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