95-103008 v, 95 /0 °
CITY OF FEDERAL WAY PERMIT NO: BL 95 08 6
,.�. ,,,.,. R - D 9
33530 First Way South it ::°:::(,.",:: ':"li '•''�� . .: ,::::,.it'"��'li 1,,,... P E,.RM ...�,. ISSUED: 11/07/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 05/05/96
ADDRESS: 30O4 SW 342ND SI
NO. : 294451-0010
PROJECT DESCRIPTION:MECH - GAS LOG APPROVED BASIC #94-1027-V91
GROUSEPOINTE, DIV II, LOT 111.
;= OWNER •_•-.____ - CONTRACTOR _ - -_.---- - LENDER --------
Y
CHAFFEY CORPORATION CHAFFEY CORPORATION
BOX 560 1 PO BOX 560
KIRKLAND WA 98034 1 KIRKLAND WA 98083 !
f !
537-0906 € 206-822-5981
I1 CHAFFC*15ONG
t** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.25 ***
___----• ----_ - - ------ --_---. ---------- 5-...--_
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES: .i
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP • 0 I MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 6.50
GAS HWT • 0 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 26.50
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 Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date __....__ By
t---- --- - -
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY NE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITYY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT %
95--/0 r),OS'
CITY OF FEDERAL WAY PERMIT 1\10:
3;3530 First Way South , MLC HAM ICAL PERMIT ISSIWD: 11/07/95
r: Federal Way, WA 98003 ••'' Buildinq Inspection Requests 661-4140 FlY: F C2
. ,. 661-4000 EXPERI. ..- : 05/05/96
ADDRESS:3004 SW 342ND SI
1Q : 2944 51-0010
PRiiJECT DESCR1P TION:PIECH - GAS LOG APPROVED BASIC 1194-1021-V91
GROUSEPOIN1E, DIV II, LOT El.
..!. .....
I CHAFFEY CORPORATION CHAFED CORPORATION
BOX 560 I PO BOX 560
IRKLAND NA 98034 I KIRKLAND WA 98083
I
I 537-0906 .,_,...E.144,-;1441, l
I ,,,e,'"' -titrrtrituft I
1,.........—.......„.........444:4:44;Z, e-:-. --1-- ,-,1e464.4 -- „ —...., ., ,
..„.. , ,
*'* CLOITIACTORS, PLEASE USE LociOntaiwrinetts mem SAILS TAX FOI PROJECTS IIIIIIIII 11l COY OF FEIEltAt MAL TAX Riiff 3.25 ***
„..,.t .
i
I FUEL TYPES.:GAS ? FANS
GAS PIPING.: 0 ft HOOD,4,,,,„4a.',y,„&„ F:1: 3 .. ,;:?-,' v,,,,, eN,. ,- ,-- Agicir, -::. , SUANCE... $ 20.00
IfURN<LOOK..: 01 0=.41M- -4h71W.„,, '7.,: 0p.,-,-;#!'441-44'1'" 4 li„ .073v-'"""4-'""''''' ',:ii ,„:, .,,„it. 1 E FEES.* $ 6.50
I GAS HOT ...: 0 lam OwtL):,--f4Q HP.....
I Or BURNER: 0 Ft**.%-q, \ lik, - ./: HP
_
I HBO. ....: 0 Id se:4--, 4,,,0% 71; I ::.44*.,, 440
I GAS DRYER..: 0 AIR iii**** lItfiiiitIciw
RANGE • 0
4:10,0*,,,kwit,b. "OE GROUND: 0
GAS LOGS...: l ) 10,000'0 U 4;:7 UNDERGROUND.: 0
I TOTAL FEES $ 26.50 I
I
IDoes the water supply system contain a Pressure Reduction Device or Check valve? 0 Yes 0 No (If "Yee then water expansion tank is required on Hot Water Tank)
I Inspection Record Water Line OK Nechanical Inspection Notes: 645 hp(A16
GAS PIPING QE /1t7)-15 Date By
- I ilifi) I
PONDS EXPIRE 180 DAYS Atli? ISSUANCE If 110 WM IS STAMP. RESIDENTIAL AND EiNADINC PERNITS MIK ONE YEAH AMR DM Of INYIANEE.
/
I CERTIFY THE IRFORNATION fORRISIND BY 10,. IS TRUE AND CORKKI 10 IR BEST 01 NY 1t101111014 AND IRE ADPLILABLE CITY Of FEDERAL RAY KIOUIDENEN1S VIET NE NET.
:,-;,,- .,
OWNER OR AGENI,... , --7::, -r--....„„..."-er----- ,,-------L „„---- DATE //77/c.,--s— \/ , V
-\ /1\/\
FIELD COPY k\1\
SENT BY;DEPT, OF GOMMUNITY DEV; 3— 3-95 ; 3;35 ; GITY OF FEDERAL WAY4 9553 ,
37`009.05;g 2
City of Federal Way
61:DC15 C ;' r `E-'
CITY OF G 33530 First Way South = EC E IVE D
- - -_ �. Federal Way, WA 88003 t
(206)661-4000 NOV 0 61995\\RI
s '
APPLICATION FOR MECHANICAL, PERM/. AY
PARCEL 14_29 11q`5 1 - 001 P
Single Family Multi-Family 0 Commercial ❑
SITE LOCATION:
Tenant/Owner:
. CC ; rr'_
4-` Phone: ..5_12--/ r/Z)
2 a2 / �/LJ
Address/City/State/Zip: 5( )(- (7,11(1 -) T .-ri_,(_) ( 0)A 9Z3
Nature of work;•—_��R 1--0 i 1
Project Valuation: S
APPLICANT: COg-P0
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Name; A cW'W41-10A,
f
Address/City/St/Zip: F Y 0 ,✓� I ZV,(co d / WA .7)
Contact Person: -11 i l2 on- ( A-41 (_�'' ` , G`--`Z ii ____Phone: ✓ /. f �'/ Fax:--- 2 o, t 1�
•
•
MECHANICAL CONTRACTOR:
Company Name:
I �. � A
1L1
Address/City/St/Zip: I20 ). / 0-2 --16,116 r (, CIF 3 '
iContact Person:----- ---7\---)! ‘1\-\ 2 -420 g20'ci11
Fax:
State L & I Contractor Registration #: �e1\4\' ' ' 1
(Card must be presented) EXP. Date;
MECHANICAL UNIT COUNT:
--,:1 (-as/otherGee Dr sr —
Air Handiln• < a 10 0C-%fm Fua, Tar.ka:
f pas plc -.4-4...._ Range 0 Air Handling > ... 10,000cfm Above, Grc,
. i _;:
Fir <100K BTU's V Gee Log Unit Heater `�
I,
" :.rat >iO4K BTU's �e---J�'.a.. ......_ _ _
Fans • Boiler
" BTU/k f aoa8eneoua
— Boiler BT c .er r
B__ _ ,e Duct Work A/C TONS
,. . nor
r_-&i . .:anity ender pond:r e•parker that the information furnlehad by me I,true and oorraot to the bat of my Itrtowladat and fvthar SAE,rn authertaaG
-v—.aa to pe,•,',-the work to•.,.n arnit seplteatlon le mala. I further.era w to saharmiese th1 City of Pectoral Way M to any claim!inalud're meets,exa. .. . .•;r„ ms
'+
-.:.n:-ors,:. s�ape c..v- ft s__,claim),whIeh may be made by any mien;Includingthe
'-''re,,:a-- 0:t.... :-K :a offeero and ampleyaa,upon the accuraoy of the,Informatle atppIIed to thefCity wtilaanpart oCte4 itYo} arar Wow b;.t arJi ,,<- -
r/Apen! ��' —�— — ,,
i Date: � " -