93-101186 CITY OF FEDERAL WAY M EC HAN I CAL PERM IT PERfVIIT NO.: `LD93�052�
33530 First Way South BUILDIfVG INSPECTIOfV - 661-4140 ISSUED: OS/18/93�
Federal Way, WA 98003 BY: FC
66'-4000
SI i E ADDRESS: 3120 STi+7 302ND PI�
PARCEL NO.: 012103�9026
PROJECT DESCRIPTION: IiVAC
OWNER CONTRACTOR LENDER
DAVE DUPREE JOHNS FURNACE CO
3120 SW 302ND PL 3036 68TH AVE W #D
FEDERAL WAY 41A 98023 TACOMA WA 98466
"'"-9446 564-4265
JOHNSF*151L5
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 1 ft HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT 410RK.....: 0 3-15 NP.....: 0 MEC APPLIANCE fEES.* S 13.00
GAS HWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0
CONV BURNER: 0 FURN>100K..,..: 0 30-50 HP....: 0
BBa......... 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 33.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notese
S PIPING OK Date �y
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ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK!S STARTED. � �
1 CERTIFY THAT THE INFORMATION FU ISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOV1/LEDGE AND THE APPLICABLE CiTY OF FEDERAL WAY REQUIREMENTS WILI BE MET.
� �._ ��
OWNER OR AGENT � ��. � DATE --� r .� � -J
bld mech 07/Ot/92 ,
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BUILDING DEPARTMENT
CITY OF F�EDERAL WAY
. . .
Correction Notice
Job Located at 3'�� S�� �O�N� �--�
I have this day inspected this structure and these premises
and have found the following violations of City and/or State
laws governing same:
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You are hereby notified that no more work shall be approved
upon these premises until the above violations are corrected.
When corrections have been made, call for inspection.
Date �-� ��-3 ��tA�c /UC GSa�
Inspector for Building Dept.
DO NOT REMOVE THIS TAG
•wv-ao�vosno
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�„� G City Fec:eral �Vay �
-�— ��rzr�t
�� �' APPLICATION FOR BUILDING PERMIT '
PLEASE PR/NT APPUCATlON #:
STTE LOCATION Add�ess ' 2 � � � � _��`�� �� ,� � �
� � �
Tenant (if known) lot # As essor's Tax #
� 2 U�'� �' z-(o
Building Owner Name Address
, ��.. �A�{"�1=�= � �J1�
Ciry F .�- �..l.l)I� } State ZiP � � � Phon�-'j f^,��. __ . � �. -�
Nature of Work ��� � , �� �-
APPLICANT
Name (F,M,L) z
a
Address
r
CILy
State Zip
Contact Person Day Phone Other Phone Fax
BUII,DING CONTRACTOR ''
Company Name
Address •
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Oate Verified p Yes ❑ No
ARCHITECT
Name
Address
City Stata Zip
Contact Person Phone Fax
LEGAL DESCRIPTION �
Please Comp/ete Reverse Side
� CD0492 IRev 4/931
4'j'RLJC'I'ZJRE isting Use Proposed Use
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
• Type of Work: ❑ Residential ❑ New ❑ Remodel O Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage O Shed ❑ Other
Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Aree 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 S
Zoning Lot Size 6cisting Bldg Valuation S
LENDER
Name Address
City State Zip
b1ECHANICAL COivTRACTOR
__ _ _ ____
_.__ _ __._ _ _ ____ _
_ __ __ ___ _.
Contractor Nam�'— �'- Addr s
� J `^ � ('�'� A���= , �'�^ � i� A� �. �.:� ,
City . State' � ' Zip(
Contact ��n `` �� P � � r Fax
1� '� �!/
License # ��(`� � � � � L Expiration Date '? Verified ❑ Yes ❑ No
PLU1�zBING CONTRACTOR
Contractor Name Address
City State Zip
Contact- Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
_ _ _ _ _.
__ __. __ _ __ _. _ _ _ ._
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_ _. _ _ _ _ _ _ __... .
PLLTMBING'''FIXTURE'COUNT
Water Closets Sinks Urinais Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fxture Count :
AfECHAIVICAi.; LTNI'I' COUI�!"I`
Fuei Type (electric/other) � � Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping `� Range Air Handiing > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Conv Burner Duct Work 0-3 To�s Underground
BBQ's `"Jood Stoves 3-15 Tons Total Unit Count ,
DISCLAIMER: I certify under penelty ot perjury that the informetion furnished by me is tr�e end correct to the best of my knowledge and further that I am euthorized by the owner
o(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 investigetion and defense of such claim),which may be mede by eny person,including the undersiBned,and filed a0ainst the City of Federal Way,
but only where such claim arises out the reliance of the City, including its officers and employees,upon the eccuracy ot the information supplied to the City as a part of this
applicatio�. /'�.
Owner/Agent:_ \ � � — Date: � / , (�J