93-100796 CITY OF FEDERAL WAY lvi E HAN I AL PEF�.M I�T PERMIT NO.: BLD93 8353
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33b30 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 04/01/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 5405 SW 326TH CT
PARCEL NO.: 189831-0210
PROJECT DESCRIPTION: HVAC
OWNER — CONTRACTORli- — LENDER
MARK LAMIRANDE WASHINGTON NATURAL GAS
5405 SW 326 CT 3130 S 38TH ST
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
838-6485 475-6700
WASHING285CB
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 25 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.* $ 9.50
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0
I. BBQ • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 1 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 $ 29.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
•S PIPING OK,L.c=SS 7,4/46 / Date-/-/ /15 By /77/0
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
t 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 g„. P ‘6,,, ,,,„....,_ DATE '{ - I - -(3
btd_mech 07/01/92
1/41‘1 \I
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• •rmit # BID 9 3 `0353
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;;OMMUY DEVELOPMENT DEPARTMEI•
MAR 3 0 1993 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME: (N-ThoLx-K Lax\--N\c sjcy.\ ! -
OWNER 41-Q.- — SITE LOCATION '� L7 c— hl,ti, ;QL6 COWNER'S ADDRESS `�CvrY--c _ CITY`ay.cLtii i'CeraPHONE ?)(3- j U
DESCRI BE JOB C C�lJ c��,K-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED 'C PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME t Y-1 x ca 0 CONTRACTOR'S REG. #LEAS I-I h)67- r
Card MUST be presented
CONTRACTOR'S ADDRESS 1 3c_} > 3FS S 1 CITY K?cc-rro— PHONE q
EXPIRATION DATE
— 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 ISE'YrcL Iv'€4 PHONE 1-n 3
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER I q I -Oa 10
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 (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 S / $
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 I OTHER c y $
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 EMPa-A,
OYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE haiN Oq, 9 3
-� ANP-008 3/90