93-101083 CITY OF FEDERAL WAY IVI E C H A I CA L PERMIT 93. )0/0'i33
PERMIT NO.: BLD93-0485
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/13/93
Federal Way, WA 98003 BY: FIJI'
661-4000
SITE ADDRESS: 30615E 2ND AVE SW
PARCEL NO.: 556000®0630
PROJECT DESCRIPTION: HVAC
— OWNER CONTRACTOR — LENDER
CLYDE GRIFFEY PACIFIC GAS HEATING & AIR INC
30611 2ND AV SW 11002 34TH AVE S
FEDERAL WAY WA 98023 TACOMA WA 98444
2523 582-5882
PACIFGH110ME
1
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP......: 1 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 9.00
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 $ 29.00
I
INSPECTION RECORD
iitter Line OK Mechanical Inspection Notes:
GAS PIPING OK Date G• 4'3 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.
tIER OR AGENT - DA C`�i _ ar
J /�jmech 07/01/92
Permit #411,12__9- .... e.:5-
.
CITY OF FEDERAL WAY f
BUILDING PERMIT APPLICATION
._Pima Print- ii
BOX 1 TENANT NAME: '4S
_ p
OWNER — .---__...�. SITE LOCATI91D II _r..2 _ ✓ 4J-----
OWNER'S ADDRESS -t.' _ _ CI do)o.{ PHONE_. x _: 0231_
DESCRIBE JOB acs.. +t ei .C.. . t r� _ /^ __--_-.--
THE PROPERTY IS OWNED BY:SINGLE1MAHIUEO _PARTNERSHIP___ CORPORATION-__.
BOX 2 CONTRACTOR'S NAME • . .. J L ' ►r CONTRACTOR'S REG.t` ik( -- Iit.A1 I brn 0
t` Card MUST purred
CONTRACTOR'S ADDRESS \W� ) `Prt) S� CIT101..0_4P,..._6-, PHONES=A
EXPIRATION DATE \- -Q
-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 , "-) PHONE S'g)a___
BOX 4 SEWER DISTRICT _____, _ WATER DISTRICT
BOX 5 ESTIMATED PRIIJECI COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER .5'..5-L2.E3IJU bLL325-
LEGAL DESCRIPTION —
(If necessary,please st.onit a separate page with the legal description.)
K.C.Plat Recording# .�
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR J _ 2ND FLOOR ___.-_,_..J_.�_�
3RD FLOOR !_ BASEMENT,-___ _
/ DECK, / GARAGET_._1_ _
BOX e ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO.OF UNITS= ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY _ ..__SQ FT
BOX s PLUMBING FIXTURES(IncIuding rough-Ins) MECHANICAL APPLIANCES.-BASIC FEE$
NO. WATERCLOSETS GAS PIPING,FEET- "(7)-- Al _
BATHTUBS NO. _FURNACE,ELEC.__ GAS 4°' ._ $
SHOWERS GAS HOT 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 _1____AIR COOLING UNITS,SIZE D.,—661%.._d 5 _-____
DRINKING FOUNTAINS ____COMMERCIAL HOOD
_SUMPS,SPRINKLER VACUUM BREAKERS _OTHER ___ _ S
_______DRAINS __._.._ ... - --- S .._.
OTHFR t
_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 TOANYCLAAIM(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 ASA PART OF THIS APPLICATION.
OWNER/AGENT:��4•-nv--�' TGS& A).......___ ._.._-DATE: ______Z__4___”.
-- Z__ 9.___I-).__________._. .-__-...