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93-101510CITY OF FEDERAL WAY MECHANICAL PERMIT 33530 First Way South BUILDING INSPECTION - 661-4140 Federal -Way, WA 98003 661-4000 SITE ADDRESS: 30411 28TH AVE SW PARCEL NO.: 416660-0580 PROJECT DESCRIPTION: HVAC v INSTALL (3) GAS FURNACES, SOT WATER HEATER, & PIPING OWNER CONTRACTOR LENDER DAVID HANSEN 30411 - 28TH AVE SW FEDERAL WAY WA 98023 05105 FUEL TYPES.:GAS GAS PIPING.: 99 FURN<100K..: 2 GAS HWT....: 1 CONV BURNER: 0 BBQ........: 0 GAS DRYER..: 0 RANGE......: 0 GAS LOGS...: 0 FANS..........: 0 ftHOOD..........: 0 DUCT WORK.....: 0 WOOD STOVES...: 0 FURN>100K.....: 1 MISC..........: 0 AIR HANDLING UNITS <=10,000 CFM: 0 > 10,000 CFM: 0 Water Line OK IS PIPING OK I CERTIFY THAT THE OWKcR OR AGENT bld mech 07/01/92 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 Mechanical Inspe tion Date By /Dt b tolrolD PERMIT NO.: BLD93-0672 ISSUED: 06/18/93 BY: PC FEES: NEC PRMT ISSUANCE... $ 20.00 NEC APPLIANCE FEES.* $ 40.50 TOTAL FEES $ 60.50 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. TION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THEAPPLICA E CITY O EDERAL WAY REQUIREMENTS WILL BE MET. DATE PLEASE PRINT to City of Federal Way 0 APPLICATION FOR BUILDING PERMIT APPLICATION #. I Or SITE LOCATION.-:• : Address 3Q 41 / 2 1. Us 1 10 Tenant (if known) Lot # A'ssessor's Tax # /U.;E IU �!}r�v ,r- /,��/ L��clG'(,- p is Building Owner Name Address s el i5- I City 5- CityState I Zip Phone Nature of Work IRJjT 4 ,4S F(J4ll Aca 5 - fid % A/& 7L e Name (F,M,L) Address City State Zip Contact Person Day Phone Other Phone Fax BUIC;�INGr"CUNT. RACTOR /' 11� ,G,.'} Company Name IQ / g VR4) Address PF 0 City Y LAIC 14- q0 State W,4- zip 470 Contact Person n4t15- -FXC-; r1 7— P S- 3 S 0o Fax Contractor's # (card must be presented)�t f �' Expiration Date Verified 0 Yes © No ! -V vxl 1222 ARCHITECT Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side CD0492 (Rev 4193) Name (F,M,L) Address City State Zip Contact Person Day Phone Other Phone Fax BUIC;�INGr"CUNT. RACTOR /' 11� ,G,.'} Company Name IQ / g VR4) Address PF 0 City Y LAIC 14- q0 State W,4- zip 470 Contact Person n4t15- -FXC-; r1 7— P S- 3 S 0o Fax Contractor's # (card must be presented)�t f �' Expiration Date Verified 0 Yes © No ! -V vxl 1222 ARCHITECT Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side CD0492 (Rev 4193) BUIC;�INGr"CUNT. RACTOR /' 11� ,G,.'} Company Name IQ / g VR4) Address PF 0 City Y LAIC 14- q0 State W,4- zip 470 Contact Person n4t15- -FXC-; r1 7— P S- 3 S 0o Fax Contractor's # (card must be presented)�t f �' Expiration Date Verified 0 Yes © No ! -V vxl 1222 ARCHITECT Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side CD0492 (Rev 4193) ARCHITECT Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side CD0492 (Rev 4193) LEGAL DESCRIPTION Please Complete Reverse Side CD0492 (Rev 4193) I RUCTURE Ar0ss e�Ot( VU�� Existing Use stat(e� t1JR- Propose Contact0 /► Uc 716-47._- CT 0� /7` PhoneG� _ 3 � O0 Permit includes: License # Building ❑ Plumbing Mechanical ❑ Other Type of Work: Residential ❑ Commercial ❑ New ❑ Addition ❑ Remodel ❑ Garage ❑ Number o nits _ ❑ Shed ❑ ❑ Deck Other Enter 1 st Floor Area Basement sq ft sq ft 2nd Floor Decks sq ft 3rd Floor sq ft sq ft Garage sq ft Existing Floor Area Proposed Total Area sq ft sq ft Water Availability ❑ Sewer Availability ❑ On -Site Septic System Availability ❑ Project Valuation $ Wood Stoves Zoning Total Unit Count Lot Size..Existing`Bldg Valuatigit I $ ME.CHANiCAL CONTRACTOR U�tor 1«ll e 5F{C-T Ar0ss e�Ot( VU�� City 130/?)AV y L kc WA- stat(e� t1JR- zip 7.3 O Contact0 /► Uc 716-47._- CT 0� /7` PhoneG� _ 3 � O0 Fax License # Expiration Date Verified ❑ Yes ❑ No PLUMBING CONTRACTOR X/ /'0 Contractor Name Address City State Zp Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No PLUMBING FIXTURE COUNfi /1L /zl Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains Tota( Fixture Cdu6 MECHANICAL UNI7t`tUUNT .::...: . Fuel Type (electric/other) r --r4-5 Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping 100 i Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Log Unit Heater 50+ Tons Furn > 100 BTUs I Fans Miscellaneous Fuel Tanks Gas Hwt 1 Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons Total Unit Count DISCLAIMER: I certify under penalty of perjury that the information fumished by me is true and correct to the beat of my knowledge and further that 1 am authorized by the owner of the above premises to perform the work for which permit application is made. 1 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 suc a arises out of the�cpliance of the City, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this application. � t /\) caner/Agent:y C f Date: UY i CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93-0672 33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 06/18/93 Federal Way, WA 98003 BY: FC 661-4000 SITE ADDRESS: 30411 28TH AVE SW PARCEL NO.: 416660-0580 PROJECT DESCRIPTION: HVAC - INSTALL (3) GAS FURNACES# HOT WATER HEATER, is PIPING OWNER 7CONTRACTOR DAVID HANSEN 30411 - 28TH AVE SW FEDERAL WAY WA 98023 5105 FUEL TYPES.:GAS GAS PIPING.: 99 FURN<100K..: 2 GAS HWT....: 1 CONV BURNER: 0 BBQ........: 0 GAS DRYER..: 0 RANGE......: 0 GAS LOGS...: 0 FANS..........: 0 ftHOOD..........: 0 DUCT WORK.....: 0 WOOD STOVES...: 0 FURN>100K.....: 1 MISC..........: 0 AIR HANDLING UNITS <=10,000 CFM: 0 > 10,000 CFM: 0 0ter Line OK GAS PIPING OK 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: Date By LENDER FEES: MEC PRMT ISSUANCE... $ 20.00 MEC APPLIANCE FEES.* $ 40.50 TOTAL FEES S 60.50 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. I CERTIFY THAT THE INFOR N FURNISHED BY ME RUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDE AL WAY REQUIREMENTS WILL BE MET. l�C OWNER OR AGENT DATE bld meth 07/01/92