92-101505CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 33559 36TH AVE SW
PARCEL NO.: 109960-0500
PROJECT DESCRIPTION: MECH
OWNER
ELLIOTT
9 36TH AVE SW
RAL WAY WA 98023
7669
FUEL TYPES.:GAS T
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<100K..:
0
DUCT WORK.....: 0
GAS HWT....:
1
WOOD STOVES...: 0
CONY 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
ter Line OK
S PIPING OK
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
ABC GAS INSTALLATIONS
9923 64TH AVE. CT. E.
PUYALLUP WA 98373
845-7482
ABCGAI*113N3
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 Notes:
Date By
LENDER
9a. -/6j
PERMIT NO.: BLD92-2169
ISSUED: 09/22/92
BY: MH
FEES:
NEC PRMT ISSUANCE... $ 20.00
NEC APPLIANCE FEES.* S 6.50
TOTAL FEES $ 26.50
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 l" ' 2 2
bld mech 07/01/92
400
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
2'X-- �t- G & if
BOX 1 TENANT NAME:
MECHANICAL APPLIANCES — BASIC FEE $
OWNER SITE LOCATION
GAS PIPING, FEET C) $
OWNER'S AD6AESS x 3 575-2 CJ CI
PHONE
DESCRIBE JOB
GAS HOT WATER HEATER $
THE PROPERTY IS ovAEff BY: SINGLE/MARRIED PARTNERSHIP
CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # C4�
BOILER, SIZE BTU $
T be resented
Card MUST be presented
CONTRACTOR'S ADDRESS 9!F2 G of - � CITY 'g
PHONE &95 - Ye_2
EXPIRATION DATE
LAUNDRY WASHER OUTLET
—OR—
URINALS
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.
COMMERCIAL HOOD $
BOX 3 CONTACT PERSON
PHONE &'Oy' ?Y0
BOX 4 SEWER DISTRICT WATER DISTRICT
$
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
$
BOX 6 PROPERTY TAX ACCOUNT NUMBER L10 1 'FG 6
$
LEGAL DESCRIPTION
TOTAL MECHANICAL FEE $
(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 / BASEMENT / DECK / GARAGE /
BOX 8 ( ) 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)
MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET C) $
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 $
1 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.
OWNER/AGENT:� ' / `� DATE:
ANP4= 3/80
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92 ®2169
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/22/92
Federal Way, WA 98003 By: ME
661-4000
SITE ADDRESS: 33559 36TH AVE SW
PARCEL NO.: 109960-0500
PROJECT DESCRIPTION: NECK
OWNER
ELLIOTT
CONTRACTOR
ABC GAS INSTALLATIONS
LENDER
9 36TH AVE SW
9923 64TH AVE. CT. E.
FEDERAL WAY WA 98023
PUYALLUP WA 98373
-7669
845-7482
ABCGAI*113N3
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN1100K..: 0
GAS HWT....: 1
FANS..........:
HOOD..........:
DUCT WORK.....:
WOOD STOVES...:
0
0
0
0
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP.....: 0
15-30 HP....: 0
FEES:
NEC PRMT ISSUANCE... S 20.00
NEC APPLIANCE FEES.* $ 6.50
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
<e10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES S 26.50
INSPECTION RECORD
Water Line OK
OS
Mechanical Inspection Notes:;"
PIPING OK
Date By
�'i if �V2
13X YMAlI ATl $-16-53
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
1 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 c�� ��3 e e�.�c.—� c DATE
bid -meth 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
WAFER LINE O.K.
GAS PIPING O.K
J
MECHANICAL INSPECTION
DATE BY
OX TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE BY
DCD
PSD
FD
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