92-101933 ,)-101933
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2390
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/06/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 1022 SW 316TH PL
PARCEL NO.: 555730-0280
PROJECT DESCRIPTION: HVAC - INSTALL GAS PIPE TO FIRE PLACE
OWNER r CONTRACTOR — LENDER
CAREY AGESTINO NORDIC HEATING, INC.
1022 SW 316TH PL 3401 C ST. NW BAY 1
FEDERAL WAY WA 98023 AUBURN WA 98002
410-7671 931-0503
NORDIHI099BJ
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 10 ft HOOD • 0 0-3 HP • 0 MEC APPLIANCE FEES.* $ 2.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC PRMT ISSUANCE... $ 20.00
GAS HWT • 0 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 $ 22.00
INSPECTION RECORD '
VP It: l' 11
Water Line OK Mechanical Inspection Notes:
OAS PIPING OK 1i\; c1.4411-0,_ Date By ` ,\ L_Le7-775
i
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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 Xi)1_,.€:_ki‹..--.__-, DATE !/ A 7 -.2,
bld_mech 07/01/92
T
• Perm# DO)q'1,---2- 10
FiEcovED CITY OF FEDERAL WAY
NOV 41992 BUILDING PERMIT APPLICATION
orrY OF FEDERAL WAY — Please Print—
BOX 1 TENANT NAME:
OWNER C A Re y !- Gr' St lit/C SITE LOCATION /O;t-3. 5w 3/( rL i'C_
OWNER'S ADDRESS /02- Z.- S uv 3/(o7 "- Pt.- CITY (TOGO4L 4J4`1 PHONE C/`// - 7( 71
DESCRIBE JOB CTAS PIPE TO FIRE ;4_41 C 6
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME lel c Pic H G-,q rt N G. .Cii CONTRACTOR'S REG. #Ncr?Oi N i c97f3,J
Card MUST be presented
CONTRACTOR'S ADDRESS `-/0/ C 5T ,'v, ( CITY ,l(-43 c,RA/ PHONE `/ 3/- 0s 3
EXPIRATION DATE i l /`, 3
— 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 Oici< 13,L ,«c//ov PHONE `-i'3/-05o .3
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST $ a 569 CO EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
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 l GARAGE /
BOX 8 (X) 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 IC? 1 $
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 $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
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 GE • �� / 4 DATE: ///11ci
ANP-008 3/90