93-101732 CITY OF FEDERAL WAY MECHANICAL PERMIT 93 - ta/ �3 �
PERMIT NO.: BLD93-0759
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 07/12/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 2148 S 314TH ST Unit: #52
PARCEL NO.: 092104-9053
PROJECT DESCRIPTION: HVAC ® GAS PIPING
OWNER — CONTRACTORIm LENDER
GOLD STAR INDIAN RESTATURANT EUGENE'S RESTAURANT SUPPLY
2148 S 314TH ST SUITE #52 1055 ANDOVER PK E
FEDERAL WAY WA 98003 TUKWILA WA 98188
•369 575-8208
EUGENRS110JD
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.* $ 3.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV PURNER: 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 $ 23.00
INSPECTION RECORD
•er Line OK Mechanical Inspection Notes:
GAS PIPING OK Z-/c(-7'3 /1/J 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 AGENT �,�' DATE Z 2
btd mech 07/01/92
tkvc,r
tI 1iP°� 1 ri
1`
City of Federal Way
•
u *FEY — APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION #:
SITE LOCATION Address 4. ,Fs-- , 3 1 Lq ..5—'-T—, 1 p FEA L (,�J¢}Sr
Tenan (if known) _ Lot # l Assessor's Tax # 11
�`o 1,--9 ST-A-P �P ( A_ 1 1 'i 4 l 7 ,
Building Owner Name Address
City State Zip Phone
Nature of Work i rj- r 7,�/�,-1/4,42 A T (--' /dTk cam— Ori)ti1 14-�J
A s7/ G.- est-- -.5- P( p ) K cT C ft A J-ccTC -ro 1 g_GcE •i--l N E .
APPLICANT
Name (F,M,L)
Address
/O_CS^ A-M DO U6- R f r - (rII ', �j
City r T—1,t_ W I t___n- State C/ A Zip 9 b 1 g-s_....
Contact Person Day Phone Other Phone Fax lS
��T 5-75 3' zo -----7s----- .P??
BUILDING CONTRACTOR
Company Name
&t-G. -`s Rg-5< /'t r wrp f_7
Address
/ DST 4-Nr-)or,--(g_ Ply_
City T c,"(,._„' t Ll ,.-- State PJ4 Zip /--i ( , - _--
Contact Person Phone Fax
-4 -6/-tt. -- -7.5� c L oF1 s---75---,k (7
Contractor's # (card must be presented) Exp'ra.ion D7,__, Verified 4----Yes ❑ No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4!931
STRUCTURE Existing Use j Proposed Use
Permit includes: a Building ❑ Plumbing 0 Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New El Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation S
Zoning I Lot Size Existing Bldg Valuation $
LENDER
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
HC l cs pg ----`Y' R-- TPL �( 4/ $ is d crcTfL f ,`�
City '�t-t �� [ LOr_ / State A JM- Zip 9 8'/'kS____-
Contact Phone Fax
'cD
License # /r'rt 4.-1... 6 ,r 5 c ( O J t� Expiration Date / 1,/ Verified Cf-Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping �0 Fr. Range 3 n \6_ , Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log � Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: 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 Ci , including its officers and employees, upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent: `: ,� / �` ___ Date: /���JJJ'''�/2 ,---�3