93-100401 CITY OF FEDERAL WAY MECHANICAL PERMIT 93�1ao �a/
PERMIT NO.: BLD93-0172
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 02/23/93
Federal Way, WA 98003 BY: KJC
661-4000
SITE ADDRESS: 2314 SW 350TH PL
PARCEL NO.: 176110-0330
PROJECT DESCRIPTION: MECHANICAL - INSTALL ONE (1) GAS FURNACE
OWNER — CONTRACTOR -- LENDER
JACON KELLER PACIFIC GAS HEATING & AIR INC
2314 SW 350TH PL 11002 34TH AVE S
FEDERAL WAY WA 98023 TACOMA WA 98444
74-8509 582-5882
PACIFGH110ME
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 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.* $ 10.00
GAS HWT • 0 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 • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES S 30.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
a PIPING OK2 5 --i-41A/ 6' Date3"`/-/i 5 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.
• NE- •R AGENT DATE ....1--/ 3 3 /f.7
b • mech 07/01/92 `
IMP
ilk
Perml ...�b3__ . /7Z-
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
--Please Print—
J.
BOX 1 TENANT NAME: jet h)b kii 144
OWNER %Stt.f•*42.. SITE LOCATOR ,31+1 ...5'u) ,&3 44-j
OWNER'S ADDRESS ...Set n--•,-2,-, CITY deo.1 IA), PHONE_ 8'9V— J0 j
DESCRIBE JOB __
THE PROPERTY IS OWNED BY:SING! ARRIE v PARTNERSHIP CORPORATION_. __.___—
BOX 2 CONTRACTORS NAME 4 off _ , s ; .i. . n CONTRACTOR'S REG.laCA, 1.1/!1 r '►1
MUST be prowled
CONTRACTORS ADDRESS I ibba 3M,/,..-' ,90 4, CITY /4 00»-,el PHONE.rte-,g..V.Via
EXPIRATION DATE 7-.5-sad
—OR—
I HAVE HEAD CHAPTER 18,27,010 RELATING TO DEFINITIONS OF GENERAL CONTRACTOAS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. _._.....__
BOX 3 CONTACT PERSON L' },..a--1 - PHONE_PR. .414Q
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST_ EXISTING BUILDING VALUATION __
BOX 6 PROPERTY TAX ACCOUNT NUMBER_. 1_J_rr 1lD.
/ _- Lib _
LECA6. &G IP IO
(It necessary,please submit a separate page with the legal description.)
K.C.Plat Recording# -...
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR.___1 2ND FLOOR _ I.
3RD FLOOR 1 BASEMENT_--_-J DECK / GARAGE—._____...1_
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO.OF UNITS= _) ( <EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SO FT
BOX 9 PLUMBING FIXTURES(including rough-Ins) MECHANICAL APPLIANCES—BASIC FEE$
NO, WATERCLOSETS GAS PIPING,FEET 4 $ ___
BATHTUBS NO. t FURNACE,ELEC. GAS_ ✓ ._ g _—
SHOWERS GAS HOT WATER HEATER $ _
LAVATORIES CONVERSION BURNER $ _,
SINKS _BOILER,SIZE BTU $ ______
DISHWASHERS _AIR HANDLING UNITS $ �'
_ELECTRIC HOT WATER HEATER __HEAT PUMPS,SIZE w__ _ $
--LAUNDRY WASHER OUTLET UNIT HEATERS $ ______.__
_URINALS _,. AIR COOLING UNITS,SIZE___ $
DRINKING FOUNTAINS _COMMERCIAL HOOD
SUMPS,SPRINKLER VACUUM BREAKERS OTHER_ ._ $ _
DRAINS _ —_.._... $ _—.._.-
_.....___,_OTHER _ __.._.__ S
-_----_TOTAL FIXTURES _ _ _ - $
TOTAL MECHANICAL FEE
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 CITY,INCLUDING ITS
OFFICERS AND EMPLOYEES,UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: .w'. .. .. 4-! .DATE: c:V- f zo- 9