93-101010 93 - 10) D ) 0
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93-0440
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 04/26/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 627 S 305TH ST
PARCEL NO.: 104250-0130
PROJECT DESCRIPTION: HVAC - INSTALL GAS PIPING & HOT WATER HEATER
- OWNER CONTRACTOR — LENDER
LINDA EVERETT G & G GAS APPLIANCE INST
627 S 305TH ST 27027 316TH AVE SE
FEDERAL WAY WA 98003 RAVENSDALE WA 98051
839-8148 839-8148
• GGGASAI093B2
I TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
G IPING.: 70 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.* $ 9.50
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 $ 29.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
es PIPING OK Date By
III
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNIS D 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 1-4g " DATE /`'
bld mech 07/01/92
CITY OF FEDERAL WAY IVI E C H A H I CA L PERMIT PERMIT NO.: ELD93-0440
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 04/26/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 627 S 305TH ST
PARCEL NO.: 104250-0130
PROJECT DESCRIPTION: HVAC - INSTALL GAS PIPING & HOT WATER HEATER
OWNER — CONTRACTOR LENDER
LINDA EVERETT G & G GAS APPLIANCE INST
627 S 305TH ST 27027 316TH AVE SE
FEDERAL WAY WA 98003 RAVENSDALE WA 98051
8148 839-8148
GGGASAI09382
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 70 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.* $ 9.50
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 $ 29.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
-7 tIPS PIPING OK 1-/- 3 ",-i' Date ‘:-/-21- By 1 —
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.
17 -
OWNER OR AGENT /�/ ,./ j, �_-- DATE L� Z /7— —.
is d_mech 07/01/92'
•
• City7_
of Federal Way � 4. r •
`
APPLICATION FOR BUILDING PERMIT
%aL J`93-Dye&
PLEASE PR/NT APPLICATION #:
,,,I(/..2.. ..c-c_. -ell,' A^
SITE LOCATION Address - 7 ,--7.- J
Tenant!(if knn9wn) Lot # Assessor's Tax #/
Building Owner Name Address /' 7
I ' o� -S . -_5-- 7"
City F ioJ �G1 //›/ State 5 4-, Zip yejG' Phone 2 37---S-/i-e&
Nature of Work r i - " '
... . ... .... . . . ... .. . .. .............................. .................
APPLICANT
Name (F,M,L)
G,c-/-� G- s ..�,,0// ?c i.4cA7/4-
Address
2. 70, '7 73/' . AGE SL--
City /',:,,{r wt Sl76l/e State - / / Zip 7 i0S
Contat Person DayPhone Other Phone Fax
.,/— IGS Goa-4 C z--2 ( ! °77/L so Awe_ Z/. -IS_?)
BUILDING CONTRACTOR ; 7V/ft
Company Name
Address '
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified E Yes E No
ARCHITECT '� j
Name
I
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
AI
Please Complete Reverse Side
CD0492(Rev 4/93)
FST.�UCTURE tin p ieU se
Permit includes: ❑ Building ❑ Plumbing Mechanical ❑ Other
• Type of Work: X 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 ❑ Project Valuation S '
Zoning Lot Size Existing Bldg Valuation S ..y'.
LENDER �m
Name Address
City State Zip
A MECHANICAL CONTRACTOR ---
ONTRACTORiG. ��
Contractor Name J Address
�r �r-� -*�/(c�G1>%P -7:1-7 57(/�c /'/C>G-7 7ae `I 3 7( /4-ezZ-' SG
City RG;/bS.0,/,/s • le_ State Cc/G.5- Zip S
Contact 0 Phone Fax
License # rC'•: ,,¢Sf-fob .38 Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR A1 //f-
.
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT A /A-
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) '.-"-5 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 Fuel Tanks
Gas Hwt 1 Hood Boilers 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,
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 clef ariats out of the retia of the City .cluding its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent � ` dr- Date: Z4 ~,2,