93-100242 CITY OF FEDERAL WAY IVI EC HAN I CAL PERMIT PERMIT NO.: BLD93-0086
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 02/02/93
Federal Way, WA 98003 BY: JJ
661-4000
93- 1015)y)
SITE ADDRESS: 31216 8TH AVE SW
PARCEL NO.: 555920-0086
PROJECT DESCRIPTION: INSTALL GAS FURNACE
-- OWNER CONTRACTOR — LENDER I
VERNON BICKNELL PACIFIC GAS HEATING & AIR INC
31216 8TH AVE SW 11002 34TH AVE S
FEDERAL WAY WA 98023 TACOMA WA 98444
927-9188 582-5882
4111 PACIFGH110ME
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..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 10.00
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 $ 30.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
410S PIPING OK Date /P.//q, By
1
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 i� DATE Z /^'/z�
bld meth 07/01/92 /
RECEIVED
• Pellet # PL-L)'� }ee,
SAN 2 8 1993 CITY OF FEDERAL WAY
oFFaDERAL � BUILDING PERMIT APPLICATION
—Please Print—
BUILDING DEPT
BOX 1 TENANT NAME: \Le 2n b L Lk_n k )
OWNER SITE LOCATION 1 LQ V4-A- C1 i..S ,)
OWNER'S ADDRESS _G- CITY.-c-Lola..0 t_Jo .PHONE 'Id'7 9/X£j
DESCRIBE JOB L,►1S-\-ck I1 \ 0-3 un ., c �ja..2
THE PROPERTY IS OWNED BY: SINGLEARRIED ✓ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME `--PC2( /f[. -' Zg'4 ' 746 -hfi tL- CONTRACTOR'S REG. # Po ,4"L0 N//Drh.E
v Card MUST be presented
CONTRACTOR'S ADDRESS 11Wi _ 3*-1'''-‘--) 'Rv .S CITY TCS ec-m a PHONE TY3 - ge�
EXPIRATION DATE '9 -
— 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 (>70,) PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER .S�� 9J - C)D/Le
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
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. I FURNACE, ELEC. GAS i/ $
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:
zed../ �//,/ DATE:
ANP-008 3/90