93-103110 9 - /o3J/p
CITY
335300Firstt Way South F FEDERAL WAY MECHANICAL PERMIT PERMIT ISSUED: 112/08/9305
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 06/06/94
ADDRESS: 1829 S 308TH ST
NO.. : 785360-0120
PROJECT DESCRIPTION:INSTALL GAS FURNACE (CHANGEOUT)
OWNER -- CONTRACTOR -- LENDER
STEEL LAKE PREESBYTERIAN CHRCH NORDIC HEATING, INC.
1829 S 308TH ST 3401 C ST. NM BAY 1
EDERAL MAY WA 98003 AUBURN MA 98002
9b5-b21O 931-0503
NORDIHIO99BJ
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<1O0K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 10.00
GAS HMT • 0 MOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN>1O0K . 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
4111
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Mater Tank)
Inspection Record Mater Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
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 MAY REQUIREMENTS MILL BE MET.
‘11OWNER OR AGENT 2 ' - U A DATE
r,is C.'F".
CITY OF FEDERAL. WAY PERMIT NO: LD93-1`345
33534 First Way South MECHANICAL PERMIT 13
ISSUED: 12/48/93
Federal Way, WA 93003 Building Inspection Requests 661-4140 BY: FLF
661-4000 i EXPIRES: 06/06/94
ADDRESS: 1829 S 308TH ST
HO_ : 785360-4120
PROJ ECT DESCRI PT ION:INSTALL GAS FURNACE (CHANCEDUT!
(MINER
STEEL IARE PREESBYTERIAN CHRCH NORDIrAiATIN6, INC.
1829 S 308TH ST 3401 C ST, NM BAY 1
DERAL MAY NA 98003 AUBURN NA 98002r 5•y
965-6210 /4.
r
'": 5%, �a ,"..,mss a: ....r..,..y_.....__r-.�..,......_.�.._... ....._.. ....,...,.. ......... -..-.r._,u...�.,..�....,.:x_......-_...._..��.mr - ._.........-
FUEL TYPES.:GAS TYPES.:GAS FANS r44 ® Ek;:,;.,,-,.;0.,-.-.-14--,161,. FEES
GAS PIPING.: 0 ft H000 3 �, ��,p a T��i� ��. r,� �. E NCE,.. t 70.00
FURN<IOOK..: 1 OKI N.i- � 4415' .•��r� r eal E FEES.' ; 10.00
GAS ANT • 0 NM)-ST M, r 0' P ', A t. . 'r. +°
qI ate,,', �e o,, ,7,0 .. lig -�
CUMY BURNER: 0 FUQI IOOX : 0 ' 50 HP '11c
880........• 0 MI' `0"` 5 ' *" '';;E:':41-4-1
GAS DRYER..: 0 AIR f 11 S `lk44;-:,,,,,-;:,,,, x
RANGE.,,..,: 0 <-10,4 Ott 0,, E ND: 0 ,
GAS 1065...: 0 > 10,001144: '0 , IDERGROUND.: 0
TOTAL FEES ; n.
s_ 00
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Nater Tank)
Inspection Record Nater Line OK _________ Mechanical InspectionnNotes:
GAS PIPING 012e--. 1741,16&ate/,, 7 By . A
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If NO YORK 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 TNF APPLICABLE CITY OF FERERAI MAY REQUIREMENTS MILL BE MET.
71
hN?ER OP ,+ Et;' f ", �_u ��e. _ _ _ i'r:iI E _ __- l/
FIELD COPY t V/
• Pe.t ## 5-e-D J ' /d os
CITY. OF FEDERAL WAY
BUILDING PERMIT APPLICATION
- Please Print-
BOX 1 TENANT NAME:
OWNER ± L L_ Lel ke. Pres b i A i) SITE LOCATION / 'I
OWNER'S ADDRESS 5 r, ' bpv - CITY PM / ��.0- PHONE 5" 4 d 6
DESCRIBE JOB CA-3 t(' 'A . A ac 4_, '-b1 4 i ( 17r
THE PROPERTY IS OWNED BY: SINGLE/MARRIED _ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME )--/E' in I c- MR i-/Av e-- CONTRACTOR'S REG. # IJC O-hI b 9183
Card MUST be presented
CONTRACTOR'S ADDRESS 3'ic 1 (i.S ' 1V� - CITY A ru PHONE `13/---
EXPIRATION
13/--EXPIRATION DATE / - I -- S it
- OR -
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.2.7.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON D t, k j /i i en C<-T" d M PHONE 1 S r-c
BOX 4 SEWER DISTRICT - -WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording if
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR _/_
3RD FLOOR / _ BASEMENT_ / DECK / GARAGE _/ _-
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTIONH
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE �i �� YC'
*COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY _ SO FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES - BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS _ $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER S
_SINKS BOILER, SIZE BTU S
_ 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: _ �'/ �-'�L L� G tea;,, - - DATE: I 2- - / - 6 3 - -
ANP.00 3 9,3