93-100205 /0010 S.--
CITY
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93-0075
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 01/26/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 807 S 310TH PL
PARCEL NO.: 081850-0030
PROJECT DESCRIPTION: INSTALL GAS PIPING & UNIT HEATER
— OWNER CONTRACTOR — LENDER
SHERRY ROTH GOLDEN FIRE INSTALLATIONS
807 S 310TH PL 1006 W MAIN
FEDERAL WAY WA 98003 PUYALLUP WA 98371
941-5113 841-9379 839-0998
GOLDEFI088KQ
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 20 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 • 0 WOOD STOVES...: 0 15-30 HP • 0
1110 BURNER: 0 FURN>100K • 0 30-50 HP • 0
• 0 MISC • 1 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:
GAS PIPING OK Date By
•
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.
OWNER OR AGENT 774'. Z7 7 DATE //�Y /'l .,)
bld_mech 07/01/92 j
CITY OF FEDERAL WAY lvi ECHAN ICAL PERM IT PERMIT NO.: BLD93-0075
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 01/26/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 807 S 310TH PL
PARCEL NO.: 081850-0030
PROJECT DESCRIPTION: INSTALL GAS PIPING & UNIT HEATER
— OWNER CONTRACTOR — LENDER
SHERRY ROTH GOLDEN FIRE INSTALLATIONS
807 S 310TH PL 1006 W MAIN
FEDERAL WAY WA 98003 PUYALLUP WA 98371
-5113 841-9379 839-0998
GOLDEFI088K0
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 20 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 • 0 WOOD STOVES...: 0 15-30 HP • 0
Cr BURNER: 0 FURN>100K • 0 30-50 HP • 0
E • 0 MISC • 1 5+ HP • 0
GA 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:
IRS PIPING OK,,2 / -C ---17 12/t' Date -' By i7,(/
• 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.
OWNER OR AGENT � �1I// x 6 � ' DATE / ,-. : 5
bld_mech 07/01/92
Al 0
1"J2' d
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
C/-a`7`'93t/�� fc 6s1o.H ,{/0 4ecs 44 ..L.A/5/ ;/o ea r/
0 I • •
Permit # -O R3-- CO 716
RECEIVED CITY OF FEDERAL WAY
JAN 2 61993 BUILDING PERMIT APPLICATION
arry OF FEDERAL W,t- — Please Print—
RiAI nifIg4 IFS'''"
BOX 1 TENANT NAME:ST4 1)$ ' (.)
OWNER ) , .t Li , . SITE LOCATION 1 u`
OWNER'S ADDRES`/ i 1 i 3 / /L- pTY HONE ' /' --7'3
DESCRIBE JOB ,.,Zi -� re - e,"%', G ,;�2,,,, !"C/?%y. .--'/ �,,, V f%!T/;,•/ 71i (''L Y G z
THE PROPERTY IS OWNED SINGLE/MARRIED �J — PART', RSH CORPORATION
BOX 2 CONTRACTOR'S NAME �,-'L z, 4�.�, 6 t�. <-7e("f-t CONTRACTOR'S REG. # QQ2X26/- 0
/� Card MUST be presented
CONTRACTOR'S ADDRESS .7- ./�LyL CITY PHONE J.� 0Y.,0(
EXPIRATION DATE ///G'/y.? ,
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH•PROHIBITS):SUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON (1 l :'/_ .%'�� ' �, PHONE S -�t1',
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER K(..,' l eSO -- E)
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 ,fie! /2, ( $
BATHTUBS NO. 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 I 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 EMPLQY,EES,UPON THE AC URACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
/
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OWNER/AGEN1 7/"Z �DATE: � � ANP-008 3/90
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