93-100465 93 , /00 ` 6,,5
CITY OF FEDERAL WAY IVI EC HAN I CAL PERMIT PERMIT NO.: BLD93m0201
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 02/24/93
Federal Way, WA 98003 BY: HAP
661-4000
SITE ADDRESS: 822 S 297TH PL
PARCEL NO.: 5151600265
PROJECT DESCRIPTION: INSTALL GAS FURNACE m CHANGEOUT
OWNER — CONTRACTOR — LENDER
GILT GREGORY AMERICAN HEATING SERVICES INC,
822 S 297TH PL 7503 PORTLAND AVE STE.#B
FEDERAL WAY WA 98003 TACOMA WA 98404
946-5527 539-1702
4111 AMERIHS083M5
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
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBO • 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 $ 30.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes: ` V. �;
illve
PIPING OK Date By4.47'`'i*
-•!‘ l -. -�
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WQR I S .
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE VDT PLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT724-- DATE Wc:›?"4,---
bldmeth 07/01/92
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE BY DATE BY DATE BY
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE BY GAS PIPING O.K. DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY DATE BY DATE BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE BY
_2___,),5 ' " -,- 1 _----9/3 ,K . 5 - /c..-f--11.,/( c 1-71 1 Ai 4/2_-,-1../ (Ai C rz 6.,/<._ 107/ti_
0 •
rermit if
' • 236093 • 02_C7
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER I I12C+14- ( Ok.y' SITE LOCATION
OWNER'S ADDRESS $ *< �,`� 17`" PL. CITY Ft°iiev I.L&/ PHONE W Y 4,-s5)-7
DESCRIBE JOB It1Sia I I (SGS ett✓it.C-tQ. - ‹,aote to rat-i-1, C kat,at—
THE PROPERTY IS OWNED BY: SINGLE/MARRIED >C PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME a4'1ker+C \ 1-1ea."--►cmc. - O., CONTRACTOR'S REG. # /41/1tz(Z1/-f.5Os'3t145
pp Card MUST be presented
CONTRACTOR'S ADDRESS 150 ?O4IGN t (JPr S .DCITY Zt O '..- PHONE 53q-17.0Z.
EXPIRATION DATE
— 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
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER Si'' I CcC? _ Ca-CQS
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording#
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8,i).\,) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. j FURNACE, ELEC. GAS \I: $
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 AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
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 'CURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: Ad 72- DATE: � v7•
L/ /
T
• ANP.001)3f90