_____._. ._.. '
GAS PIPING OK Date _...._____. BY
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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT LATE 7 �� l
FILE COPY
Q, G City of Federal Way '
•
v F E1vEQAPPLICATION FOR BUILDING PERMIT /
SEG� 00
`
PLEASE PRINT N
APPLICATION #: —C
(Q 0 1%
p�A1
SITE LOCATION �GE • Address ,. ir.� C.> LU 3 _r4� dPLv
Tenant (if known) Lot # Assessor's Tax #
Buildinwner Name Address
City C LA_-) 0 , J State c,4-A,A,- Zip Phone .)? -s-�j0 (e
Nature of Work
APPLICANT
Name (F,M,L) /
Address
c� S-21 ,3J 7(i A-'7 S_.
City /A7,0cL7-- State L,. Zip yfc, /
Contact Person -s Day Phon Other Phone Fax
t ,0 yl.-t V'r--c,,v ✓\ �C' ��( (4, _
BUILDING CONTRACTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Date Verified 0 Yes f7 No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)I
STRUCTURE Existing Use Proposed Use
4. Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
\ ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ElProject Valuation $ 7,
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name I Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING 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 l Fuel Tanks
Gas Hwt ,.' Hood Boilers •--.N `' Above Ground
Cony 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,
aind 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
plication.
ner/Age t: fyJ j 4/Cc
Date: 779c