93-102282 11111111110- 9 — /b4.2Z-&)
CITY
F
RAL WAY
MIT
335300FirsttEWay South MECHANICAL PERMIT PER ISSUED: 09/03/9380
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/02/94
ADDRESS:3912 SW 335TH PL
NO. : 327900-0290
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE, HOT MATER HEATER. & PIPING.
OWNER — CONTRACTOR — LENDER
CHRIS LARSON CITY SHEET METAL
3912 SM 335TH PL 4202 AUBURN MAY N 18
FEDERAL MAY MA 98023 AUBURN NA 98002
R74-4139 852-2114
IIICITYSM*113JA
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 50 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT MORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 19.50
GAS HMT • 1 MOOD 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 $ 39.50
Inspection Record Mater Line OK Mechanical Inspection Notes:
1111
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK 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 NY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS MILL BE MET.
OWNER OR AGENJ /'Ijim _ . . ____ ___ DATE 5 -?//4
FILE COPY
Y . �1
CITY OF FEDERAL WAY MECHANICAL
DPERMIT NO:
09/03/9380! 3530 First Way South
rederal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/02/94
ADDRESS:3912 SW 335TH PL
NO. : 327900-0290
PROJECT DESCRIPTION:HVAC - MAIL. GAS FURNACE, HOT WATER HEATER. & PIPING.
OWNER ". - _�._.....r_ - _.- .- ------- -- . - -• CONTRACTOR . , s .,_- � - LENDER .
CHRIS LARSON CITY SHEET METAL
3912 SW 335TH Pt 4202 AUBURN MAY N 18
FEDERAL MAY MA 98023 AUBURN WA 98002
74-4134 852-2114
FUEL TYPES :GAS FANS..... 0 BO1 RS ocf, FEES:
GAS PIPING.: 50 ft HOOD T ( N NEC PRMT ISSUANCE... $ 20.00
FURII IOO ..: 1 DUCT WORT( e`.ir �5 � � �� ° "� � ��rh" FEES.$ $ 19.50
GAS INET • 1 MOOT) ST : 30 P.� �� a ��
CONY BURNER: 0 50 P. .z rigisaimookk,
BBQ • 0 M " ;
GAS DRYER..: 0 AIR S u S
RANGE • 0 <:1 �1 I rw a.
GAS LOGS...: 0 > 10,r ;� RG '.. .0 _a. •
FEES 39.50
TOTAL� �
_ __r_
Inspection Record Water line OK Mechanical Inspection Notes:
44-/71-5
/// M L %
GAS PIPING Ox/p'7i3 /L1,/Uate __ __ By 7 7 1s "m/
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 NAY REQUIREMENTS MILL BE NET.
OWNER OR AGENT__ --- ---r_ ;. .__ DATE r, j+`rw _ I/
10) IA 10-
FIELD COPY
•
City of Federal Way
\At Fn' APPLICATION FOR BUILDING PERMIT
PLEASE PRINT ,t`�
APPLICATION #: (�/
� ,0
SITE LOCATION Address 3 C/ j z 33 cJ �L t Pt
Tenant (if known) Lot# Assessor's Tax #
Building Owner Name Address CP
City I State Zip Phone 7 1/4-1 -- 9
Nature of Work
APPLICANT
Name (F,M,L) )
(7-k-- i �e�
Address
"4 Z_CDZ KN-L.k- h.%vIY1 1 Ck-lA `k4
City � '� State (I) Zip clq) on 7
CDfttest Person. Day Phone Other Phone Fax
ci t CUy�A. Www. ` "L — 2:\1
BUILDING CONTRACTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's #(cardmust be presented) Expiration Dat Verified 0 Yes 0 No
\ ry S VYN t-1 - 1-- \-- `.)
ARCHITECT
Name
Address
•
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/931
411-
RUCTURE Existins Propo se
Permit includes: ❑ Building ❑ Plumbing Mechanical ❑ Other
Type of Work: C9' 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 $
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name
Address
City State Zip
MECHANICAL CONTRACTOR
Contras r Name Address
City 47_o \--kx Lu-vv) v,_,' A- 1,---)0 4-.* State t,`t l Zip 9' 'm
Contact
�� 1 C.� —� - Phpne.. ___ Fax
License # Q CK-•/ w\ X \ ) t1 Expiration Date 1-k-91 Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total'Fxture-Count
MECHANICAL UNIT COUNT r
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping 5-5 , ' 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 / 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 claim arises out of the reliance of the Cityt•including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application. (�p...�/
Owner/Agent:` "lNv� Cy
l,/l/yi(X_ / L L t / 'i C.