94-100531 s.44qt
44
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CITY 33530OF FEDERAL Firstt Way South MECHANICAL EI�:M I T PERMIT
ISSUED: 03/ 21/94: BLD94 19
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FL.F
661-4000 EXPIRES: 09/17/94
ADDRESS:2405 SW 322ND ST
NO. : 932431-0100
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE (CHANGEOUT)
OWNER — CONTRACTOR — LENDER —
CLYDE KOSTENBADER GEORGE BRAZIL 24 HR SERVICE
ilo2405 SW 322ND ST 11063 PACIFIC HWY S
EDERAL WAY NA 98023 TUKWILA WA 98168
874-4594 451-4800
GEORGB2081J1
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 NEC APPLIANCE FEES.* $ 11.00
GAS HNT - 0 WOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN>100K • 1 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 CEN: 0 UNDERGROUND.: 0
TOTAL FEES $ 31.00
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Does the eater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes' then eater 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 WORK : 'TARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAT THE IN,ORMATIO FUR SED !Y ME IS AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL AY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ 4 , lY ' 4--
FILE COPY
CITY OF FEDERAL WAY MECHANICAL PERIVIIT PERMIT NO: 13LD94-0219
33530 First Way South ISSUED: 03/21/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 09/17/94
ADDRESS:2405 SW 322ND ST
NO. : 932431-0100
PROJECT DESCRIPTION:HVAC - INSTAIA GAS FURNACE (CRANGEOUT)
NKR —..........--............_
;110
CLYDE 10STENBADER
2405 SA 322ND ST
EDERAL NAY MA 18023
874-4594 014:50x1Rw_GI4E:80::7:1.81:: HR SERVICE
C170:74:::::::-11-1 S , ......
thre,P7.61111'
--ffil.-,.-TYPES.:GAS FANS ""..-',.'S AM i PsieurtfoktSSOItti
,,,,,.- FEES: ,
GAS PIPING.: 0 ft NOM ..: - 0 .NCE... $ 20.00
FURN<1001..: 0 DUCT MARL, ' 4 ./. PIS QP.....i, 0' ---,--- '4, ,'!!,W
GAS ANT - 0 OD STOVES...: i1S-30 H .; 1.4:' t ,ffsmoi le,
- ',.''A ' -.....• '3-fE,4,.;,.-, .,,,.,„
fuRN>issg.-„„: .4 , .,!, , 4-54411). 44:4!,
CONY BURNER: 0
880 - 0 SPX— : 0 54',110 --44104vv....Xi-'e4.. - '" .,_.v /1
. ,
GAS DRYER..: 0 AIR AWL'S UNITS , nil 100.7772„7-77
RANGE......: 0 <:I0,000 Mk 0 '------! A00V1 01.10: 0
GAS LOGS...: 0 > 10,000,Cflt:,. 0 , 'WIDERGRODID.: 0
TOTAL FEES $ 31.00
I
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oes the slater supply systea contain a Pressure Reduction Devi1r Check valve? () Yes () No (If 'Yes- then water expahoon tank is required on Not Mater Tank)
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Inspection Record Matwer tine 01 ... ............. Nechas et or; Nptec ,,
- ..., ...._ . ',,
GAS PIPING OK .-- D : ]1,2( By , e
_....:,_ :,.... .. ........
PERMITS FXPIRF 180 DAYS AFTER ISSUANCE If NO MURK
T114WINTARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INpRNATION FUR 1SED BY NE IS E AND CORRECT TO THE BEST OF NY IDGE AND THE APPLICABLE CITY OF FERERAI. NAY REQUIREMENTS NIEL BE NET.
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FIELD COPY
4 Permit #
CITY OF FEDERAL WAY
L � 6(`�O �
BUILDING PERMIT APPLICATION
— Please Print- C/i4C /:-/
BOX 1 TENANT NAME: ,,, c_ 13'h-2,Z1-7----
OWN E R
'7OWNER `>;t .'vwQ SITE LOCATION Z-140`J Svg 3 22✓\ri, Sfi
OWNER'S ADDRESS �� S ` \r "J2ZIC St CITY '0 .� PHONE v37 �`�Cf if
DESCRIBE JOB CJ ACU.- `-g_ v '2-ti', b (2T' tikv v‘ciLc-e_
THE PROPERTY IS OWNED &Y• SING lib RRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME b(10--- S JC CONTRACTOR'S REG. # CCi24rh oz-615 13-f
No
Card ST be presented
CONTRACTOR'S ADDRESS1 ' o'J AC_M,';„)/ S CITY 4 !1C L:L' I , PHONE Leil -UL'6 _7
EXPIRATION DATE L{ Nqt-
— 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 1-/ 1\An 14 ..1.__Y1 C_L-- PHONE )Ao1 —O le) L i
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER �j 3 r' f ('f L,( G
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!74 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. 1 FURNACE, ELEC. GAS t Z`'1aa6io $
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 ON WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMP IYEES, UPO THE ACCURACY 0 INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: ith/ 1 DATE: "►' AG 1 `"/
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ANP 008 "1/90