93-101085CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 33216 26TH AVE SW
PARCEL NO.: 894500-0020
PROJECT DESCRIPTION: HVAC
OWNER
STEVAN AHLBECK
33216 26TH AV SW
FEDERAL WAY WA 98023
331
FUEL TYPES.:GAS ?
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
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
PACIFIC GAS HEATING & AIR INC
11002 34TH AVE S
TACOMA WA 98444
582-5882
PACIFGH110ME
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
ter Line OK Mecha/n�i al Inspec ion Notes:
AS PIPING OK Date > By
LENDER
PERMIT NO.: BLD93-0486
ISSUED: 05/13/93
BY: FLF
FEES:
MEC PRMT ISSUANCE... S 20.00
MEC APPLIANCE FEES.* $ 10.00
TOTAL FEES S 30.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF O WORK IS STARTED.
1 CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLE E AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER AGENT
bl _ h 07/01/92
0o f
DATE
Permit
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
-- FIN" Print —
BOX 1 TENANT NAME:
OWNER'S ADORESS��
DESCRIBEJOB AS',61J
THE PROPERTY IS OWNED BY:
BOX 2 CONTRACTOR'S
CONTRACTOR'S ADDRESS 1L
EXPIRATION DATE _ __n —
PARTNERSHIP CORPORATION
__
e2 w,µ .14C CONTRACTOR'S REG. km Al
cud gust be prtaeAW
_
Cl s'�tf'r'' �" PHONE S `. X X-1- --
- OR —
I HAVE READCHAPTER 18.27.010 RELATING TD DEFINITIONS OF GENERAL CONTRACTORS ANDSPECIALTY CONTRACTORS AND
CHAPTER 15,27, 110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON PHONE ` - ZI&L ..
UOX 4 SEWER DISTRICT WATER DISTRICT
WX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 8 PROPERTY TAX ACCOUNT NUMBER..� _
LE6AL Lvi6i;ltll' [ iCsk
(it necessary, please submit a separate page with the legal description.)
K.C. Plat Recording B
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Propoud) 1ST FLOOD 2ND FLOOR
_ 3RO FLOOR t BASEMI DECK t GARAGE.r
BOX S ( } SINGLE FAMILY ( } NEW CONS'T'RUCTION
{ } MULTIFAMILY (NO. OF UNITS = _ _ _} ( } EXISTING STRUCTURE
( } COMMERCIAL11NDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -11110)
N0. WATERCLOSETS
BATHTUBS
_SHOWERS
LAVATORIES
SINKS
OISHWASHERS
ELECTRIC HOT WATER HEATER
_____,_LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
—DRAINS
OTHER__ ___._
_^_TOTAL FIXTURES
MECHANICAL APPLIANCES — BASIC FEE T,
GAS PIPING, FEET _ $
NO.._,.L...._FURNACE, ELEC. GAS_ _ $
_GAS HOT WATER HEATER $
CONVERSION BURNER $
SIZE Ulu S
AIR HANDLING UNITS $
..,...,,_,..HEAT PUMPS, SIZE
—UNIT HEATERS $
AIR COOLING UNITS, SIZE $
COMMERCIAL HOOD S
OTHER
TOTAL MECHANICAL FEE S
1 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 OWNEROFTHE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE, I FURTHERAGREE TO SAVE HARMLESS THE CITYOF FEDERAL WAYASTOANY CLAIM (INCLUDINGCOSTS, EXPENSES, ANDATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MACE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AkIh Afl An Ana1+ti"},3:Nf:f`jTVMS=ncuAt WAV IIilr nnav q,� rur•rAIM Tl"ri i euro ne rue PiTv u.ini imrAm i7o
1.
4A -
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 33216 26TH AVE SW
PARCEL NO.: 894500-0020
PROJECT DESCRIPTION: HVAC
OWNER
STEVAN AHLBECK
33216 26TH AV SW
FEDERAL WAY WA 98023
0-2331
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN<100K..: 1
GAS HWT....: 0
CONV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
? 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
fS
er Line OK
PIPING OK
MECHANICALPERMIT PERMIT NO.: BLD93-0486
BUILDING INSPECTION - 661-4140 ISSUED: 05/13/93
BY: FLF
CONTRACTOR
PACIFIC GAS HEATING & AIR INC
11002 34TH AVE S
TACOMA WA 98444
582-5882
PACIFGH110ME
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.* $ 10.00
TOTAL FEES S 30.00
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.
EOW'NER AGENT - DATE � "
h 07/01/92