93-100798CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 31011 39TH AVE SW
PARCEL NO.: 758200-0160
PROJECT DESCRIPTION: HVAC - INSTALL GAS PIPING & FURNACE
OWNER
WILLIAM CAPESTANY
31011 - 39TH AVE SW
FEDERAL WAY WA 98023
838-7621
FUEL TYPES.:GAS
FANS..........: 0
GAS PIPING.:
30 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
Water Line OK
PIPING OK
CONTRACTOR
WESTERN FURNACES INC.
P.O. BOX 11145
TACOMA WA 98411
206-474-8401
WESTEF*372ND
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
Date By
Notes:
LENDER
q3- /0079$
PERMIT NO.: BLD93-0352
ISSUED: 03/31/93
BY: FC
FEES:
NEC PRMT ISSUANCE... S 20.00
NEC APPLIANCE FEES.* $ 13.00
TOTAL FEES $ 33.00
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.
OWNER OR AGENT DATE C
bld mach 07/01/92
•�-�� � 03 -�
CITY OF FEDERAL WAY emit # AN
BUILDING PERMIT APPLICATION
— Please Print —
3OX 1 TENANT NAME: WILLIAM CAPESTANY
OWNER WILLIAM CAPESTANY SITE LOCATION 31011 39TH AVE SW
OWNER'S ADDRESS 31011 39TH AVE SW CITY FEDERAL WAY PHONE 838-7621
DESCRIBEJOB INSTALLATION OF A FURNACE
THE PROPERTY IS OWNED BY: SINGLE/MARRIED XXXXXX PARTNERSHIP CORPORATION
3OX 2 CONTRACTOR'S NAME WESTERN FURNACES, INC. CONTRACTOR'S REG. # WESTEF*372NO
Card MUST be presented
CONTRACTOR'S ADDRESS P.O. BOX 11145 CITY TACOMA PHONE 474-8401
EXPIRATION DATE 12/31/93
—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.
3OX 3 CONTACT PERSON KELLI FLYNN PHONE 474-8401
3OX 4 SEWER DISTRICT WATER DISTRICT
3OX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
3OX 6 PROPERTY TAX ACCOUNT NUMBER PARCEL #7582000160
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
3OX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
3OX 8 SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL
TOTAL AREA OF PROPERTY
SQ FT
3OX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
20.00
N0. WATERCLOSETS
GAS PIPING, FEET 30 FEET
$
3.00
BATHTUBS
NO. 1 FURNACE,ELEC. GAS XXXXX
$
10.00
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
$
33.00
CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
kND FURTHER THAT I AM AUTHORIZED BY THE OWNER OFTHE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
RADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
:EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
%ND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
IFFICERS AND EMPLOYEJ2S, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
IWNER/AGENT
DATE:
3/31/93
ANP -M 3/90
a -
OFFI0CE USE ONLY (PLEASE DO NOT WRITE BELOW TOLINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
DA
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT
NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT
NEW MULTIFAMILY
(UNITS )
MULTIFAMILY ADD/ALT TENANT IMP.
OTHER
OCCUPANCY TYPE OF CONSTRUCTION
STORES
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
TOTAL SQ. FT.
TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
RECEIVED
ASSIGNED ADDRESS:
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATE I ACCEPTED FOR FILING
CITY o.FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 31011 39TH AVE SA
PARCEL NO.: 758200®0160
PROJECT DESCRIPTION: HVAC ® INSTALL GAS PIPING 6 FACE
OWNER
WILLIAM CAPESTANY
31011 - 39TH AVE SW
FEDERAL WAY WA 98023
07621
FUEL TYPES.:GAS
FANS..........: 0
GAS PIPING.:
30 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
CONTRACTOR
WESTERN FURNACES INC.
P.O. BOX 11145
TACOMA WA 98411
206-474-8401
WESTEF*372ND
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
Line
OK
Mechanical
Inspection Notes:
ver
PIPING
OK 5-0-j-5 d/4q/
Dated/
By
LENDER
PERMIT NO.: BLD93®0352
ISSUED: 03/31/93
BY: FC
FEES:
NEC PRMT ISSUANCE... S 20.00
NEC APPLIANCE FEES.* S 13.00
TOTAL FEES S 33.00
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.
OWNER OR AGENT DATE U
bld mach 07/01/92
SET BACKS AND FOOTINGS
DATE BY
OX TO POUR FOUNDATION WALLS
DATE BY _
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE BY
WATER LINE 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
DCD
PSD
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