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93-101305 93- /01305 CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93®0570 33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/27/93 Federal Way, WA 98003 BY: FC 661-4000 SITE ADDRESS: 3335 SW 329TH ST PARCEL NO.: 1099750340 PROJECT DESCRIPTION: HVAC - INSTALLGAS HOT WATER HEATER — OWNER CONTRACTOR — LENDER GRETTA GOODMAN ABC GAS INSTALLATIONS 3335 SW 329TH 9923 64TH CT E FEDERAL WAY WA 98023 PUYALLUP WA 98373 iiii5514 838-5538 845-7482 ABCGAI*113N3 FUEL TYPES.:GAS 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.* $ 6.50 GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0 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 <=10,000 CFM: 0 ABOVE GROUND: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 26.50 INSPECTION RECORD Water Line OK Mechanical Inspection Notes: .S PIPING OK Date By ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STAR I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE•CIT FEDER L REQUIREMENTS WILL BE MET. OWNER OR AGENT �`- --c...‹, €__ DATE .. — c' Al b bld_mech 07/01/92 • ; • SET BACKS AND FOOTINGS 0 K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE BY DATE BY DATE BY PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION DATE BY GAS PIPING O.K. DATE BY O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL DATE BY DATE BY DATE BY FINAL O.K. TO OCCUPY DCD PSD FD DATE BY c*--28-93 ,k0 0".4- _29c.) r7 rz /701/U G/ix Z. 014111 - • Sermit # /�Thc R )z (: i �' CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: - OWNER .../,-_.e--? - . ' f SITE LOCATION 3 -- _ L '2 y OWNER'S ADDRESS S ?3 • s W 3 2CITY 1-- -- -_—-,C.Q-- PHONEYS- .'"----5---/ -' DESCRIBE JOB - (-0,---t ,-14i THE PROPERTY IS OWNED Y: SINGLE/MARRIED PARTNERSHIP CORPORATION 5-.53e; , j BOX 2 CONTRACTOR'S NAME Q a c .6-c7 1 1 o•,. CONTRACTOR'S REG. #a BC ll G t< (134,5 CONTRACTOR'S ADDRESS r Card MUST be presented X75' C-�eCITY HONE (9'r;51'? -Q EXPIRATION DATE 77 9 - — OR — 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 '4-,- - -- PHONE 615-- )4/b'2— BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER /(`' C-7 3 - r 3 : (:' 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 1 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$ NO. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO. 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 S OTHER $ TOTAL FIXTURES $ 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. OWNER/AGENT: c----- 7.....,.1:-Z',c- . /114,�,T,.� -- DATE: J ;- r ANP-008 ISO