92-102366CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92 --2 63 0
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 01/05/5
Federal Way, WA 98003 BY: JJ
661-4000 �? J6 3(00
SITE ADDRESS: 1067 S 317TH ST
PARCEL NO.: 358400-0370
PROJECT DESCRIPTION: HVAC
OWNER
TOM CHAMBERS
1067 S 317TH STREET
FEDERAL WAY WA 98003
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 1
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
Water Line OK
O'S PIPING OK
FANS........... 0
HOOD........... 0
DUCT WORK...... 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC..........: 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
CONTRACTOR
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP...... 0
15-30 HP....: 0
30-50 HP..... 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
Mechanical Inspection Notes:
Date By
LENDER
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
FEES:
MEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* $ 10.00
TOTAL FEES $ 30.00
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 DATE -
bld mech 07/01/92
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 1067 S 317TH ST
PARCEL NO.: 358400-0370
PROJECT DESCRIPTION: HVAC
OWNER
TOM CHAMBERS
1067 S 317TH STREET
FEDERAL WAY WA 98003
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 1
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
Water Line OK
MECHANICALPERMIT PERMIT NO.: BLD92-2630
BUILDING INSPECTION - 661-4140 ISSUED: 01/05/93
BY: JJ
CONTRACTOR
LENDER
FANS..........: 0 BOILERS/COMPRESSORS FEES:
HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... $ 20.00
DUCT WORK.....: 0 3-15 HP.....: 0 MEC APPLIANCE FEES.* $ 10.00
WOOD STOVES...: 0 15-30 HP....: 0
FURN>100K...... 0 30-50 HP..... 0
MISC........... 0 5+ HP........ 0
AIR HANDLING UNITS FUEL TANKS ---------
-10,000 CFM: 0 ABOVE GROUND: 0
> 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 30.00
INSPECTION RECORD
Mechanical Inspection Notes:
0S PIPING OK,/ -<ss Piv DateBy
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
1 CERTIFY THAT THE INFORMATI N FUR IS HED 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 DATE L�
bld mech 07/01/92
�v
SET BACKS AND FOOTINGS
DATE oY__________
_
PLUMBING ROUGH |w
DATE BY
Oa�T0ENCLOSE FRAMING
DATE 8v
FINAL O.n.TOOCCUPY
oATc 97 B
OXTOPOUR FOUNDATION WALLS
DATE
WATER LINE O.K
GAS PIPING 0.x.-_�_-____—_
|w8uLAT0m
DATE Y
PSD
PLUMBING GROUNDWORK
DATE
MECHANICAL INSPECTION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
jib]
CI11OF FEDERAL WAY
Permit_
0
BUILDING PERMIT APPLICATION
— Please Print —
ENJANT NAME:
U`,'NEK I bw, C'.1nA-w�s SITE LOCATION It%1t%1
0`",'NER�S ADDRESS 3 '� -f- CITY w
DESCRIBE JOB PHONE
THE PROPERTY IS 01",'tdED BY: SINGLE,'f'.ARRIED �2_ PARTNERSHIP CORPORATION
)X 2 CONTRACTOR'S NAI'AE Northwe Westar uAater CONTRACTOR'S REG. � NORTHWHI 0382
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Dnrancr�St SW CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92
—OR—
I H A.VE READ CHAPTER i 8.27.010 RELATiidC TO DEFINITIONS OF GENErRAL CON T RACTOr'l-SAND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS V.'ITHOUT PROOF OF REGISTRATION.
3 C0 "IT ACT PERSON Angel Foster
4 SE`''ER DISTRICT
WATER DISTRICT
X 5 ESTIMATED PROJECT COST A 'R 35- EXISTING BUILDING VALUATION
iX 6 PROPERTY TAX ACCOUNT NUMBER 3sSf y Old- O 7 p
LEGAL DESCRIPTION
(I. necessary, please sub it a separate page_ with the legal description.)
K.C. Prat Recording
PHONE 4A46404
7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST" FLOOR 1 2ND FLOOR / -
3RD FLOOR / BASEtYIENT / DECK ! GARAGE /
8 ( } SINGLE FAMILY ( ) NEW CONSTRUCTION
( } MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY cn
HLUMSING_ FIXTURES (including rough -ins)
N'0 VvIATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
_ DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —BASIC FEE S -----
GAS PIPING, FEET 1r\
N0. __FURNACE, ELEC. GASB_ S
GAS HOT WATER HEATER..
--
CONVERS`I`ON BURNER-
- BOILER, SIZE BTU
"
S
AIR HANDLING UNITS
- - HEAT PUMPS, SIZE
UNIT HEATERS
S
_
AIR COOLING UNITS, SIZE
-,y S — -
- - COMMERCIAL HOOD
S
OTHER
S
TOTAL MECHANICAL FEE
S
:RTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
0 FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORKFOR WHICH PERM IT APPLICATION IS
DE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
:S INCURRED IN INVESTIGATION ANO DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
D FILED AGAINST THE CITY OF FEDERAL ��, .Y, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
KERS AND E!: PLOI'EES, UPON) THE ACCURACY
OF THE INFORMATION SUPPLIED TO THE CI i � AS A PART OF THIS APPLICATION.
NERIAGENT:
DATE:
61 q
0 46
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