92-101703CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 2811 SW 342ND PL
PARCEL NO.: 294450-0500
PROJECT DESCRIPTION: HVAC - INSTALL GAS LOGS & PIPING
OWNER
KOCH
2811 SW 342ND PL
FEDERAL WAY WA
661-0266
FUEL TYPES.:GAS
GAS PIPING.: 25
FURN<100K..: 0
GAS HWT....: 0
CONV BURNER: 0
BBQ........ . 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 1
FANS..........: 0
ft HOOD..........: 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K..... : 0
MISC..........: 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
Water Line OK
XS PIPING OK
I CERTIFY THAT THE
OWNER OR AGENT
bld_mech 07/01/92
CONTRACTOR
AMERICAN HEATING SERVICE, INC.
7517 PORTLAND AVE.
TACOMA WA 98404
847-8399
AMERIHS083M5
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP.......: 0
FUEL TANKS ---------
ABOVEGROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
Mechanical Inspection Notes:
Date By
LENDER
g ;I-j0j 703
PERMIT NO.: BLD92-2261
ISSUED: 10/12/92
BY: FLF
FEES:
NEC PRMT ISSUANCE...
MEC APPLIANCE FEES.*
TOTAL FEES
S 20.00
$ 8.50
$ 28.50
ALL PERMITS EXPIRE 160 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
TION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE
37/l-7-799.5
RECEIVED Sy
COMMUNITY DEVELOPMENT 0FPARTMENT
Permit #
0 Cl 6 1992
BOX 1 TENANT NAME:
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
OWNER
OWNER'S ADDRESS
SITE LOCATION
CITY
DESCRIBE JOB f �• t���
THE PROPERTY IS OWNED BY: SINGL MARRIED PARTNERSHIP _ CORPORATION
BOX 2 CONTRACTOR'S NAME d'1 'i .I r 10 rSj CONTRACTOR'S REG. #Ad ' Lf
Card MUST be presented
/ l f !�
CONTRACTOR'S ADDRESS 6CITY � L PHONE %�3��
EXPIRATION DATE .
-._2 1 _q?
—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
BOX 4 SEWER DISTRICT
WATER DISTRICT
_ PHONE..._
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION _
BOX 6 PROPERTY TAX ACCOUNT NUMBER Q6LIL150 }®
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 FLOOR2ND FLOOR �J
3RD FLOOR __—/ BASEMENT / DECK J GARAGE_J
BOX 8 '�) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS = )
( ) COMMERCIAL/INDUSTRIAL
BOX 9 PLUMBING FIXTURES (including rough -ins)
NO. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
_ LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
( ) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY
SO FT
�— MECHANICAL APPLIANCES — BASIC
FEE $
GAS PIPING, FEET ...
$ —
N0. FURNACE, ELEC. GAS
$
GAS HOT WATER HEATER
$ -- --
CONVERSION BURNER
$
BOILER, SIZE _ BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD )� I
KOTHER
A $
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 1 H,k ACCURACY OFTI IE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT �
DATE:
ANP.00D 7/DO
CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 2811 SW 342ND PL
PARCEL NO.: 294450-0500
PROJECT DESCRIPTION: HVAC m INSTALL GAS LOGS 6 PIPING
OWNER
KOCH
2811 SW 342ND PL
FEDERAL WAY WA
661-0266
FUEL TYPES.:GAS
GAS PIPING.: 25
FURN<100K..: 0
GAS HWT....: 0
CONV BURNER: 0
BBO......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOG'.:...: 1
FANS..........: 0
ft HOOD..........: 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>10OK..... : 0
MISC..........: 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
Water Line OK
'S PIPINfG OK /IJ
CONTRACTOR
AMERICAN HEATING SERVICE, INC.
7517 PORTLAND AVE.
TACOMA WA 98404
847-8399
AMERIHS083M5
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVEGROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
Mechanical Inspection
Date I By
Notes:
LENDER
PERMIT NO.: BLD92-2261
ISSUED: 10 / 12 / 92
BY: FLF
FEES:
MEC PRMT ISSUANCE... S 20.00
MEC APPLIANCE FEES.* S 8.50
TOTAL FEES S 28.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORM TI FURNISHED Y 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 '4 DATE
bld_mech 07/01/92
SET BACKS AND FOOTINGS
DATE BY
OX TO POUR FOUNDATION WALLS
DATE BY
PLUMBING GROUNDWORK
DATE
PLUMBING ROUGH IN
DATE . BY __
WATER LINE O.K. ---�� _
GAS PIPING O.K.,��4f& -f6__
MECHANICAL INSPECTION
DATE __BY
O.K. TO ENCLOSE FRAMING
DATE __. _ _.BY _
INSULATION
DATE --,--,-- __BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE _
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