93-100110 o II
CITY OF FEDERAL WAY MECHANICAL PERMITPERMIT NO.: BLD93 D 032
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 01/22/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 2032 S 301ST ST
PARCEL NO.: 798300-0180
PROJECT DESCRIPTION: INSTALL GAS HOT WATER HEATER & GAS FURNACE
OWNER — CONTRACTOR — LENDER
DARSA LENE MCDONALD AMERICAN HEATING SERVICES INC.
7503 PORTLAND AVE STE.#B
TACOMA WA 98404
539-1702
AMERIHS083M5 •
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.* $ 16.50
GAS HWT • 1 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 $ 36.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
,S PIPING OK Date By .
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED/1-1A4
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 DATE ) /9
bld mech 07/01/92
CITY OF FEDERAL WAY IVI ECHAN I CAL PER M ITi PERMIT NO.: ELD93-0032 `
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 01/22/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 2032 S 301ST ST
PARCEL NO.: 798300-0180
PROJECT DESCRIPTION: INSTALL GAS HOT WATER HEATER & GAS FURNACE
OWNER CONTRACTOR p- LENDER
DARSA LENE MCDONALD AMERICAN HEATING SERVICES INC. I
7503 PORTLAND AVE STE.#B
TACOMA WA 98404
539-1702
AMERIHS083M5
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES: 11
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.* $ 16.50
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 1
BBQ • 0 MISC • 0 5+ HP • 0 1
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 $ 36.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
7.3 PIPING OK Date 9-2 '�`/3 By .-
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FU NISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENT W ET.
)�
OWNER OR AGENT DATE �hU► C 9 .../ .y 3
b1d_mech 07/01/92 1 � / '
\ /tel
Permit ##
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER / i 1 AD Aft _ SITE LOCATION ` W
OWNER'S ADDRESS X32 S'5. . s 4--. CITY "4 -i ' PHONE T -3G-n l
DESCRIBE JOB Tot&-Ct. ( 16S -Fuvi'V C- + (A 4ev hett,-1-6, •-4e SC.1Mt 1O(LL ' f c'1
THE PROPERTY IS OWNED BY: SINGLE/MARRIED >' PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ftAt0244 �T� �+'I1 . CONTRACTOR'S REG. #{�f1ICl21 N /l'1�
f� J� Card MUST be presented
CONTRACTOR'S ADDRESS !7503 Po V�.S-e=Cy PHONE S.3Gl`I7o-z-
EXPIRATION DATE -7`Z5---ti
— OR —
I HAVE READ CHAPTER 18.27.01 0 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 PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER g3 C — C 13C
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 I GARAGE /
BOX 8 ( -,) 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$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. ( FURNACE, ELEC. GAS '' $
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 EMPL/OY/EES, UPON ACCUIRAC OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: á11i flu ` I•'ZI/4 .� if L % DATE: ` ' F
ANP•000 3/90