93-102495 CITY OF FEDERAL WAY MECHANICAL PERIVIIT PERISSUED: 09/28/9048
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/27/94
ADDRESS: 1610 S 341ST PL Unit: #F
NO. : 390380-0150
PROJECT DESCRIPTION:HVAC - INSTALL GAS HOT WATER HEATER
OWNER -- CONTRACTOR -- LENDER
IF
RHYU ABC GAS INSTALLATIONS
1610 S 341ST PL #F 9923 64TH CT E
EDERAL WAY NA 98003 PUYALLUP NA 98373
814 2949 845-7482
ABCGAIi113N3
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 HNT • 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
ilk
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNIS. D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT C-77€ _ C--crc.` `_- DATE " C In--3
FILE COPY
CITY
F
RAL WAY
33530®FirsttEWay South MECHANICAL PERMIT PERMITISSUED: 09/28/9348
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/27/94
ADDRESS: 1610 S 341ST PL Unit: 1IF
NO. : 390380-0150
PROJECT DESCRIPTION:NYAC - INSTALL GAS NOT MATER HEATER
R —W.._ CONTRACTOR _ d. _ _. _ - LENDER
/III RNYU ABC GAS INSTALLATIONS
1010 S 341ST P1 II 9923 64TH CT E
AAL MAY NA 98003 PUYALLUP WA 98313
874-2949 =lion
FUEL TYPES.:GAS FANS • 0 diLER:,(l. tiS SG> FEES:
GAS PIPING.: 0 ft HOOD AEC PRIT ISSUANCE... 8 20.00
FURN<LOOL.: 0 DUCT Nor _.. .. l {3 _,.,.: 0 "�� 'STC PP.'� FEES.$ 1 6.50
GAS BHT • I NON % oll .... v 1.5-60 1W.. 0'
CONY BURNER: 0 FURN'4� A 4'0 , - 0 4t3 1 P , '
88Q - 0 MIS`£. ?xr.. 0
GAS DRYER..: 0 AIR HAW At ` IT '3Ei iNF .
RANGE - 0 <:10,"0e I'$. -AVE ettNllt
6A5 LOGS...: 0 > 10,000 t'a 3 0 UN"t$6N.0UND.: 0
TOTAL FEES i 26.50
_ w
i
Inspection Record Water Line ON Mechanical Inspection Nom$1l/AII 6
GAS PIPING 01,CS$ 4t Date'9 713 By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE ARO CORRECT TO TRE BEST Of NY KNOWLEDGE AND THE APPLICABLE CITY Of FERERAL NAY REQUIREMENTS MILL BE MET.
OWNEP [R. ;GENT DATE -�"
FIELD COPY ` C 01''�
P it # 153( /v
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME: 27 .:2(' H� k )/{
OWNER SITE LOCATION
OWNER'S ADDRESS CITY _/611 PHONE 9ft95/5'
DESCRIBE JOB �jx•e. ru::t � �.
THE PROPERTY IS OWNED BSINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME G�� � '# CONTRACTOR'S REG. # ce'4('4'i?-/-7,03N
Card MUST be presented
CONTRACTOR'S ADDRESS S '2 G� � CITY °� -� PHONEc? -781-..?
EXPIRATION DATE .z j�
— 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
PHONE (9, '�S - `) i
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER *'9 6 S 8a 0 /5 C`
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 I
3RD FLOOR / BASEMENT I DECK I 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 f $
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/AGENT: ,I1uz'- ,, 4l DATE:
ANP-008 3,90