93-103145 _ 93 . 1031 Yum
my OF FEDERALWAYPERMIT NO: BLD93-1311
33530 First Way South MECHANICAL P El�;M I T ISSUED: 12/13/93
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 06/11/94
ADDRESS:2808 S 308TH LN
NO. : 092104-9313
PROJECT DESCRIPTION:HVAC - INSTALL GAS PIPE & FREESTANDING HEATER.
OWNER -- CONTRACTOR -- LENDER
LEONARD RANDALL ***OWNER IS CONTRACTOR***
2808 S 308TH IN
FEDERAL MAY WA 98003
111
941-0998
NONE
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 80 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 HMT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 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
Does the pater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then Nater expansion tank is required on Hot Water Tank)
lspection Record Water 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 INFORMA ION FURNISED BY ME IS T ND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ___ �� _ _ ___ / z�__ DATE i_ /A.S Fj
FILE COPY
I ;/ '.
MIT N :
RAL AY
BLD93-13
3 53OCITY OF i rsDF EW.ay South ■ i .,1 1��M I AL, PERNII pERISSUED: 12/13/931 1
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 06/11/94
ADDRESS:28O8 S 308TH IN
NO. : 092104-9313
PROJECT DESCRIPTION:HYAf. - INSTALL GAS PIPE & FREESTANDING HEATER.
<' OtINER _ _ MM ._,4 �._ -.. , �.. .�__.s_
LEONARD RANDALL rx=ONNER IS CONTRACTOR***
7508 5 305TH LII
FEDERAL NAY NA 98003
•4i-0998
NONE
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FUEL IYPES.:GAS FANS ... . 0" FRIpf.tzFEES:
GAS PLATIN .: 80 ft IH?tll), ....� : 0 *I ., ,,,A,-„ ,,,,,w,,,,,,-.,, ,,,,,i, NEC PRMT ISSUANCE... $ 20.00
FURN<1001&..: 0 Dpi WIORK.. .: Xb lIP 0NEC APPLIANCE FEE5.i $ 9.50
� , _
GAS HSI • 0 #tuOD STOWS- 0 ' 3 �TlP . .i ' '
CONN BURNER: 0 FURM3 01l n " 50 HP . � „ � � � �: p
itt
BBQ0 RISC .� +l: �5+ C.- a dr � 'i, , .w* „ .,, �a,0:5, '4,44,
GAS DRYER0 IIN� ( T KS
RANGE • 0 C :a -��.--4 w�' o'
l t el ��� '.1;
s.,- t'h� A
GAS LOG; ' 0 l tl� 4 0 z ,
,,,? .
TOiAI, FEES $ ?9.5D
-.........c....__....._a......a......—. --._ -_ ,_..--__.,...�.... :.., �.
s the water supply syster contain a Pressure Reductive Device ar Cheek valve? #) Yes-71—No (II 'Yes- then water expansion tank is required on !tot !tater Tank)
Inspection Record Nater tine OX ...._ Mechanical Inspection Notes:
GAS PIPING 0101y43 PM/Date 044143 BY
W L -.�•. ,.v..... .........�. .s�..._..._�.._.�._.:s -ger. _. _..�
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 INFORMA;IION FURNISED BY Ni IS TR ND CORRECT TO THE BE'T Of MY KNOWLEDGE AND THE APPLICABLE CID of fERERAL SAY REQUIREMENTS MILL BE MEI.
/4_, 41//' ' CV ./.._ .../..4/ '
OWNE, OF Aif ' a
� l��417
IC
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FIELD COPY 7 it"
_ i_. _ _-..-_ ___... __. __ _ _ _�.�_.._ . _ _...�._ _ __-_ ____._.
RECEIVED0 •ermit # &Go73-(T//
DEC 1 3 '993 CITY OF FEDERAL WAY ,
BUILDING PERMIT APPLICATION
CITY OF FEDERAL WAY — Please Print—
BUILDING DEPT,
BOX 1 T NANT NAME:
OWNER ,4:-./.244,-/-74e-,9 p ,..,-0�-e. SITE LOCATION 5 ---:`,"./,77'
OWNER'S ADDRESS �.0� r> ,_5-70,52,/ i - , CITY PHONE / , 9
DESCRIBE JOB -Z{f, c 171 - 'e 94=
_--THE PROPERTY IS OWNED BY: SINGL ARRIED PARTNERSHIP CORPORATION
/�OX 2 CONTRACTOR'S NAME `r G�CL)/V�7Z CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
— 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.
------7-ThBoxy
1COTACTPERSON _ _ 0/° s% ,. % -f ' ‘C. PHONE___
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
�_� PROPERTY TAX ACCOUNT NUMBER
it
( e • sa , ja separate page-with the legal description.)
K C •la11
e..rdln
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
OX )0Z) 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 S
NO. WATERCLOSETS GAS PIPING, FEET -7-16:'f S
BATHTUBS NO. FURNACE, ELEC. GAS X' S
SHOWERS GAS HOT WATER HEATER S
LAVATORIES _ CONVERSION BURNER S
SINKS BOILER, SIZE BTU S
DISHWASHERS AIR HANDLING UNITS S
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE S
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS % 7-/iiE-cJi�-#V,r�,fc2f6.: /k,-::•1? -7. $
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: t-r, 1 ")-t_ J- --(9 ��f �- " DATE: j 9,--
ANP-008 3,90