94-100102 . 9y,Ioo / oa
CIT` OF FEDERAL WAY 1► T`4T IN A TPERIVI' m I PERIT NO: BLD94 -0022
33_==J0 First Way South ME/ n i ISSUED: 01/14/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 07/13/94
ADDRESS:2756 SW 327TH ST Unit: C-13
NO. : 246950-0130
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE, HOT WATER HEATER, RANGE HOOKUP, & PIPING.
r OWNER — CONTRACTOR — LENDER
MR/MRS MASTERSON AMERICAN HEATING SERVICES INC.
1503 PORTLAND AVE STEAB
IiigTACOMA NA 98404
539-1702
AMERINS083M5
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 2 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.* $ 26.00
GAS NWT • 1 WOOD STOVES...: 0 15-30 HP - 0
CONY 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 • 1 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 46.00
9es 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 Mater Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
I
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT �-"' `.� '_:ele/---'1.4iaesi1- :,,,..0-... DATE
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SENT UY1DEFT, OF COMMUNITY DEVX015-93 : 1 :SOPM i CITY OF FEDERAL sr 5318696 ,
Permit #_bilU 01211
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION .
---Please Print—
—
BOX 1 TENANT NAME: ._- .v -- -•—_.. --
OWNER `� , _-4IF.* SITE LOCATION
OWNER'S ADDRESS . M 3.2, Si-. 'w-eta_„CITYc' .C. PHONE_.., ..
DESCRIBE JOB • __52:6'.4..‘,._ a- . < ..1tz..f .C.. IN,rte, to!-', 4_.41-A n1 r _kP
THE PROPERTY IS OWNED BY: SINSL /MARRIED PARTNERSHIP CORPO ATION
BOX 2 CONTRACTOR'S NAME—Alt ,2a C-An1 f1 Al-nu16 .CF_--a-UicE COMFRACTOR'S REG. #12/216 '-1 s--
Card MUST be preeented
CONTRACTOR'S ADDRESS 7 V.3- C, T Amb RVe CITY , J- �r __PHONL<3`L,.:/2
EXPIRATION DATE _2_'_?- - ' — -- ---- --
_OR—
I HAVE READ CHAPTER 18,27,010 RELATING TO DEFINITIONS O QENERAL CONTRACTORS AND SPECIALTY CONTRACTO AND
CIIAPIER 18,27,110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF DF PSGISTRATION. ____
BOX 3 CONTACT PERSON .r.LL_E 6 -- PHONEaa7_/ZQ ..
BOX 4 SEWER DISTRICT WATER DISTRICT ..-__ .r__--_ ._.._-_-_--
BOX 5 ESTIMATED PROJECT COST _„,.___ _- EXISTING BUILDING VALUATION _. �
8OX 8 PROPERTY TAX ACCOUNT NUMBER - I a- 6/ 3t'e).,� r—�— —__-- --
LEGAL
LEGAL DESCRIPTION .. r -. = -. - _- ---_
_____._-_-__-______
Of necessary, please submit a separate page wIth the legal deSerlPtion.}
K.C. Plat Recording # ..._ _------ _ .----�. W,- - ---- - "-` --
BOX 7 BUILDING SQUARE FOOTAGE' (EXisting/Proposed) 1ST FLOOR ___J—„..,_._. 2ND FLOOR --.—.1
3110 FLOOR____--J_ BASEMENT 1 . DECK J___-.__ GARAGE__... ./- -
_.._ ._ .��.T.w�w-.-.ice _-- ,Y.O.MAT .__,..W.
80X 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
(x) MULTIFAMILY (NO.OF UNITS = ______. .) ( } EXISTINQ STRUCTURE
-• ,„ = IAL/ . * = !L TOTAL AREA OF PROPERTY - -__-- __-SO FT
80X 9 'LUM31NG FIXTURES(Including rough-ins) MECH ICAL APPLIANCES— BASIC FEE$
NO._ __WATERCLOSETS GAS PIPING. FEET .,._ _ $
BATHTUGS NO. j FURNACE, ELEC. . GAS ,i._-- $ ______
_ __._,SHOWERS T GAS HOT WATER HEATER $ _
.,LAVATORIES __CONVERSION BURNER $ _
-SINKS ___BOILER, SIZE BTU S ________
DISHWASHERS _ AIR HANDLING UNITS $ _,-
ELECTRIC HOT WATER HEATER __HEAT-HEAT PUMPS,SIZE-,,,-- $
._—LAUNDRY WASHER OUTLET __UNIT HEATERS $ ________
_--__URINALS _____,, AIR COOLING UNITS, SIZE ..___ S ------
_DRINKING FOUNTAINS _ _COMMEPCIAL HOOD $ _
SUMPS;SPRINKLER VACUUM BREAKERS __ OTHER_ ____ ________ $ -...
. -DRAINS __v. $ ,.
_OTHER.. - —_�.ss, �..�_ __- - ----- --- --��..,._-_ $ w...�_ —
_-_TOTAL FIXTURES - T— $
TOTAL MECHANICAL FEE $ -
I CER rIFY 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 OWNEROF THE ABOVE PREMISESTO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDFRALWAY 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, RUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS ANO 02YEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS A.PPLICATION-
4VMETT/AGENTM t e?-6r 1/�_ _ DATE: 1..:-. 2 --- _ _ - _.
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