95-102817 CITY OF FEDERAL WAY �,. „„,. ,, , . ,., ,.. PERMIT NO: BLD95-0854
33530 F i rs t WaySouth ,,.,,��..,, 1-1 A 1�^� ,,,,.,.�,,,'r �... i.,,^
a ..,. �� � I.� �, � �M � �w I ISSUED: 10/23/95
Federal Way, WA 98003 Building inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 04/20/96
ADDRESS : 2101 S 324TH ST
NO. : 162104-9037
PROJECT DESCRIPTION:MECH - FURNACE TO 100 BTU, GAS PIPING, HOT WATER HTR
= OWNER ,:_.. _--- -----------. -- -•- CONTRACTOR =------ LENDER ---- -- _.
KAY SHREVE PUYALLUP HVAC INC
2101 S 324TH #213 5018 85TH AVE E
FEDERAL WAY WA 98023 PUYALLUP WA 98371
661-2335 845-0581 I
PUYALHI066MK
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
------------ - ---- .. ---
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS I FEES:
GAS PIPING.: 20 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 NWT • 1 WOOD STOVES...: 0 15-30 HP 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBO • 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
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)
i
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 MET.
OWNER OR AGENT DATE
FILE COPY
Permit # 13tet 1 O85'f
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME: "\LIL '5h r-e i'-Z_ I �-L,I k(
OWNER �C�.rt i� SITE LOCATION 5 a-444-z--
OWNER'S
_i4t iOWNER'S ADDRESS .j U [ 5 . 3 --1" �-[3 CITY4* ( r PHONE t l�; j -A 3 35'
DESCRIBE JOB �) t i--i JELL*
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME VU.- Lv 1 .Lie fit'f}L tiC-- CONTRACTOR'S REG. #puw o-I-t-TC`(A-AttL
and MUST be presented
CONTRACTOR'S ADDRESS j Cr( SC Ig'�'`� C CITY ()L la,t-i-10 PHONE S-4-(
EXPIRATION DATE
— 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 nt. \ i `- PHONE 5 Ciw►� �---
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST !!�� EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER �(t%i. f,0`�'6 9 07
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. j FURNACE, Ems- GAS $ (t.,
SHOWERS \ GAS HOT WATE 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
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ 3C _
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: )1 -1 ,610DATE: (e ( ) ( 1
ANP-008 3/90
CITY OF FEDERAL WAY PI: Will NO: BLD99-0855
33530 First Way South MECHANICAL PERMIT ISSUED: 10/19/95
Federal Way, WA 9E3003 Building Inspection Requests 661-41 ;0 BY: J11-I
661-4000 EXPIRES: 04/16./96
ADDRESS:32510 PACIFIC HWY S
NO. : 162104-904.3
PROJECT DESCRIP I 10N-.MECH - DUO WORK
I PAWN X-CHANGE 1 N PIE CONSTRUCTION INC.
1 32510 PACIFIC HWY S 1 1609 SW 3241H AL
1 FEDERAL WAY WA 98003 I FEDERAL WAY WA 90023-5430
I I 1
1 646-6248 1 874-050c
rtit, 11 , 1
I
es* (0111m(11v), 11A9 IPII P1 AIM" LOAF 10) VD!' P$P601ING SAW FAX FOR WORM WAIN FIE CITY Of FLAMM. MAY. (AX RAI! 8.25 *1*
1 FUEL IYPES.:? ? FANS...... . : n IOW v:.,/ umf,,Kitwv, FEES:
0 , <„,
,,,, .--12.;
FURN(1001(..: 0 Nit:TWO ,. : I 31', lif ... 0 ' ' ' .-e- ;;-. ' --: . E FEES.* $ 6.50
1 GAS NWT • 0 WOOD $ioVE$...: 0 1', li I,1
CONV BURNER: 0 FORN400*.. • n 3$ A HI
880 • 0 II"( JOOD
0
(.4 III) ** *: u
1 GAS DRYER..: 0 AIR Hum* vis 1.00 NW .
IRANGE • 0 ,10,000'0! 4
AS LOGS...: 0 ) 10IL, cFM; tr ER. AID,: 0
TOTAL RES $ 26.50 1•
Does the water supply system contain 3 Pressure Reduction Device o Check valve? 0 Yes () No (If Yes then water expansion tank is required on Not Water tank)
I—)
Inspection Record Water Line OK Mechanical loectio , es
I 1 AA/f ,
1 GAS PIPING OK DatexV By AM ‘
1 k
PERMITS EXPIRE. IOU DAYS AMR ISSUANCE IF NO WORK IS SIARTED. RESIDINFIAL AND GRADINC PERMITS EXPIRE ONE YEAR AFTER DATE Of ISIOHNft.
I CERTIFY 11W INFORNATION fORRISNE, BY NE IS TRUE AND CORM] IA (NE HES! 04 NY INONIEDGE AND TOE APPII(ANIE (IIT Of fillfitAt WAV RtoUTREHINTWilt BE ik
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