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93-101697CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 661-4000 SITE ADDRESS: 33233 39TH AVE SW PARCEL NO.: 109961-0220 PROJECT DESCRIPTION: HVAC • OWNER FREDERICK KALILIMORU 33233 39TH AVE SW FEDERAL WAY WA 98023 0-6268 FUEL TYPES.:GAS 7 FANS..........: 0 GAS PIPING.: 25 ft HOOD..........: 0 FURN<100K..: 0 DUCT WORK.....: 0 GAS HWT....: 1 WOOD STOVES...: 0 CONV BURNER: 0 FURN>100K.....: 0 BBQ........: 0 MISC..........: 0 CAS DRYER..: 1 AIR HANDLING UNITS RANGE......: 0 -10,000 CFM: 0 GAS LOGS...: 0 > 10,000 CFM: 0 drter Line OK GAS PIPING OK MECHANICAL PERMIT BUILDING INSPECTION - 661-4140 CONTRACTOR J & J HEATING 446 6TH AVE FOX ISLAND WA 98333 206-549-2511 JJHEA**099RQ 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 q3' /Oj 497 PERMIT NO.: BLD93-0743 ISSUED: 07/07/93 BY: FC FEES: MEC PRMT ISSUANCE... S 20.00 MEC APPLIANCE FEES.* S 16.00 TOTAL FEES S 36.00 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 �c�4`�– % DATE J — 2 bld tach 07/01/92 City of Federal Way � war-i�rzFn APPLICATION FOR BUILDING PERMIT PLEASE PRINT APPLICATION #. LD q 3 T iZl SITE LOCATION Address 3 3 3®l kVA Tenant (if known) Lot # Assessor's Tax # Uq q c,> z2co Building Owner Name frZAddress-3 - Dc� c(_ i,ALl�((Mord 33Z S. -S -3r! Av� City State (,�Jf} Tip Phone Nature of Work j,tl S 7 f1Z� foG OI Pray, ....................................................................................... .................................................................................... .......:•;:.:;.;:.;:.;:.:.: APPLICANT Name (F,M,L) Address City State Tip Contact Person Day Phone Other Phone Fax BUILDING CONTRACTOR...:.; Company Name -ry Address Address ( q �c , i J C T State City 14 L0e �vt— State t j Tp y Contact Person �L Phone Szc-G20S Fax Contractor's # (card must be presented) J_.j Ykra Expiration Date /2- rg,'% 3 Verified ❑ Yes ❑ No ....................................................................... .. Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side CD0492 (Rev 41931 M ECHANICAT. CONTRACTOR Contractor Name Address City State Zip Contact Phone STRUCTURE License # Existing Use Verified ❑ Yes ❑ No Proposed Use Furn > 100 BTUs Fans Miscellaneous Permit includes: Gas Hwt tHood ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other 0-3 Tons Type of Work: ❑ ❑ Residential Commercial ❑ New ❑ Addition ❑ Remodel ❑ Garage ❑ Number of Units _ ❑ Shed ❑ ❑ Deck Other Enter lot 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 ❑ Projeoi?Veluabo► Zoning Lot Size Existing BIdgYaluatlon $ M ECHANICAT. 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 FIXTURE COUNT Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine * Count Drains Total Fixture. ................................................................................. ...................................................................................... ....................................................................................... MEMN�iCAIr UNIT COUNT Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Log Unit Heater 50+ Tons Furn > 100 BTUs Fans Miscellaneous Fuel tanks Gas Hwt tHood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons Totel`Untt 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 o\\the City, including its officers and employees, upon the accuracy of the information supplied to'the City as a part of this application. i y — M L� \\ e- Owner/Agent: CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 661-4000 SITE ADDRESS: 33233 39TH AVE SW PARCEL NO.: 109961®0220 PROJECT DESCRIPTION: HVAC OWNER FREDERICK KALILIMORU 33233 39TH AVE SW FEDERAL WAY WA 98023 -6268 FUEL TYPES.:GAS ? FANS..........: 0 GAS PIPING.: 25 ft HOOD..........: 0 FURN<100K..: 0 DUCT WORK.....: 0 GAS HWT....: 1 WOOD STOVES...: 0 CONV BURNER: 0 FURN>100K.....: 0 BBQ........: 0 MISC..........: 0 GAS DRYER..: 1 AIR HANDLING UNITS RANGE......: 0 <=10,000 CFM: 0 GAS LOGS...: 0 > 10,000 CFM: 0 Water Line OK 40S PIPING OK MECHANICAL PERMIT BUILDING INSPECTION - 661-4140 CONTRACTOR J 8 J HEATING 446 6TH AVE FOX ISLAND WA 98333 206-549-2511 JJHEA**099RQ 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 PERMIT NO.: BLD93-0743 ISSUED: 07/07/93 BY: PC FEES: NEC PRMT ISSUANCE... S 20.00 NEC APPLIANCE FEES.* $ 16.00 TOTAL FEES S 36.00 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS ST I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPU A,!LEC£DERAL WAY REQ RENTS WILL BE MET. OWNER OR AGENT �! — DATE IbLd mech 07/01/92