93-100734 93 -/007S $/
CITY OF FEDERAL WAY IVI E C H A N I CA L PERMIT PERMIT NO.: BLD93-0330
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 03/25/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 28616 9TH AVE S
PARCEL NO.: 515296-0190
PROJECT DESCRIPTION: HVAC — INSTALL WALL FURNACE
OWNER — CONTRACTOR — LENDER
JAMES SANTUCCI & CANDY AMERICAN HEATING SERVICES INC.
28616 9TH AVE S 7503 PORTLAND AVE STE.#8
FEDERAL WAY WA 98003 TACOMA WA 98404
Alg1-0410 539-1702
Mir AMERIHS083M5
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 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 • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 30.00
INSPECTION RECORD nn
Water Line OK Mechanical Inspection Notes: `,Fi.� Y,P/y,-; 74.4,/ ' c7 ,n% i34.,6,3;,✓c, fr 2_, i
u
SAS PIPING OK Date4 7-q 3 By iI/,ti
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 01111°,,g,4- , // fA ,_.../f DATE '}- s----73
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BUILDING PERMIT APPLICATION
MAR 2 4 1993 - Please Print—
BOX 1 TENANT NAME: /
OWNER AAP SITE LOCATION - "�" 4
OWNER'S ADDR S 28(a (o '1"- 1'e. O. CITY 'i ' i /1�a► PHONE 9 /- /O
DESCRIBE JOB T�'7S t2/� Will -ttf?iMl
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ) PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME / r1e1 X11/ Ak-,-f-1/n)t SVC J UC. CONTRACTOR'S REG. if /Wal-tSoS3,'n5
/f ,,/ Card MUST be presented
CONTRACTOR'S ADDRESS ?60n3 7 i/ �( 8 CITY -71_,W14/" PHONE S7?-911 Z
EXPIRATION DATE y
— 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
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER __5-/5 2% -c'/90
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. WATEFICLOSETS GAS PIPING, FEET - $
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 / OTHER WeiI 1 f tv t&.e(�/9S) $
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 A URACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGEN Ak1/ / PATE: ' cgoSrg
ANP•008 3/PC