92-102230 _ 3
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.:4� _/oa� a
BLD92-2552
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/16/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 416 S 306TH ST
PARCEL NO.: 241330-0430
PROJECT DESCRIPTION: INSTALL GAS PIPING & GAS INSERT
OWNER — CONTRACTOR -- LENDER
CHARLES MEADOWS FIRCREST FIREPLACE SHOP
416 S 306TH ST 6920 22ND ST W
4IIIFRAL WAY WA 98003 TACOMA WA 98466
839-2187 564-5656
FIRCRF*159KM
FUEL TYPES.:GAS FANS • BOILERS/COMPRESSORS FEES:
GAS PIPING.: 20 ft HOOD • 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 3-15 HP • 0 MEC APPLIANCE FEES.* $ 8.50
GAS HWT • 0 WOOD STOVES...: 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 30-50 HP • 0
BBQ • 0 MISC • 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNIT FUEL TANKS
RANGE • 0 <=10,000 CFM: ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFM: UNDERGROUND.: 0 TOTAL FEES $ 28.50
INSPECTION RECORD
*ter 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 AGEN - - - 7LE1....4.z, DATE /2 —4_. c%2—
bldmeth 07/01/92
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2552
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/16/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 416 S 306TH ST
PARCEL NO.: 241330-0430
PROJECT DESCRIPTION: INSTALL GAS PIPING & GAS INSERT
OWNER — CONTRACTOR LENDER
CHARLES MEADOWS FIRCREST FIREPLACE SHOP
416 S 306TH ST 6920 22ND ST W
FEDERAL WAY WA 98003 TACOMA WA 98466
839-2187 564-5656
FIRCRF*159KM
4111
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.* $ 8.50
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 RISC • 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 S 28.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
S PIPING OK 17474z6P Date IVW11.By (�'v
ilet i; ' '
ig
AU.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( �.��GDATE /..?"--/I-92,.1
bld_mech 07/01/92
x ; 1 , 3
Permit # Bz-t>gz - 256
RECEIVED CITY OF FEDERAL WAY
DEC 151992 BUILDING PERMIT APPLICATION
coonv FEDERAL,WAY -Please Print—
BMW°Derr
BOX 1 TENANT NAME: //)
- OWNER iQO.(,FS SE/9...pows SITE LOCATION 4 Jv 3064/
OWNER'S ADDRESS /� 5U 30rN ofr- CITY/ -aca.� - ( 7,2x PHONE--10‘,P37--2-/,7DESCRIBE JOB /l7&f,w/eni. AS Pi//(r f`OP, ,4s-—7-4,s..-47- A7ot-vzac.e- — 0,77, --
THE PROPERTY IS OWNED BY: SINGLE/MARRIED 7<--- PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME / //ecirts i ,i'af,LA E £,o f0 CONTRACTOR'S REG. #F//fCre� '/S/,</j1
ZCard MUST be presented
CONTRACTOR'S ADDRESS g 4'.i1 S. CITY-7;6'0/77'4 1 6L PHONE 9,fre
EXPIRATION DATE •- p 3
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHIC VROHIBITS ISSUING/ PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON cfiWel,f �//eft 604-us /(Lc/4A PHONEI
f3 .�SEWER DISTRICT WATER DISTRICT _
BOX 5 ESTIMATED PROJECT COST 142/00 EXISTING BUILDING VALUATION /2s " •
BOX 6 PROPERTY TAX ACCOUNT NUMBER /-// 0 9'300
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
B 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (X) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BO • PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
I. WATERCLOSETS GAS PIPING, FEET 2-O' $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
S BOILER, SIZE BTU $
DISH• USHERS AIR HANDLING UNITS $
ELECTRI OT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY W• ER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAIN COMMERCIAL HOOQ $
SUMPS, SPRINKLER VAC i, BREAKERS / OTHER 4,-to ape.---7" $
DRAINS $
OTHER $
TOTAL FIXTURES $
.\ TOTAL MECHANICAL FEE $...3Ov
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 EMPL!, S, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AG e /A ^e • DATE: /...?-111-f 2-
t
AhP-008 3/5G