93-101568 9 -/a) 5 S
CITY OF FEDERAL WAY MECHANICAL PERIVIIT PERMIT NO.: BLD93®0690
3?530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 06/25/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 1233 SW 327TH PL
PARCEL NO.: 9264940730
PROJECT DESCRIPTION: HVAC = INSTALL GAS INSERT & PIPING.
OWNECONTRACTOR LENDER
LISAR MURPHY PACIFIC ENERGY SUPPLY INC
1233 SW 327TH PL P.O. BOX 2144
FEDERAL WAY WA 98023 6920 - 22ND ST W./TACOMA
GIG HARBOR WA 98335
5974 565-4594
PACIFFSO77KQ
4
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 30 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 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..: 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 $ 29.50
INSPECTION RECORD
iiiter Line OK Mechanical Inspection Notes:
GAS PIPING OK 7"( -4-73fviN) Date _ (( c ' By / -/'
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATIO FUR. 1 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 4,/u (
3Id meth 07/01/92
1
•
• •
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
DATE BY DATE BY DATE BY
• FINAL O.K. TO OCCUPY
DCD PSD FD
DATE BY
7-3-'53 VO Womg it/e) - /J _.7.1..5,0z-5- 7 ro ),11 -)
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1
1110 Alit # 61/1x93 odd
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION •
— Please Print -
BOX 1 TENANT NAME: .
ei
OWNER L ;k ,i - SITE LOCATION 1 3 5'L. `IZI f ku
OWNER'S ADDRESS CITY -42 ' • PHONE 9,91- r)92-1---A-
1‘
DESCRIBE JOB • A k, �_i i -Q
THE PROPERTY IS OWNED BY:'SINGL /MARRIEI - j PARTNERSHIP CORPORATION
•%
BOX'2 CONTRACTOR'S NAME A.-: 1 g-n";;_ 5 L.1..
CONTRACTOR'S REG. #_('Ac+S�S��-� ('�
Card MUST be presented
CONTRACTOR'S ADDRESS `c9-Q 9-2--4 `T1- �f- - CITY
...--------
CONTRACTOR'S PHONE 5C5 4584_
EXPIRATION DATE 511619'3
- 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 _ �L tZ` . _ -- -- -- — - --_ PHONE_ 54 5 45`14
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 447(v(.74(f - 0 2. 0
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 I _ BASEMENT / /
DECK I GARAGE /
BOX 8 i.--) SINGLE FAMILY
( ) MULTIFAMILY(NO. OF UNITS = ( ) NEW CONSTRUCTION
( ) COMMERCIAVINDUSTRIAL ) ( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY SQ FT
30X 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES - BASIC FEE$ ---- ..
NO. . WATERCLOSETS GAS PIPING, FEET '--30."
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS $
LAVATORIES GAS HOT WATER HEATER. - --- $
SINKS - CONVERSION BURNER - -- - - -_ $._
DISHWASHERS _ BOILER, SIZE BTU $
AIR HANDLING UNITS
ELECTRIC HOT WATER HEATER - $ ------ --
LAUNDRY WASHER OUTLET • • UNIT PUMPS, SIZE $ _
------- _ __ __ UNIT HEATERS $
URINALS - -
DRINKING FOUNTAINS • AIR COOLING UNITS, SIZE - . - $ -- ---
•SUMPS, SPRINKLER VACUUM BREAKERS COMMHOOD U.� U'�2-r'� $
$
DRAINS . _ _ ._ ___ _ OTHER
OTHER
TOTAL FIXTURES $
• TOTAL MECHANICAL FEE $
CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
ND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
IADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
ND FILED AGAINST THE CITY,OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
FFICERS AND EMPLOYEE.10 THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS
--- APPLICATION.
RIP, /072h.-5
1'�NER/AGENT: � `�f %(�, DATE:
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