95-101868 _— _ � - _
q� � /a 1 86 8'
TY OF FEDERAL WAY PERMIT NQ: BLD95-0610
53Q Fi rst Way South ��.'��"���.��.i�li�.. ��.��� � ISSUED: 08/14/95
deral Way, WA 98qQ� Building Inspection Requests 661-4140 BY: FC
1-4000 EXPIRES: 02/10/96
DDRESS:33330 8TM AVE S
NO. : 926500-0120
ROJECT DESCRIPTION:NVAC - INSTALLATION Of OHE 5-TOH A/C UNIT.
�= ONHER �=�===sasmeaxasassaaaassx�ffis�xxa�ssaaaa�mscx�x�sese = CONTRACTOR �IIxs�asax=a�_aa�aaamme:s�exass�ssmaarex=v� a LENDER ===aavxsxeaaamssama�s�aaa���=eeas=ene=avaaaava
� NEYERHAEUSER SCOTT & FROM CO INC �
I33330 - 8TH AVE S 3820 S JUNETTE ST
FEDERAL IiAY WA 98003 TAfOMA WA 98409
924-4017 582-1849
� SCOTTI�225D1
sa��maams�aaasm�ae_aaaa—amaxs=asass^�--��=aaaas�,aaan��aaa�ss =n_as_�xxoxeo�asa�saamaamr__aansesxxx�ameaaaaas�ms�a=eaa mam�m¢seaaaas_aaaasaxs=aasmma�assmsn�smQar_vxasaaffixaxam
==r COMTRACTORS� PLEASE USE LOCATION C0� 1732 ItHEN REPORTIN6 SALES TAX FOR PROJfCTS YITNIN THE CITY OF FEDERAL INIY. TAX RATE = 8.25 *__
����smaxescesscsxaaa=saxxxa=oas=esee_x__ssesaensaaa�:�a�ssamaasms=sma:m:resoac�3aasaaas_xmmeaa=aaammmasasmaaxam�a= �amaaaear_se�aa��=��asasx��es=s�s_msamaaex�maa���==��
fUEI TYPES.:? ? FANS..........: 0 BOILERS/C�i}PRESSdRS FEES:
6AS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 ,. , MEC PRMT ISSUANCE... � 20.00
fURN<100K..: 0 DUCT NORK.....: 0 �3-15 HP.....: 1 " � � ,� �� �� � MEC APPLIANCE FEES.# S 16.50
GAS HNT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 ��� �`���� �� �� � PLAN CHECK FEE t 9.13 �
COHV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 ��� °���� a
BBQ........: 0 MISC..........: 0 5t HP.. ..: 0 ; r
6AS DRYER..: 0 AIR HAHDLIN6 UMITS FUEL TANKS -------
RAH6E......: 0 <-10,000 CFM: 0 ABOVE 6ROUHD: 0
6AS L06S...: 0 > 10,000 fFM: 0 UHDERGROUHD.: 0
� TOTAL fEES = 45.63
=xs�aaaaaara�aam�sxs�anaaaaam�aa�sxaasaaaaamaaxx��vx:saaaaesaazssassxms�ss�x�aamamsaaaaaaamm�mrxmmaa�msaa��xammaeaas a�saamse��sss�sns�as�mssaaaaxxxseaaaeaeaaaaa�saaaxxss-
Does the yater supply syste� contain a Pressure ReCuction Device or Check valve? (} Yes () No (If 'Yes' then uater expansion tank is required on Hot Nater Tank)
Inspection Record liater line OK ___w____ Mechanical Inspection Hotes: ____�_�___�_�_�_���_..�______�
GAS PIPING OK ����_ Date �w BY __�_ __._�_�____�r�________�____ ww__ �
a�eaaa=aa�aaeeasa�a�aa=asaaaaaaaaaaaaa=sssa�e_a�aaasaaaasaaesmaaar�aaaaexsaeaass�ssxasa_exm���a�rs��ae�msasaaaa:xss��am��ec�c�aa__oexeaessa=sxearamx��xsa3aaa�sss�sa�assx
PERMITS EXPIRf 180 DAYS AFTER ISSUAMCE IF NO MORC IS STARTED. RESIDEMTIAL AND 6RADIN6 PERMITS EXPIRE ORE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY TNE INFORMATI NED BY NE IS TRUE ORRECT TO TNE BEST OF NY [IIOiiLED6E ANB THE A�PLICA�E CITY OF FEDERAL YAY REQUIRElIfIITS NILL BE NET.
.
.
OWNER OR A6ENT � �`� - ��'--=_�------------------ ---- DATE --- -/��•��
;_ _��_�__
FILE COPY
�1d00 O131�
_ ___ _ �_�__.�..___ �' �. M-
r.`,�?;��j/�' 31Ht1 -._�._________,__.._______.._ ._..�: ..Y�,�,,�_ -.. _ _.._,._,`JLi _..�.._�. _._ 1N39tl dd a3NM0
� ��
'L�i 3! 11IM S1M�III103�1 AtlM �1113d3� �0 AlI� 3�Ildd1► �{1 �IW 39H3'pION� l�li � 1S3� �1 91 1J3dY0 3(111.L SI 311 AS 93NS�plt�t� IIOi1VIf�0�IlI 3Nl A�Il�3� I
'3�'flSSI �i �ltlA �31!!V �13A 311A 3�IIiX3 SlIii�3i �ilIttl�9� 1tlI1N3�IS38 't311NI1S 5I 1b01f �N !I 3�I Y�l�li SAY9 08i �bIiX3 SIINil3d
��mrwSotxnitasasCLillaaaaReaWsoa61�e1eaoasemamo�[alesm�sa�fausmlalrMRaim�MraslaaD¢aas.t:edo^r..':s�eCvaJc3:�xsm��ct�a9:mwamausC�:m::: �_..:�.:��Cux.-.... .. _,..�..acs-ansJ;:sac��ai']r.m1laYaas�[aaraomR+mallmuoRmamtYataum+xamac
'��J,� �q/��� �� � �,.���Q � �f�� �0 9NldId Stl9
' � �'
; v/l�l� �� p�i � s;oN uut��i�; ie�tuey�aw __ . _.___ �0 aut� �a}eN p.to�aa uotaaadsui
. � > �
� �:�t�:� .1�}+.� ,uh uu ��ai�i'trd.+ ai ,�Uf} ;1vt�ueu�d .�}rri umt�; �5v;�� fj} uµ i1 53�, �} ,Gnten ��ay� �o ��;nap uoi��npaa a�nssa�d e uteauo� �a�s,{s �ttddns aa�en ay} saoQ
...---sasrm�asasssa�a�aar�ianaioaaraawerpn»araoeacanaaarerasam ralsmaRlwsaqsietaetr�tsar.maaCwsotya[srsr.easals�atmesnes�aataltsamaiaalssameteimaysamtimsatlas�Cssara�ta�anen�ss��aYsislCiwaal��mp/st
� E9'S> � S33! 1d101 �����u� �;,
0 �r3;'��iu�i34 �,- ���Qp`OI < 0 • "S901 S119
� �r;i p�9 31►�� ���� ���Otl�"'pi-> 0 , .....39Ntla
�� � ' -��t+�� 1 � St��i ���QI� �Itl 0 • 'a3A�Q Sd9
���, �*. ...dN � �, ��. .M., .��w � . .......08H
��wr��� n f � ����� � a � ,....dH �s-a ,. �.xc�t<N�� a ar� nno�
�� cu� �a3N
Ei'6 S �.t�� �4� ,������d�.. �,A °�� a��� " � �� " Q �� ....dH t!€-S� � � ��g ,...�3Atil���a#�N 0 ; ...1MN Stl9
OS'9i S x'S33j _,�Nt�I.idlr 73A � �� �i'�"� �. � �� � �� �C �� �`�dl# 5i-�` � 0 •••�,.;13�1 l�l 0 ;..�IOOI>NWI�
00'Ot ; ...3�Nbn:��t ���� �+���°� .,,� � �� � �� �,��������� � ,��,�.E � ,......d�l �-4� o ;..,......-QOOH a� 0 �'9NIdId �b9
�S33.� /i ��� ��� S�SS3�dit0�jSa31�Clfl 0 ,•`".......5tld� a i,�'S3dJ1113A�
�6amcaffixma¢meaeamarlae�sa�a�amamasaiastamaar�L•m�asmscC+oaw39i�taca rasat�ssanssawoea�xac�asa�/aw�aaammu�usmro�saeasammsesrme:t+a�arpeawom�svxanaex:�Rartx�sec�a.:: xWxsmasx=omaaaa�meaasmaasasamaa���ara�ass
:u SZ'B = 311Hi Xtll 'Atlll �1�l3! !Q AlI3 3N1 NINlIN S1NP8�d ip1� lNl S31tlS �Ifil��� N3�1 7.£t�i �ltl� MOIId)ql �1'i 3513� `S80I�1N0� tt�
�amas�sYasmmsrixr:.:naazrsaaaaeaasatasr*r�sssasmwaasaaassressrsms s:aas�saasnmeesa�eanensqssss�ra�maaazmaamszc.s..._x�..�x_. _.:.-�:r.:xx mzvt�apqNar�.x..e�a��iya�afr�vmieanmenm�aee�aa�e�esess:tiaaeaaaastsaeae
I�S�Zt1`ilO�S
� 6fBT-Z8S LLOy-yl6
, 60y8b tlM tlWO�tll EOOBb dM AtlM 1dM3Q3�
( 1S 3113MAt S ObBE S 3Ad H18 - OE�EE
)NI 0) NOa� 't 110JS N3S(l3dHM3A3M
ffirra�sram�maass+amewom.vanasamaansQare+aasenaaa�m y3QN31 ■ aeaseta�armswam�mawamsa�sarasa�asst:masa:raraa apl�tlalMOJ asar[Ya#71sst+�smmamrtle96e=aa`eaasaaevmss�afaaznnsYaaalapoaw g3NM4 �
'lINtl �/tl NOl-S 3N0 j0 NOIltl11tl1SNI - �IfAN=NOI.Ld I2l�S3Q .1:�3Cvad
0�"GO-Q059�b � 'ON
; ;-; S 3At'J H18 O�E��=5a�2iQQt1
, , _ ��
96/0�/ZO =S32iIdX� Q007-T99
�.� =Jl� 0�'Lh-'C99 s�san�ra� uo����dsui 6u�rP�Ct►�t� �0086 aM `�'�'M i�aap�.�
s�/y�l so -a�nssx 1. �I����If "�4��I h��h���I!� u��os ��M ��a �� o�s��
OT9C►-S�QT)g =C3N 1.IW�f�c� AdM �H�J3Q�� �0 l�lI�
. ,� ,
�„� G �w a,�a��,��� City of Federal Way
-� --m-�������:.
�,
�►PPLICATION FOR BUILDING PERMIT
rc��., .
,,.,,�r- �E�7ERAL'���.Y �.
, ^ nEPT. ��''�� `� �( l
PLEASE PR/NT APPL/CAT/ON #: Q
SITE LOCATION Address �� � 7� _:- 5�.�� � /_ �,�j� c'G�Q
d/=
Tenant(if known) L.ot# Assessor's Tax #
�� — _� -�i'� �
Building Owner Name � � Address
��
City _-d�� L L� State GLl/�. ZiP Phone
Nature of Work '� . �, ' y , t � ���
APPLICANT
Name (F,M,L)
��.. � - �� .
Address
�� C' /'.J.U�C/ _
City -,���,,��,4 State ��/� Zip �
Conta t Person Day Phone Other Phone Fax
�ai��� �.-��� �.3��C �� 4�73��3��Z.
,
BUILDING CONTRACTOR''
Company Name
S�-� �.d�t �c;��t
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHIT�CT ' �
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
P/ease Comp/ete Reveise Side
C00492(Rev 4/93)
. � -
STRUCTURE Existing Use Proposed Use
� Permit includes: ❑ Building ❑ Plumbing Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
� Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1 st 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 A��ailability Sewer Availability Q On-Site Septic System Availability ❑ Project Valuation $
Zoning Lot Size Existing Bldg Valuation $
LLNDER
Name Address
City State Zip
MECHANICAL CON'I'RACTOR
Contractor Name Address
_>�� T� �' f-%'t',u �� 3 c 5 ✓;d��ff
City State ��t Zip C� �
Coniact Phone Fax
�� 7�CC ��j�3ri-z
License # �S'C'C � ;��� ,(7�.. Expiration Date � c 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 Fizture Count
MECHAIVICAL<iJNIT GOUNT
Fuel Type (electric/other) Gas Dryer Air Handling < — 1 ,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Fum >100 BTUs Fans �5 Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Conv Bumer Duct Work r,/�� 0-3 Tons Underground
BBa"s Wood Stoves 3-15 To� ' � �Nc Tofal tJnit 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 Federel Way,
but only where such claim ' es o of the reliance of the Cit ' cluding its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application. �,-- �_--
Owner/A�nt G�� G`� Oate: �I"� I l �