93-101637 93 -161437
C:TY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93-0721
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 06/30/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 31525 10TH AVE S
PARCEL NO.: 858800-0250
PROJECT DESCRIPTION: HVAC — INSTALL GAS HOT WATER HEATER
OWNER — CONTRACTOR -- LENDER
ARNOLD SCHERLER ABC GAS INSTALLATIONS
31525 - 10TH AVE S 9923 64TH CT E
FEDERAL WAY WA 98003 PUYALLUP WA 98373
529-1891 845-7482
IIIABCGAI*113N3
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..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 6.50
GAS HUT • 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 $ 26.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
es PIPING OK C'52; 7/ 6,' Date By
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ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTS Vi0-4
II CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE_
HE BEST OF MY KNOWLEDGE AND THE APPLICABLE C 0 ERAL WAY REQUI N MET.
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OWNER OR AGENT � � � DATE J
lotd_mech 07/01/92 A '
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CITY OF FEDERAL WAY ,
BUILDING PERMIT APPLICATION ia°1( 3
—Please Print— 02— 2/Sy
BOX 1 TENANT NAME:
OWNER SITE LOCATION A
S I
OWNER'S ADDRESS ; iS_ jd csw CITY �= -�( U PHONE 5 9 /e
DESCRIBE JOB _ �. ,a_ cam-�'-�- u,•r.�-. ; : d
THE PROPERTY IS OWNED B : SY INGLE/MAR IR ED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 6t° --"' CONTRACTOR'S REG. #`t''3(.442.r4 (3N 5
Card MUST be presented
CONTRACTOR'S ADDRESS CITY U ffPHONE &4/.7)-- 'y 6'.1
EXPIRATION DATE
— 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 °�'- ee
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 C $
BATHTUBS NO. FURNACE, ELEC. GAS S
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION
OWNER/AGENT: `--1 DATE:
ANP-008 3