92-101752 CITY OF FEDERAL WAY MECHANICAL PERMITPERMIT NO.: BLD92®2290
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/12/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 32520 30TH AVE SW
PARCEL NO.: 873190-2180
PROJECT DESCRIPTION: HVAC
OWNER CONTRACTOR — LENDER
JAMES SHORT AMERICAN HEATING SERVICE, INC.
32520 30TH AVE SW 7517 PORTLAND AVE.
FEDERAL WAY WA 98023 TACOMA WA 98404
838-3195 847-8399
AMERIHS083M5
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 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.* $ 16.50
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 $ 36.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
ilpS PIPING OK Date By
P
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.
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OWNER OR AGENT ��'� -���" DATE Q//11/7-2-
bld mech 07/01/92
CITY OF FEDERAL WAY IVI ECHAN ICAL PERMIT PERMIT NO.: BLD92-2290
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/12/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 32520 30TH AVE SW
PARCEL NO.: 873190-2180
PROJECT DESCRIPTION: HVAC
— OWNER — CONTRACTOR — LENDER
JAMES SHORT AMERICAN HEATING SERVICE, INC.
32520 30TH AVE SW 7517 PORTLAND AVE.
FEDERAL WAY WA 98023 TACOMA WA 98404
838-3195 847-8399
1111 AMERIHS083M5
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
°IPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
i 100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 16.50
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 $ 36.50
INSPECTION RECORD
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Water Line OK Mechanical Inspection Notes:
QS PIPING OK Date By 14Ir_ A i Ili i 4 P
• iv 04 fti r -0"Ps -A7- 53 A___________
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORM3TI N FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET,
i
OWNER OR AGENT /� i DATE tC���
bId_mech 07/01/92 /
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE —... BY— ....BY ........
_----.. DATE BY
PLUMBING ROUGH IN r1.K. __. MECHANICAL INSPECTION
DATE...._ BY .. .'IPIN K. ._ DATE .--- BY ___...... _. .. ............
O.K. TO ENCLOSE FRAMING SU ' IN WALL BOARD AND FIRE WALL
DATE__— _ —...BY +Mc
_.........BY DATE —.... BY
FINAL O.K. TO OCCUPY
PSD FD
DATE .__.._... BY i. :_-
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Permit ## se-2, 9z- '2 90
10 • s
RECEIVED BY
COMMUNITY DEVELOPMENT DEPARTMENT CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
SEP 3 0 1992 - Please Print—
BOX 1 TENANT NAME:
OWNER iaPerfieLo1 '1' SITE LOCATION
OWNER'S ADS '1/4..._9 ' 0-er "-4/,-S(.f/ CITY - I PHONE �� ____
DESCRIBE JOB ...B.nkIi Q u/2r 4- /tp, 1.
THE PROPERTY IS OWNED BY: SIN �LE/MARRIED )i PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME /0.44 �. )X. "/-1&177A/G/ ,r/( • e CONTRACTOR'S REG. #, 72l, - O. . S—
n ,� Card MUST be presented
CONTRACTOR'S ADDRESS 0 #10/7(74e, 9' �-1 CITY 6�'e'itokofC.�CL PHONEL�„.39"7
EXPIRATION DATE -7- 972
— 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 PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER .YV1ld . ier0
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 1 2ND FLOOR /
3RD FLOOR_ /_ BASEMENT I DECK / GARAGE /
BOX 8 (, ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. I 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.
4--;OWNER/AGENT.' ., /!!, I ir,Ai _4// /l DATE: vJJ —70�
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