92-102084CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 32267 218T AVE SW
PARCEL NO.: 132103-9061
PROJECT DESCRIPTION: INSTALL GAS FURNACE
OWNER
JOSEPH MYLNAR
32267 21ST AVE SW
FEDERAL WAY WA 98023
927-3017
FUEL TYPES.:GAS 7
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<100K..:
1
DUCT WORK.....: 0
GAS HWT....:
0
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K..... : 0
BBQ........:
0
MISC..........: 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<=10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
Water Line OK
CONTRACTOR
PACIFIC GAS HEATING & AIR INC
11002 34TH AVE S
TACOMA WA 98444
582-5882
PACIFGH110HE
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP.......: 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
Mechanical Inspection Notes:
S PIPING OKAess 9 H,4,U 6' Datel� a5-� z By 14YAl
,q r —1 e-6-7a��-ow�.�a �•� a+Y
LENDER
qqL-
10"
PERMIT NO.: BLD92-2468
ISSUED:
11/24/92
BY: FLF
FEES:
NEC PRMT ISSUANCE... S 20.00
NEC APPLIANCE FEES.* S 10.00
TOTAL FEES S 30.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
1 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
bld mech 07/01/92
DATE �` . V , �%
SET BACKS AND FOOTINGS
DATE BY
OX TO POUR FOUNDATION WALLS
DATE BY
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE BY
WATER LINE O.K.
GAS PIPING O.K.
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 11-0-5-1-2- BY �v
DCD 7PSD
FD
Permit
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER 4u/n -ate SITE LOCATION r `— U ) MSA' 4.eJ
OWNER'S ADDRYESS �- h,te CITIliuta �� PHONEd 1 17
DESCRIBE JOB 11 VR r-'
THE PROPERTY IS OWNED BY: SINGLPJMARRIED ✓ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME %ZtL101, 1.r1-�ZI c 11r� i�t CONTRACTOR'S REG. #thoikkl 1411DM L
Card MUST be presented
CONTRACTOR'S ADDRESS 1► D D 34W --"PJ S CITY%y� PHONE _5 XO - ZX ka
EXPIRATION DATE 9a..'
—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 CAa %--� PHONE X $ct -fib' 8' ),
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
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 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMM ERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9
PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET -677 $
NO.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 $
OTHER $
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 EMPLOY
EES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: k -A ) f A& A DATE: / j— / /— 6Z)
ANP4= 3190
CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 32267 218T AVE SW
PARCEL NO.: 132103-9061
PROJECT DESCRIPTION: INSTALL GAS FURNACE
OWNER
JOSEPH MYLNAR
32267 21ST AVE SW
FEDERAL WAY WA 98023
927-3017
CONTRACTOR
PACIFIC GAS HEATING & AIR
11002 34TH AVE S
TACOMA WA 98444
582-5882
PACIFGH110ME
INC
LENDER
r
1Y
PERMIT NO.: BLD92-246,8
ISSUED: 11/24/92
BY: FLF
FUEL TYPES.:GAS 7
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 HP......:
0
MEC PRMT ISSUANCE... S 20.00
FURN<100K..: 1
DUCT WORK.....:
0
3-15 HP.....:
0
MEC APPLIANCE FEES.* S 10.00
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...: 0
> 10,000 CFM:
0
UNDERGROUND.:
0
TOTAL FEES $ 30.00
INSPECTION RECORD
Water 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 �j/�-�G„�-2�_r/`'� DATE
bld mech 07/01/92 ��