93-100637 9 ,lot X37
CITY OF FEDERAL WAY MECHANICAL PERIVI I T PERMIT NO.: BLD93-0282
335:30 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 03/17/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 2337 SW 350TH PL
PARCEL NO.: 17 6110-0380
PROJECT DESCRIPTION: HVAC - INSTALL GAS HOT WATER HEATER & PIPING
OWNER CONTRACTOR — LENDER
JAY WILLIAMS ABC GAS INSTALLATIONS
–
2337 SW 350TH PL 9923 64TH CT E
FEDERAL WAY WA 98023 PUYALLUP WA 98373
874-27681111 845-7482
ABCGAI*113N3
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSO S FEES:
GAS PIPING.: 3 ft HOOD • 0 0-3 HP • MEC PRMT ISSUANCE... E 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • MEC APPLIANCE FEES.* S 9.50
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP •
CONV BURNER: 0 FURN>100K • 0 30-50 HP •
BBQ • 0 MISC • 0 5+ HP •
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 $ 29.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
IDS PIPING OK Date 3 V7yBy C
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 / /. / DATE r ''I 7" 3
bld mech 07/01/92
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print-
BOX 1 TENANT NAME:
OWNER *+ SITE LOCATION
OWNER'S .ie I R :' , 3 2 S c.A 5-0 fL CITY f lz PHONE c5' 7 - a -> d
DESCRIBE JOB -(;K-tri-- --ee ex-J.-6, - . t,
THE PROPERTY IS OWNED BY: SINGL /MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Q 6 c .-E-07 , a:. CONTRACTOR'S REG. #C?6'C:(ra TV �qj
Card MUST be presented
CONTRACTOR'S ADDRESS % 3 €4.-( CITY // HONE 65466--?di R.Q
EXPIRATION DATE a 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 PHONE 613-''JI .Z
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER / ?6 f( c-/ — 3 RC) .
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_______J
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 . T $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS l 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.
v4.e.1)'*,<.,-,.
OWNER/AGENT: -%'1‘z� �-- DATE: /c -9` -.
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