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92-101843CITY OF FEDERAL WAY MECHANICAL PERMIT 33530 First Way South BUILDING INSPECTION - 661-4140 Federal Way, WA 98003 661-4000 SITE ADDRESS: 2348 341ST PL SW PARCEL NO.: 330630-0020 PROJECT DESCRIPTION: HVAC - INSTALL GAS HOT WATER HEATER OWNER CONTRACTOR LENDER FRED RAY ABC GAS INSTALLATIONS 2348 SW 341ST PL 9923 64TH AVE. CT. E. FEDERAL WAY WA 98023 PUYALLUP WA 98373 838-0210 845-7482 ABCGAI*113N3 FUEL TYPES.:GAS GAS PIPING.: 5 ft FURN<10OK..: 0 GAS HWT....: 1 CONY BURNER: 0 BBQ........: 0 GAS DRYER..: 0 RANGE......: 0 GAS LOGS...: 0 Water Line OK GAS PIPING OK I;11/0 j 9- V3 PERMIT NO.: BLD92-2346 ISSUED: 10/28/92 BY: FLF FANS..........: 0 BOILERS/COMPRESSORS FEES: HOOD..........: 0 0-3 HP......: 0 NEC PRMT ISSUANCE... $ 20.00 DUCT WORK.....: 0 3-15 HP.....: 0 NEC APPLIANCE FEES.* $ 8.50 WOOD STOVES...: 0 15-30 HP....: 0 FURN>100K..... : 0 30-50 HP....: 0 MISC..........: 0 5+ HP.......: 0 AIR HANDLING UNITS FUEL TANKS --------- <=10,000 CFM: 0 ABOVE GROUND: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 28.50 INSPECTION RECORD Mechanical Inspection Notes: 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 bld meth 07/01/92 1 0. DATE -'0 - _-7 "0- 9 L RECONM OCT 2 31992 c'+rSIW�► OW BOX 1 TENANT NAME: • Perry*_aL._D�clZ�-/_ 3 �� CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — OWNER ' SITE LOCATION w .7 f r4 OWNER'S ADDRESS S_33 9 1 'CITY ONE /10 DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MA RIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 4ML CONTRACTOR'S REG. # Q 6C C T- Yr /1�11i3 Card MUST be presented CONTRACTOR'S ADDRESS _ 3 �° Y - CITY � PHONE �'�5 EXPIRATION DATE 3 —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— ! 5 O ©o 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 t BASEMENT_______J_ DECK-----/— GARAGE BOX 8 OC) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL PLIANCES — BASIC FEE $ N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0. 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 COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ 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 BYTHE OWNER OFTHE ABOVE PREMISES TO PERFORM THE WORKFOR 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. OWNER/AGENT: DATE: / 6 '? -I ^ ' ANP4W 3/90 CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2346 33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/28/92 Federal Way, WA 98003 BY: FLF 661-4000 SITE ADDRESS: 2348 341ST PL SW PARCEL NO.: 330`630-0020 PROJECT DESCRIPTION: HVAC — INSTALL GAS HOT WATER HEATER OWNER CONTRACTOR LENDER FRED RAY ABC GAS INSTALLATIONS 2348 SW 341ST PL 9923 64TH AVE. CT. E. FEDERAL WAY WA 98023 PUYALLUP WA 98373 0210 845-7482 ABCGAI*113N3 FUEL TYPES.:GAS FANS..........: 0 BOILERS/COMPRESSORS FEES: GAS PIPING.: 5 ft HOOD..........: 0 0-3 HP......: 0 NEC PRMT ISSUANCE... S 20.00 FURN<100K..: 0 DUCT WORK.....: 0 3-15 HP.....: 0 NEC APPLIANCE FEES.* S 8.50 GAS HWT....: 1 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 S 28.50 INSPECTION RECORD ter Line OK Mechanical Inspection Notes: GAS PIPING OK Date By go r logor 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 bld mech 07/01/92 DATE lcw---2-S-- 5P!5_ 0'v Psi