93-101213 93_
CITY OF FEDERAL WAY MECHANICAL PERMITPERMIT NO.: DLD9/30526
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/19/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 32120 8TH AVE S
PARCEL NO.: 150241-0100
PROJECT DESCRIPTION: HVAC — INSTALL GAS RANGE & PIPING
OWNER — CONTRACTOR — LENDER
ROBERT LEONARD ABC GAS INSTALLATIONS
32120 - 8TH AVE S 9923 64TH CT E
FEDERAL WAY WA 98003 PUYALLUP WA 98373
08133 845-7482
ABCGAI*113N3
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
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 • 1 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 29.50
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INSPECTION RECORD
Water Line OK Mechanical Inspection Notes
IS PIPING OK ,,, Date& 13 By 62/v
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 -� � .e..- 6�e�-c�ti-�- _ DATE 5---- ( -C-�
bldmeth 07/01/92
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME:
- OWNER !:
`--� `n"" �' " " SITE LOCATION
OWNER'S ADDRESS .- . _ CITY r-G-AL.--. PHONE j -C ;
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ' PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Q Q c •6-cy .e e CONTRACTOR'S REG. #a BCCA`-R"T'c (134'5
Card MUST be presented
CONTRACTOR'S ADDRESS �
ly-'3 41 ��CITY y HONE (94146--241P-
EXPIRATION DATE 9 3 /—
— OR —
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 615 ) (8.Z
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
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 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL_'APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET -=5 $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU S
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 . ''.4-"'"``-'_``-'' $
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.
OWNER/AGENT: DATE: . `.3
- - ANP-008 190_