93-101403 93., io ) Y63
CITY OF FEDERAL WAY IVI EC HAN I CA L PERMIT PERMIT NO.: BLD93-0627
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 06/23/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 1809 SW 348TH ST
PARCEL NO.: 542350-0270
PROJECT DESCRIPTION: HVAC
-- OWNER CONTRACTOR LENDER
DIANE CRABTREE WASHINGTON NATURAL GAS
1809 SW 348TH STREET 3130 S 38TH ST
FEDERAL WAY WA 98023 P 0 BOX 11066 TAC WA 98411
TACOMA WA 98405
475-6700
1111p-8846
WASHING285CB
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 25 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 HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBC) • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 1 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 29.50
INSPECTION RECORD
)9c(___--
Water Line OK Mecha ical Inspec n Notes:
0 --,
lAS PIPING OK Dat-7/
e ` ' By
,._
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i
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 P.,,4Zcc,TX -`' U Ct.4_4.-mak DATE ,
bld_mech 07/01/92
A All'
City of Federat Way ""PENT
Aq
APPLICATION FOR BUILDING PERMITJ(JN 7 1993
PLEASE PRINT APPLICATION #: /J (---D ? ,?-
SPITE LOCATION Address / 3 rct 3 LO 3k s
Tenant (i nown) l Lot # Assessor's Tax #
icy rte. Lrcx.b`t,r e_ n-Lia 3s-o - -
Buildin Owner Name Address c -
(I
City }-Qr s11G 51 State zip GYoa 3 Phone `3 -2C4 —��C/6.
Nature of Work C ^ , � 1�-c �)
� 01./
APPLICANT C '
Name (F,M,L)
Ak,...y-A-a.AQ� CA.../
Address Address
City I G Le-. X State Zip q (l O°
Contact Person Day Phone Other Phone Fax
w U\—\-3—x y13- 9
BUII,DTNG CONTRACTOR
Company Na
Address
City State Zip
Contact Person one ~ Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes 0 No
ARCHITECT.
Name
Address
'
City
,te Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 IRev 4/93)
441611, 1111\,
•
STRUCTURE Existing Use ' Proposed Use
Permit includes: Cl Building ❑ Plumbing Mechanical ❑ Other
Type of Work: X Residential ❑ New ❑ 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 Lot Size Existing Bldg Valuation S
LENDER
NameAddress
I
City ___�� State Zip 1
iI MfECHANICAL CONTRACTOR
Contractor Name _ Address
City la cc--__-, State Loo Zip j-L/Q 9
Contact Phone _ Fax
)--\_()_ u.. _ ._t LA-1.3- 33 r j 7 3---8319
License # 12t1S2.3 I &E a,s"S Cc, Expiration Date2I t, IC1L Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR:-> < >><
>s.
Contractor Name Address
CityState Zip
Contact ____ Phone Fax
License # Expiration Date Verified ❑ Yes 0 No
PLUAITING FIXTURE COUNT
Water Closets - Sinks Urinals Lawn Sprinklers
Bathtubs Washers Drinking Fountains Other
Showers Electric Water 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 S I Range ' 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 t
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 owne
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 o'this
application.
Owner/Agent: � � � � � ,A. .--k-l_ Date: �� }1 L 3