93-102977 9 — /b...)977
CITY
335300Firstt Way South F FEDERAL WAY MECHANICAL PERMIT PERMIT ISSUED: 111/19/ 9347
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 05/18/94
ADDRESS:3612 SW 342ND CT
NO. : 638515-0020
PROJECT DESCRIPTION:HYAC - INSTALL GAS INSERT & PIPING
OWNER CONTRACTOR LENDER
MAGGIE BUCKNER GOLDEN FIRE INSTALLATIONS
3612 SW 342ND Cl 1006 N MAIN
41=!/
FEDEERAL MAY WA 98023 PUYALLUP NA 98371
8# 0 841-9379 839-0998
`I 1 '5 60LDEFIOBBKQ
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 50 ft HOOD • 0 0-3 HP - 0 MEC PRMT ISSUANCE... $ 20.00
FURNOOOK..: 0 DUCT WORK • 0 3-15 HP - 0 MEC APPLIANCE FEES.* $ 9.50
GAS HNT - 0 HOOD STOVES...: 0 15-30 HP - 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP - 0
BBQ - 0 MISC • 1 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 $ 29.50
foes the water supply systeo contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Mater Tank)
Inspection Record Mater Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
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 INFFORMATION FURNI ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS MILL BE MET.
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SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date By
7 MECHANICAL ROUGH-IN 0-0> /,..."4,<-87 Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
1-7777y, ,, Q�` d 1 y t
C:t
,22 �.,,n
Date '�-��` - (l5 B y 1�-� � 3 -) -C7S
OTHER
Date By
CD01 93
• City of Federal Way 111
APPLICATION FOR BUILDING PERMIT '
PLEASE PRINT APPLICATION #: —30 /
gq
SITEOtt.0000$0111110111111111111Address&/Jg S.66, 3i,/,
Tenant (if known) Lot # Assessor's Tax #
Buildin wner Name Address
City ''�-/`".L��,,,„' L�z�`�G liState L`>,�) Zip q Phone 8e2.9'.--091/9
Nature of Work (I j j fiyep)
^ �_1
APPLICANT:::::::;:::;;<;;>»::>::>::> >;>:>:;< <:> >>>
Name (F, )
, .//
Address /
'2 '-
City"--�.,,,4e State Zip ,371
Conta 71.114/4/ Day Phone ,-, Other Phone Fax
Uq�f
BUII,DING CUI�TRA;CTOR
Company 111,,/
Address
City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented)eExpiration Date Verified ❑ Yes ❑ No
X 61 CJ I—/0ifS- �nt _sem -
l ARCHTTEGT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
C00492(Rev 4/93)
STRUCTURC I Existing Use proposed Use
Permit includes: $ ❑ Plumbing �� Mechanical ❑ Other
Type of Work: 'fl Residential -Li New ❑ Remodel ❑ Number of Units ❑ Deck
lit ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $
Zoning Lot SizeExisting Bldg Valuation $
i]sva>::iH—:.
Name Address
City State Zip
ECHANICAVCONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT '
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total;Fixture Count
MECHANICAL:UNIT COUNT
Fuel Type (electric/other) _,/,-,, Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log t Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous / Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total i'Unit Count
DISCLAIMER: 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 r.lipnce 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: C 6 . / - Date: , - •