94-102305 CITY OF FEDERAL WAY N!E C I CAL P ERM I T PERMIT NO:
12/02 /9444
33530 First Way South 1�1
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 05/31/95
ADDRESS:2156 S 314TH ST
NO_ : 092104-9053
PROJECT DESCRIPTION:HVAC - INSTALL 3 DIFFUSERS
OWNER CONTRACTOR - LENDER
i44IS HM LC MPANy {. -ii(si .(e -{�(OYa I SUNSET BUILDERS INC
11100 NE 8TH STE B00 3108 'C' STREET SE
BELLEVUE WA 98004 AUBURN WA 98002
454-4245 939-8474
SUNSEBI140L5
FUEL TYPES.:ELE ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 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.x $ 19.50
GAS HMT • 0 WOOD STOVES...: 0 15-30 HP - 0
CONV BURNER: 0 FURN)100K • 0 30-50 HP • 0
BBQ • 0 MISC - 3 5+ HP - 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 39.50
Does the nater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION ISED BY N TRU AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE 7/Zig/
ALE COPY
•
Amit # BL.M4-M44
RECEIVED
DEC 0 2 1 94 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
CITY OF FEDERAL WAY — Please Print—
BUILDING DEPT.
BOX 1 TENANT NAME: 8./1//5 tele //e, l
- OWNER Le//)So / `f— moo. SITE LOCATION S, -
OWNER'S ADDRESS C PHONE �f 5
DESCRIBE JOB Ie o c e X r c 5�� u iJlovi f / �wq��
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME E%'c: irrv/ic /c5 r vi ee Tim CONTRACTOR'S REG. # E1ec * 233A/E
�� �1l Card MUST be presented
CONTRACTOR'S ADDRESS 800 ..�ire2.ed' i : CITY C'4///C'_ 140 PHONE 6,.9.9' 337
EXPIRATION DATE 8/5—/5-
am
— 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.
BOX 3 CONTACT PERSON .S;GNri G-/li/7Gy PHONE &o9-V- 37c)
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST ,e /9 ac-0-00EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER • Genera/s lerm.J-# 9'/c7890
LEGAL DESCRIPTION
(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 = ) (N EXISTING STRUCTURE
()C) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET S
BATHTUBS NO. FURNACE, ELEC. GAS S
SHOWERS GAS HOT WATER HEATER S
LAVATORIES CONVERSION BURNER S
SINKS BOILER, SIZE BTU S
DISHWASHERS AIR HANDLING UNITS S
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE S
LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS AIR COOLING UNITS, SIZE S
DRINKING FOUNTAINS COMMERCIAL HOOD S
SUMPS, SPRINKLER VACUUM BREAKERS 3 OTHER S
DRAINS S
OTHER S
TOTAL FIXTURES S
TOTAL MECHANICAL FEE S
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 PART OF THIS APPLICATION.
•
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