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93-102190CITY OF FEDE=RAL, WAY 33530 First Way South Federal Way, WA 98003 66:.1.-4000 ADDRESS:33200 35TH AVE. SW NO..: :1.09975-01.90 PRO,TE":GT DESCRIPTION: HVAC OWNER STAN GABRUK 33200 35TH AVE SW FEDERAL WAY WA 98023 7097 MECHANICAL PERMIT Fmil.di.nq Inspection Request.: 661-4.:1.40 CONTRACTOR JOHNS FURNACE CO 3036 68TH AVE W #D TACOMA WA 98466 564-4265 JOHNSF*151L5 LENDER 93 • gad -190 PERMIT NO.- BL_D93-0948 ISSL)ED: 08/26/93 RY: Ff, EXPIRES: 02/22/94 FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS FEES: GAS PIPING.: 80 ft HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... $ 20.00 FURN<100K..: 1 DUCT WORK.....: 0 3-15 HP.....: 0 MEC APPLIANCE FEES.* $ 19.50 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 $ 39.50 knspection Record Water Line OK --------- Mechanical Inspection Notes; ------- M_------------------_---______ GAS PIPING OK ---------- Date ------ BY ---- -------------------------------------------- PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISED BY IS TRUE AND CORRECT TO THE BEST OF MY KNONLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS MILL BE NET. OWNER OR AGENT ---- - --- - -------------------------------- DATE uv � PLEASE PR/NT City of Federal Way APPLICATION FOR BUILDING PERMIT APPLICATION #_ / 5 ! (� �y -?- (-) 1—t % f) SITE.LOCATION Address 33-;),D(--'-3 WA 4E6a Tenant (if known) 4�4Lot # Assessor's Tax # Building Owner Name Address City Tf&QfLL w �, State W Zip g a Phone ' Nature of Work R Q APPLICANT7777 Name (F,M,L) Address City State Zip Contact Person Day Phone Other Phone Fax BUILDING CONTRACTOR ...: Company Name r� R CO. AddressVc rN City lJ J{ ry'1 A fees- ci 2 ti ut p State L") At Zip 9 $Cf (.0 (v Contact Per Phone Fax lab oR '\�)Nr- DQ 51D4 -4a Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No ZSoN W sr- -A 1 L. 93 ARCHITECT Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Comnlete Reverse Side CD0492 (Rev 4/93) APPLICANT7777 Name (F,M,L) Address City State Zip Contact Person Day Phone Other Phone Fax BUILDING CONTRACTOR ...: Company Name r� R CO. AddressVc rN City lJ J{ ry'1 A fees- ci 2 ti ut p State L") At Zip 9 $Cf (.0 (v Contact Per Phone Fax lab oR '\�)Nr- DQ 51D4 -4a Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No ZSoN W sr- -A 1 L. 93 ARCHITECT Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Comnlete Reverse Side CD0492 (Rev 4/93) BUILDING CONTRACTOR ...: Company Name r� R CO. AddressVc rN City lJ J{ ry'1 A fees- ci 2 ti ut p State L") At Zip 9 $Cf (.0 (v Contact Per Phone Fax lab oR '\�)Nr- DQ 51D4 -4a Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No ZSoN W sr- -A 1 L. 93 ARCHITECT Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Comnlete Reverse Side CD0492 (Rev 4/93) ARCHITECT Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Comnlete Reverse Side CD0492 (Rev 4/93) LEGAL DESCRIPTION Please Comnlete Reverse Side CD0492 (Rev 4/93) STRUCTURE Address Exis use I Pro d Use Zip Phone Fax Permit includes: Expiration Date ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other Total Fixture .Count Type of Work: ❑ Residential ❑ Commercial ❑ New ❑ Addition ❑ Remodel ❑ Garage ❑ Number of Units _ ❑ Shed ❑ ❑ Deck Other Underground Enter 1st 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 S Zoning Lot Size Existing Bldg Valuation $ ........................ _ _ .. ................... LENDER Name Address City City State Zip ........... ME .......... . CAL CONTRACTOR_..._ Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No __................ _ _..,.........._..._.........._....................._. .......................................................................................... .......................................................................................... .......................................................................................... PLUMBING CONTRACTOR::>: >................................................................................... ....................................................................................... _...... __...................................... Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No ...... .......... PLUMBING TMURE COUNT Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps 50+ Tons Lavatories Washing Machine Drains Total Fixture .Count MECk&N.W. I UNIT COUNT Fuel Type (electric/other) SAS Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping $b F+ Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs fj Gas Log Unit Heater 50+ Tons Fu > 100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons TotalUnit Count ; DISCLAIMER: 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 claiml, 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. Q Owner/Agent: Date: / l CJTY OF FEDERAL. RAL_ WAY 550 Fir t: Way out;fl F ede r a 1 Way, WA 98tl(')`- �.�,1•—�ir.JnC� NCl. � 10"?'975-0.19C) vnnLn STAN GABRUK 200 35Th AVE SM ERAL MAI NA 98023 K8-iO9i MECHANICAL PERMIT Cttai1dincT IitsII J. "1"t' CONTRACTOR JOHNS FURNACE CO 3036 68TH AVE N ID TACOMA NA 98466 FUEL TYPES.:GAS ? FANS.. GAS PIPING.: 80 ft HOQJ.,'�°' FURN100K... I DUCTSm. GAS HMT....: 1 N4P. ° COHV BURNER: 0 F 1 GAS DRYER..: 0 AIR HA RANGE....... 0 -10,0 GAS LOGS...: 0 10,000 D: 0 .. 0 LENOEP FEES: PERMIT NO.- E31-093-0948 I SSUE:.D: 08,r26/93 BY: FC: EXPIRES: 02/22 /94 AKE... f 20.00 FEES.t 19.50 TOTAL FEES 1 39.50 inspection Record Nater Lino Iral Inspection_________..___________�_____.____ GAS PIPING PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NOR& IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I &PTIFY THAT THE INFORMATION FURNISED BY Mf 15 TRUE AND CORRECT TO THE BEST Of MY XNONLEDGE AND THE APPLICABLE CITY Of F€RERAL MAY R€IHIIREMENTS HILL BE MET. ,i ONKP OR AGENT _ DATE_ FIELD COPY