92-102351 91, /o x,57
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2615
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/31/92
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 2025 S 300TH ST
PARCEL NO.: 798300-0230
PROJECT DESCRIPTION: HVAC
OWNER — CONTRACTOR —a LENDER
LARRY STEWART WESTERN FURNACES INC.
2025 S 300 P.O. BOX 11145
IlL
FEDERAL WAY WA 98003 TACOMA WA 98411
839-4983 474-8401
WESTEF*372ND
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.* $ 10.00
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...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 30.00
1--
INSPECTION RECORD
c
Water Line OK Mechanical Inspection Notes:
WS PIPING OK Date By
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION F)IRNISHED 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 _ < < -^/ E,/ DATE
bld meth 07/01/92
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CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2 615
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/31/92
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 2025 S 300TH ST
PARCEL NO.: 798300-0230
PROJECT DESCRIPTION: HVAC
OWNER CONTRACTOR LENDER
LARRY STEWART WESTERN FURNACES INC.
[
2025 S 300 P.O. BOX 11145
FEDERAL WAY WA 98003 TACOMA WA 98411
.49834111
474-8401
fl WESTEF*372ND
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.* $ 10.00
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...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 30.00
INSPECTION RECORD
liter Line OK Mechanical Inspection Notes:
iliS PIPING OK"ESS 16144/ 6 ` Date - i 7, By /%! :'
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FU HED BY ME IS TRUE ANDCORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT7--i....,64
DAEbidmech 07/01/92
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 1110
J l BY
/- `6-7 /L
3 i 144,74-7 /1-6 ,le6cs-s _in ivleJ _
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RECEIVED BY
COMM„nnTYCEvEL^P" "!TnEPARTMENT CITY OF FEDERAL WAY
DEC 1992 BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER IA, 4ta,j/ZJit7' SITE LOCATION
OWNER'SRES _ 45 .D 3E�Q�,(� 4 CITY t�'Zfi/ hhQ[� PHONE
DESCRIBE JOB J-i(,d71CCt "T xe- s 1,0,61 L—
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION )C
BOX 2 CONTRACTOR'S NAME (tt id,tm . -,Gf ftltio . -1-ct CONTRACTOR'S REG. #l(/EST i=*.3T A1C
Card MUST be presented
CONTRACTOR'S ADDRESS t'IO / ,S 7 vim jilly CITY miter PHONE 74—.F40/
EXPIRATION DATE /aAyi/9
— 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 "t itiy PHONE 467'-b'il--0
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER "qt.-14W)-444 79.Yc^G'- C5b7,30
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 (k' ) 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$ O-4,--e)
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. / FURNACE, ELEC. GAS iY $ /D• co-e,
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.
OWNER/AGENT: �- 1.0 t i ' DATE: / e
ANP-008 3/90