93-102454 9 'lbd Y-S
CITY OF
33530 First Way South MECHANICAL PERMIT PERMIT33
ISSUED: 09/23/93
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/22/94
ADDRESS:30610 8TH PL S
NO. : 174510-0170
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE
= OWNER - CONTRACTOR - LENDER
EVIN GORMLEY GEORGE BRAZIL 24 HR SERVICE
10 - 8TH PL S 11063 PACIFIC HWY S
EDERAL WAY NA 98003 TUKWILA NA 98168
529--1621 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..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 10.00
GAS HNT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY 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:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT - !- t- DATE -C - -a--
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RECEIVED 9 .
Poit # 36:0913 - 76. .5
S P Z 3 993 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
CITY OF FEDERAL WAY — Please Print—
BUILDING DEPT.
BOX 1 NANT NAME: \-�,\s�1 (n1 G- fr O(L. L1. •1
BOX 1
OWNER _ SITE LOCATION
OWNER'S ADDRESS 3 o(a f (D ''" PL... S CITY R(�. 6.1-A-.-1 PHONE S 9-9 - Z(-3-/
DESCRIBE JOB C44''04.3 P.6,---- 1=Uyli tJ c—GA — Ifs -err—&-lam 614) (..$)1714-- N
THE PROPERTY IS OWNED BY: SINGLIMARRIEc------ - PARTNERSHIP CORPORATION
OX)ONTRACTOR'S NAME -L C (140 b-« -sem-`r'e-'-SCONTRACTOR'S REG. # 617-613 a"a.' /-S-(
Card MUST be presented
CONTRACTOR'S ADDRESS I I b ( 3 Qt-c(Fre wY CITY -1 uKUJL LA.. PHONE LPA'-- Ct6
EXPIRATION DATE Lf l /(/9 tf
— 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.
Ox ONTACT PERSON ( �-��'— �-� 7 PHONE 1-4S'1- CIS-15 0
13SEWER DISTRICT WATER DISTRICT
ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
PROPERTY TAX ACCOUNT NUMBER
A (7(470Q/�U
--
L " r 9 CPIDTIUN
(If , ; , • . •.. - • ...- -i. -- •.tion.)
K-r' plat Rarording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR I
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (,� SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPE: - SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) . ..NICAL APPLIANCES.-BASJ ...EES S
NO. _WATERCLOSETS GAS PIPING, FEET -ESL- S
BATHTUBS NO. / FURNACE, ELEC. GAS x S
SHOWERS GAS HOT WATER HEATER S
LAVATORIES CONVERSION BURNER S
SINKS BOILER, SIZE BTU S
DISHWASHERS AIR HANDLING UNITS S
ELECTRIC HOT WATER HEATER _HEAT PUMPS, SIZE S
LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS AIR COOLING UNITS, SIZE S
DRINKING FOUNTAINS COMMERCIAL HOOD S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS S
OTHER S
TOTAL FIXTURES S
TOTAL MECHANICAL FEE S
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
'THHEE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: . . 1 �`�" ' DATE:
ANP-008 3,90