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CITY OF FEDERAL WAY EC HAN I CAL PERM IT PERMIT NO.: BLD92m2319
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/22/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 31125 5TH AVE S
PARCEL NO.: 082104-9230
PROJECT DESCRIPTION: HVAC m INSTALL FURNACE & HOT WATER HEATER
OWNER — CONTRACTOR - .- LENDER
KELLY MARKLEY WOLF'S INDEPENDENT HEATING INC
31125 - 5TH AVE S 3010 S. MULLIN
FEDERAL WAY WA TACOMA WA
6-0201 564-7787
WOLFSIH101CK
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 35 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.* $ 18.50
GAS HWT • 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 $ 38.50
INSPECTION RECORD
11/ater Line OK Mechanical Inspection Notes:
GAS PIPING OK Inlak'{a,- ML, Date ink,K15Z By ML.
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1
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ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATIOL 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
Le
DATE qz,_,
bld mech 07/01/92
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2 w'
RECEIVED BY • P4it # B1-09,2- — 23 1`l
COMMUNITY OEV%LOP?/NT DEPARTMENT
OCT 1 4 1992 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER Kf.LL:( lititgXt L SITE LOCATION,_,._
OWNER'S ADDRESS 31,l2.S S AU S CITY . t:. . PHONE ��
DESCRIBE JOB f-,LG/fC F.--2/iil'/fr `°" S 6m , /�
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ()UQ' 15 t' rEP 1 6/JTLttpril _ itONTRACTOR'S REG. # Wei.-F6'14 lO(
Card MUST be presented
CONTRACTOR'S ADDRESS (O - I!1LR:f CITY ' -M- PHONE %(.1
EXPIRATION DATE 24 ' 412-
— OR—
I
2-
— 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 trl S
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER S 2- /D " 9 2 3 0
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 (Y.) 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 S5" $
BATHTUBS NO. 1 FURNACE, ELEC. GAS X $
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 EMPLI UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: 11 DATE: 104V-12,,-
ANP-008
0 ' ANP-008 3/90