93-1001084100A
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93-00i 4
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 01/13/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 137 S 293RD ST
PARCEL NO.: 720250-0040
PROJECT DESCRIPTION: INSTALL GAS FIREPLACE & GAS PIPING
rOWNER CONTRACTOR
RICHARD HOLMAN SUNLOK INC.
It7 S 293RD ST 11630 SLATER NE
DERAL WAY WA 98003 KIRKLAND WA 98034
839-5797 2068234454 874-2570
SUNI-01*107.16
LENDER
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.:
10 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.* $ 9.50
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 $ 29.50
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 DATE /'/3``,/
bld mech 07/01/92
A
10 Ormit #
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER �`�' SITE LOCATION
OWNER'S ADDRESS CITY c1�'�' PHONE 9 :moi i 7
DESCRIBE JOB `T��"5%/�Ct i ��-c� -/
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME S r:� �. ,k i �� CONTRACTOR'S REG. #�5'VktiZ 61 yly
Card MUST be presented
CONTRACTOR'S ADDRESS CITY k�� � ��`�' `���HONE 9� 3 �`f`X. 21'
EXPIRATION DATE'
—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 PERSONPHONE Z
Bq� 4 SEWER DISTRICT 17WATER DISTRICT
B5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
�jZG'c'
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
607"IbUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (4) 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)
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 $
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 $
#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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
-0WNER/AGENT: =*-DATE: -
ANP -008 3,90
CITY OF FEDERAL WAY MECHANICAL P
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 137 S 293RD ST
;PARCEL NO.: 720250-0040
PROJECT DESCRIPTION: INSTALL GAS FIREPLACE & GAS PIPING
OWNER CONTRACTOR LENDER
RICHARD HOLMAN SUNLOK INC.
137 S 293RD ST 11630 SLATER NE
FEDERAL WAY WA 98003 KIRKLAND WA 98034
839-5797 2068234454 874-2570
SUNL01*107J6
q,)-), kDo Ick
PERMIT NO.: BLD93-0024
ISSUED: 01/13/93
BY: FLF
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.:
10 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.* $
9.50
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 $
29.50
INSPECTION RECORD
Water Line OK Mechanical Inspection
�S PIPING OK j5 - %3 ) Date
Notes:
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
it 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.
0VVNER OR AGENT
bbd meth 07/01/92
DATE
SET BACKS AND FOOTINGS
DATE. .. ..... . . .... ... . - __ BY . . . ....... . . ....... . -
OX TO POUR FOUNDATION WALLS
DATE ...... . .... . .. . ... .. . .... .. BY
PLUMBING GROUNDWORK
DATE ..... . . .... ... ... . . ..... ... . .. . ........ __BY
PLUMBING ROUGH IN
DATE _______BY .. ...........
WATERLINE 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. .......... . _.- _.- __.BY . . ..... .... . . ... ..... .. . . . ... .... __
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