95-102505 95-l64SDS
CITY OF FEDERAL WAY PERMIT NO: BLD95-0778
33530 First Way South <BUILDING PERMIT ISSUED: / /
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 03/24/96
** REVISED PERMIT **
ADDRESS:2427 S 304TH ST
NO. : 092104-9069
PROJECT DESCRIPTION:HVAC - GAS PIPING , FURNACE TO 100 BTU, GAS LOG
ADDED HWT**
1,- OWNER ---=.-=---�==--- — — �^ —
• - , CONTRACTOR = —==-- -----------t- LENDER ----_.-- --- — — _____________I
I BRIAN OMEN I PACIFIC ENERGY SUPPLY INC-�� T
I 2421 S 304TH ST i P.O. BOX 2144 1
I FEDERAL WAY WA 98003 6920 - 22ND ST W./TACOMA
I GIG HARBOR WA 98335
27-6509 1 565-4594
I i PACIFES0110
1 BLD?: MEC?:X PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN ' FEES:
TYPE OF WORK:? USE:RES 1ST.: 0: 0:sf STORIES • 0 # REQUIRED PARKING..: 0 SPRINKLERS" .9 MEC PRMT ISSUANCE... $ 20.00
CENSUS CATEGORY •900 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS NEC APPLIANCE FEES.* 19.50
i OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION I REQUIRED SETBACKS FIRE FLOW • 0 gpt Mechanical Permit* S 22.00
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 I FRONT • 0.00 ft
1 TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 0 I SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf i REAR • 0.O0:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:09/26/95 I
$ 0: 0: 0: 0: TOTL: 0: 0:sf I IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? _
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 61.50
4 PIPING.: 99 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
N<100K..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
GAS HMT • 1 WOOD STOVES...: 0 15-30 HP • 0 I LAVATORIES • 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN'lOOK • 0 30-50 HP • 0 SINKS • 0 DRAINS - 0
i BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 I LAUN WSHR OUTLTS...: 0
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
•
OWNER OR AGENT (E4 1-4 _Q -n - DATE /4_0/.9
FILE COPY
CITY OF FEDERAL WAY NO: BLD95-0778
33530 First Way South ill ;mM,..: i �;°'t IN .I �mA•,et L... PE.:Ftil f �p' It ISSUED: 09/26/95
Federal Way, WA 98003 Bui l.dinq Inspection Requests 661.-4140 BY: FC2
661-4000 EXPIRES: 03/24/96
ADDRESS:2427 S 304TH ST
NO. : 092104-9069
PROJECT DESCRIPTION:HVAC - GAS PIPING , FURNACE TO 100 BTU, GAS LOG
F. OWNER -- ----------- ---- .- T CONTRACTOR ---.._....::----.-..xcxx-: xxc .._-- LENDER
( BRAIN OWEN ( PACIFIC ENERGY SUPPLY INC
( 2427 S 304TH ST P.O. BOX 2144
illiEDERAL WAY WA 98003 6920 - 22ND ST W./TACOMA
GIG HARBOR WA 98335
927-6509 ( 565-4594
PACIFES077K0
.. -- = xxxxxc_-.___
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.25 ***
xxxxxaxxx .. ._ ..__.._.._, r.x..._
( FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
( GAS PIPING.: 99 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 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..: 0 AIR HANDLING UNITS FUEL TANKS
( RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 39.50
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. ._ = --=---x - ----•----=__ .__x ._ - x
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:
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.
GAS PIPING OK DateBy __ {
... ....---xxx xx __c xaxx ....---••--x _. ..__.....,..aa.xx---^•-.xx__.__,.,x .._..___-.1
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 MAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT ee'I.0-rC_� OW - -- DATE Vol 11/ -J---
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( I TY OF FEDERAL. WAY PERMIT NO: 8L,D95-0778
:33530 First. Way South MECHANICAL PERMIT ISSUED: 09/26/95
Federal Way, WA 98003 Building Inspection Requests 661 41.40 BY: FC2
661 -4000 EXPIRES: 03/24/96
ADDRESS:242/ S 3041H SI
NO. : 092104-9069
PROJECT DESCRIPTION:HVAC - GAS PIPING , FURNACE 10 100 BTU, GAS LOG
�� OWNER as znL,�>:Q.a,:#x-'n asaarn r�t:�aatia a=ox: nea,tn.i.wvt:u.::,nzr CONTRACTOR :s>.' ,4.Y taaMi,a#�n sa��„� ��*W*WWWmmbr},:. ..,�tt:�)<� LENDEN :,t,:�t:,�;:K s@b� "•�x:-�. �':xx#t _:ai:>:L. .Y ,-t,:Y 4:rn "
I BRAIN OWEN 1 PACIFIC ENERGY SUPPLY INC
2427 S 304TH SI P.O. BOX 2144
FEDERAL WAY MA 98003 I 6920 - 22ND ST W./TACOMA
1 GIG HARBOR WA 98335 I
I 927-6509 565-4594
1 40 Pr $140,4*Ine
IatrHIt.}a.'a'i Ik9Pn:r7:nRYC...}.:a L:PC:T:::..t,";Xn'GLa: s.4fl *WW. RR+ N:. •a Wt ;.::.-'L:.u:xsrrna@tPers:ct'I.!i::WWI.v:::sc 4Wrn"uem:•:r_xa+ vam:#.:cnrs:ur.r gWfl.-C..I LV+Ills I'. IVK. C.flC.C.WL mL Ifliers:.memmcma:s VtIL
$ti COMIRACTORS. PtEASI HSE LOCA JON COBE 1732SKI RUORIE$G SALES TAX FOR PROJECTS WITHIN INE CITY OE FEIERAL WAY. 1AX RAI( w 8.25 sss
te-.L••rxxs;_swansasss'".ss....:.:s::a.x.s.:..r:: '.:-. -:.:: :-'°kv5' - '-: p_.i .•.-stuurwe'::n#cersmxr.Biwa:asruse'e^_YrGx:aL:cemzxsc:m r,::...;:�.w..rs~.i. s:.nx::xa.. .:a<.a.ur:.—.r:?#e:ac r.�:.r..us.xeurzi:.:s.::ra:.nse,xweaenrr.srcpcieta�Y^ar rasewy
1 FUEL IYPES.:GAS ? FANS ,.: 0 I{OTT Ef�.S/C It'PEt,00� FEES:
GAS PIPING.: 99 ft HOOD ...: 0 (1'3 T .. ..: 43 :.1 PU(I WARI1 :, a ' NUANCE... $ 20.00
1 FURH<100K..: "
. 1 � P. � �� � , � L E FEES.* 3 19.50
GAS HWT • 0 ROOD STOV1....' 0 55- n1HP
CONK BURNER: 0 F � U1 0 8, r 5 HP I .
5F
GAS DRYER..: 0 AIR HANDLING TTS E H
� SAN,,,,
1 RANGE • 0 , 10 M �VE 1HD: 0,. . s '
1 GAS LOGS...: 1 > 10 009UM: 0 ` . hERGROUND.: 0
I' TOTAL FEES 5 39.50
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1 Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Not Water lank)
1 Inspection Record Water tine OK . Mechanical Inspection Notes:
I
GAS PIPING OK Date By
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-FERMIS EXPIRE 180 DAYS M EER ISSUANCE II No WORK IS STARTED. RESIDl:NIIAt AND GRADHIG PERMIIS EXPIRE ONE YEi4I AFTER DAIS O1 ISSUANCE.
I CERTIFY 1NE INIONMAIION IURNISNED BY NF IS 18191 AND COMET Ids INE BEST 01 NY KNON1.t/GE AND INE APPLUCAILE. CITY Of ELDEPAI. WAY R[OU111LNENIS WILL it NET.
OWNER OR AGENT ?&-t14.4ticiaQ,,, Ou.1-4,--1•—•? DA II 9/l
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City of Federal Way RECEIVED
CITY OF i•---- 33530 First Way South
•- - I Federal Way, WA 98003 SEP 2 61995
WFW
(2061661-4000 t"CITY OF FEDERAL WAY
APPLICATION FOR MECHANICAL PERMIT3BUIL„pl d-771-
PARCEL it. q' / D �'
'T 90�/c� Single Family Multi-Family 0 Commercial 0
SITE LOCATION: }�
Tenant/Owner: +-'ri --n • 0 w-e kn Phone: Q 7-ea S-0
Address/City/State/Zip: c2 Ya 7 S . 30Y v '�f-- Fe i'e r4-4/ 98003
Nature of work: r h S fiti1i nj. 9a .S JO) S +Dve._ Project Valuation: $
APPLICANT:
Name: B1 -7 . L n OW'r-
Address/City/St/Zip: a Li,-,Y7 S , 30 V S---i- Fe di?i- p LJCt-y eye 0U?
Contact Person: 13114-/1 U►' Pol.- Owe n Phone: 9a7- (O ssb / Fax:
MECHANICAL CONTRACTOR:
Company Name: pa c i f 1 c E-he r�j4. Supp(. ,c_,
Address/City/St/Zip: PO 6 04 .: 01 V , 1,9010 -..2a a b).IT (..o d-), t ij i)7 ` i4 r 6 K 99 33S-
Contact
3S-Contact Person: War ren (.)i'SSrnP/ /C - r)iCG Phone: 5!06^"/S iV Fax: 5647-O66(2/
State L & I Contractor Registration #: PRC /15 61.7 k Q Exp. Date: - =/'3
(Card must be presented)
MECHANICAL UNIT COUNT:
Fuel Type (gas/other) ;:.,,A S Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping 4-El`t f Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's t/ Gas Log I Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
BBQ's
Wood Stoves
A/C
TONS
otal f3ntt iCouni
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 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 Federay 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: �� r�LLr✓ Date: `l/04,i5