92-102149 CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.:/ BLD92-2505
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/07/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 33025 19TH CT SW
PARCEL NO.: 010457-0740
PROJECT DESCRIPTION: INSTALL GAS LOGS
[- OWNER , CONTRACTOR — LENDER
GERALD PAULS AMERICAN HEATING SERVICES INC.
33025 19TH CT SW 7503 PORTLAND AVE STE.#B
FEDERAL WAY WA 98023 TACOMA WA 98404
11110 539-1702
AMERIHS083M5
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..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 8.50
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 28.50
INSPECTION RECORD
•ter Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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 40
DATE � /7 ��
bid mech 07/01/92
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92 -2 505
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/07/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 33025 19TH CT SW
PARCEL NO.: 010457-0740
PROJECT DESCRIPTION: INSTALL GAS LOGS
LI/
OWNER — CONTRACTOR LENDER
GERALD PAULS AMERICAN HEATING SERVICES INC.
33025 19TH CT SW 7503 PORTLAND AVE STE.#B
FEDERAL WAY WA 98023 TACOMA WA 98404
539-1702
AMERIHS083M5
1
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..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 8.50
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 28.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
410AS PIPING OK.o-5s ///p,IJ & ' Date/ 2 /- r;z- By P,//4.,
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMAT 0 RNIS D BY E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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OWNER OR AGENT ' DATE /� 7/91
bld_mech 07/01/92
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411/ CITY OF FEDERAL WAY II BC-0
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER 6/62/412 P, TS SITE LOCATION
OWNER'S ADDRESS____3 3 2-5 )r- Lf' -' CITY �d vd I PHONE f3Z- /D��.
DESCRIBE JOB /< i( 1 OCt S -f-ib/6, s,/ch-i,.(
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME /41466 e_Afq tiC4-�/KZ Slk -- CONTRACTOR'S REG. ft
n /� ��`3 ��Card MUST be presented
CONTRACTOR'S ADDRESS l5U Fbg-110Act Q CITY JJ �4 j L 4 PHONE ��'I—( 7�44.7's\
EXPIRATION DATE ' —R3
— 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 0 ( i-�7 —U 7-I
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 (fes) 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. FURNACE, ELEC. GAS $
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 COMMERCIA HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS , OTHER(.t (J(/� $
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 ACCURA OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION./
OWNER/AGENT; l''' r a/(j i071 A i(Y If qr. 1—
ANP-000 3/P0