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93-102109CITY FEDERAL 335300First Way South MECHANICAL P Federal Way, WA 98003 Building Inspection Requests 661-4140 661-4000 ADDRESS:32715 42ND AVE SW NO.: 873203-0140 PROJECT DESCRIPTION : HVAC - RANGE 6 GAS PIPING OWNER KEN HOOPER 32115 42ND AVE SW FEDERAL WAY WA 98023 330 CONTRACTOR WASHINGTON NATURAL GAS 3130 S 38TH ST P 0 BOX 11066 TAC WA 98411 TACOMA WA 98405 415-6100 WASHING285CB LENDER q 3 - /Oxo 9 PERMIT NO: BLD93-0913 ISSUED: 08/24/93 BY: FC EXPIRES: 02/20/94 FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS FEES: GAS PIPING.: 25 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 ...... : 1 <_10,000 CFM: 0 ABOVE GROUND: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 29.50 Ins'pection Record Water Line OK ---------- Mechanical Inspection Notes: ----------------------________---------_ GAS PIPING OK ---------- Date ------ BY ------ ------------------------------------------------ PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT -------------------------------------- DATE FILE COPY ok,o o r CIMCFG \�PO�.�City of Federal Way \0,%%APPLICATION FOR BUILDING PERMIT PLEASE PRINT 1\ d PP/ 1r`d Tlr]A/ Sf • // / l 1 / / � � r / / SITE LOCATION Address — \ Tenant (if known) Lot # Assessor's Tax # Il Building Owner Name Address ti ENi.t State Zp Phone_77H--o Work -10C APPLICANT Name (F,M,L) Address City - States Zip Q`,L j Contact Person Day Phone Other Phone Fax _ � 3 BUILDING CONTRACTOR . Company Name Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No ARCHITECT .:.' Name Address e City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side CD0492 IRev 4/971 APPLICANT Name (F,M,L) Address City - States Zip Q`,L j Contact Person Day Phone Other Phone Fax _ � 3 BUILDING CONTRACTOR . Company Name Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No ARCHITECT .:.' Name Address e City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side CD0492 IRev 4/971 BUILDING CONTRACTOR . Company Name Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No ARCHITECT .:.' Name Address e City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side CD0492 IRev 4/971 ARCHITECT .:.' Name Address e City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side CD0492 IRev 4/971 LEGAL DESCRIPTION Please Complete Reverse Side CD0492 IRev 4/971 4 tUCTLREExisting Address Use State Proposed Use State V' Zi Permit includes: Phone ❑ Building ❑ Plumbing Mechanical ❑ Other Type of Work: Residential ❑ Commercial ❑ New ❑ Addition ❑ Remodel ❑ Garage ❑ Number of Units _ ❑ Shed ❑ ❑ Deck Other 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 Hood sq ft sq ft Water Availability ❑ Sewer Availability ❑ On -Site Septic System Availability ❑ Project Valuation S 0-3 Tons Zoning Lot Size Wood Stoves Existing Bldg Valuation S,''' LENDER Name Address City I State I Zip ,1ECHANICAI CONTRACTOR Contractor Name Address City State City )C! State V' Zi Contact Phone Fax _ Drains Total Fixture Co Air Handling > = 10,000 CFM License # i S j �$S C , Expiration Date -� l Verified ❑ Yes ❑ No PLUMBING CONTRACTOR Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains Total Fixture Co T'fECHANICAL UNIT 'COUNT " Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping r Range Air Handling > = 10,000 CFM 30-50 Tons Furn <10OK BTUs Gas Log Unit Heater 50+ Tons Furn > 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 Total Unit 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 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 pert of this application. Owner/Agent: DateLu, CITY o1= FEDERAL WAY MECHANICAL P PERISSUED: 33530 First Way South 06/24/9313 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC 661-4000 EXPIRES: 02/20/94 ADDRE:SS:32715 42ND AVE SW NO.: 873203-0140 PROJECT DESCRIPTION : NVAC - RANGE & GAS PIPING OWNER CONTRACTOR EENDEP KEN HOOPER WASHINGTON NATURAL GAS 332715 420D AVE SW 3130 S 38TH ST FEDERAL WAY WA 98023 P 0 BOX: 11048 TAC VA 98411 TACOMA WA 98405 08-8330 475-67OO WASHING285CO PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF N0 WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE. I CERTIFY THAT TNF INFORMATION FURNIS€D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS WILL BE MET. OWNER LIR AGE";-, �� < �,� is � n. � ln►�. I i = Z �"`1,, it"lffp f ql� FIELD COPY