92-101325 9.) /043.2
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2 083
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/26/92
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 1221 SW 304TH ST
PARCEL NO.: 515320-0607
PROJECT DESCRIPTION: MECH
OWNER CONTRACTOR •— LENDER
ELSIE REED EAST HILL HEATING & COOLING
1221 SW 304TH ST 1621 S CENTRAL #44
FEDERAL WAY WA 98023 KENT WA 98031
927-4061 854-4444
_• EASTHHC099LG
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 50 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.* $ 12.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CCNV 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 $ 32.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
es PIPING OK Date By
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK D� MO
ARTE
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND TH PPLICABLE CITY • EDERALAOCEMENTS WILL BE MET.
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME: E.I;5,c ,,c, g.
OV'NER Mc...K-- - 114. 6.2 SITE LOCATION IJ \ 5.�=S.L.C. 7-122-4-143- S�.
01',NER'S ADDRESS 1)-9A 5.u.;.. ':5� CITY (. PHONECt�'41:4
DE'TRIBE JOB 154\. ‘ c..
2 -mar
c �.0 4- )),A;v.+ /�
TEF B PROPERTY IS OWNED : SINGLE/MARRIED t`, ,� PARTNERSHIP ��,/ff CORPORATION 14.-
BOX 2 CC NTRACTOR'S NAME EC91- \,\\\cc.,.- zrc IN-CC`-Atwt CONTRACTOR'S REG. # W C.-5- e °'
r_ Card MUST be presented
CCP RATION 'S ADDRESSE �� ILA
1 �c� �\ ' "i9 CITY %Xt" PHONE -`n5(-1-44 kL
E — OR — $0 /'1 �j0� / '3
I Fli,VE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CKJPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CCi:'TACT PERSON ( c.c � c c > \ PHONE -51-0 \ i"\
BOX 4 SEWER DISTRICT NIA- WATER DISTRICT /4/4
BOX 5 ES:;(MATED PROJECT COST 0 )-1,9C)..-a- EXISTING BUILDING VALUATION
XBOX 6 PFOPERTY TAX ACCOUNT NUMBER_} I1z ��• 7`�'-_
LEAAL DESCRIPTION
(If ecessary, please submit a separatepage with the legal description.)
K. ; Plat Recording # 51S.3; C' 7-3k
BOX 7 BL•LDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3R:) FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) pc"f EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PL*MBI G Fl TURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NC. ATERCLOSETS GAS PIPING, FEET G $
_ - BATHTUBS NO. FURNACE, ELEC. GAS_-, _ $
=I SHOWERS GAS HOT WATER HEATER $
V LAVATORIES ' CONVERSION BURNER $
II SINKS ilr_BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
_ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET A _UNIT HEATERS $
. II URINALS IL AIR COOLING UNITS, SIZE $
III DRINKING FOUNTAINS COMMERCIAL HOOD $
M, SUMPS, SPRINKLER VACUUM BREAKERS ,OTHER $ •
MIDRAINS $
OTHER $
OTAL FIXTURES $
III TOTAL MECHANICAL FEE $
I CERTIFY 'NDE' PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND FURT ER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE.I Fli.,,THER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLP IM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES INCLi,(RED IN INVES-i IGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILE. '.GAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS / ND EMPLOYEES UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AL-AT: C__ ji._ DATE:
ANP-008 3/90