93-100356 ) 3r)01535‘0
CITY OF FEDERAL WAY IVI EC HAN I CAL PERMIT PERMIT NO.: BLD93m0149
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 02/09/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 2604 SW 320TH PL
PARCEL NO.: 8731900060
PROJECT DESCRIPTION: HVAC
JOSEPH — CONTRACTOR — LENDER
2EILLMANN ; PACIFIC GAS HEATING & AIR INC
2604 SW 320TH PL 11002 34TH AVE S
FEDERAL WAY WA 98023 TACOMA WA 98444
874-8006 582-5882
PACIFGH11OME
4
1F TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
G IPING.: 0 ft HOOD • 0 0-3 HP • 1 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 19.00
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...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 39.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
GAS PIPING OKe-;> 7 Jg.j ( / Date?, J-i By ,14/
8
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 /! f C A---1 DATE �/� j l
bld mech 07/01/92 /
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Permit 93T / ?
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME jb,Sq / L//r»a.nn
OWNER
_
�_ � _ SITE LOCATIO • 'C, � _
OWNER'S ADDRESS_ �s^Q i?iP -- - CITY • PHONE_ 1'y
DESCRIBE JOB i1zS{c�f i 1 4A,.av �,j'L.-.9 n4-cil-,', 1 _9,,a4 R .54:._ .��,.}.
THE PROPERTY IS OWNED BY:SINGL ARRIED___ ✓ PARTNERSHIP__ —CORPORATION
BOX 2 CONTRACTOR'S NAME L/Ja 0 1 rt✓ Lz'n .+a . �L(J_—CONTRACTOR'S REG.#... 2 ei,140,4 r'l d m r--
�'" Card UsT be presented
CONTRACTOR'S ADDRESS .JJ'd:1 ...2 "...d G .,5 _CITY /''D-1 ,`---'__PHONE
'
EXPIRATION DATE 7-9''9 __
---OR—
I HAVE READ CHAPTER 18.27.010 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 — PHONES �u'4s�, .._-
_
RCX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST —EXISTING
B
UIUIL
�DING�VALUATION
SOX 6 PROPERTY TAX ACCOUNT NUMBER__ 3 SCLC ' ---- --
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 r` 2ND FLOOR - I
3RD FLOOR / BASEMENT ___J DECK / GARAGE J_
BOX 8 ( ) SINGLE FAMILY ( ) W CONSTRUCTION
( ) MULTIFAMILY(NO.OF UNITS= ) ( ISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY .___SQ FT
BOX 9 PLUMBING FIXTURES(Including rough-ins) MECHANICAL APPLIANCES—BASIC FEE$
NO. WATFRCLOSETS GAS PIPING.FEET 8 S
___ BATHTUBS NO. \ _FURNACE,ELEC. GAS r— $
SHOWERS _____CAS NOT 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 Z >-� $ _
DRINKING FOUNTAINS _ COMMERCIAL HOOD $
__SUMPS,_ SUMPS,SPRINKLER VACUUM BREAKERS OTHER _ - ____ $
_DRAINS $
OTHER . ,T_
TOTAL FIXTURES _--.-_ $
TOTAL MECHANICAL FEE $
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FJRNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND FURTHER THAT I Ab'AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE.I FURTHER AGREE TO SAVE HARMLESSTHECITYOFFEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,ANO 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 CF FEDERAL WAY,GUT 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 CF THIS APPLICATION
A.
OWNER/AGENT: ` fs2.."41.----. -4' DATE: ` 9 .:v�.--------
AN 00 the
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