94-100674 -. qi- Ie074(
CITY
3353O0Firstt Way Sout�,F FEDERAL BUILDING P PER ISSUED: 04/20/9483
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KC
661-4000 EXPIRES: 10/17/94
*0461001160404taltr
ADDRESS:34416 30TH AVE SW
NO. : 797200-0240
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE & GAS PIPING
REVISED TO INCLUDE 1 HOT WATER HEATER
OWNERCONTRACTOR - LENDER
KIM IELANIK AMERICAN HEATING SERVICES INC.
IIIP[ ,
34416 - 30TH AVE SW 7503 PORTLAND AVE STEMFEDERAL WAY NA 98023 TACOMA NA 98404
661-2167 1 539-1702
i AMERd6G33M5
BLD?: MEC?:X PIM?: FLR--EXIST--PROP - DWELLING UNITS: C COMP PLAN •/ l FEES:
TYPE OF WORK:? USE:RES 1ST.: 0: 0:sf STORIES........: 0 REQUIRED PARKING..: 0 SPRINKLERS?......:?< MEC PRMT ISSUANCE... $ 20.00
CENSUS CATEGORY •900 240.: 0: 0:sf HEIGHT.....: 0.00 ft , MAZARD Ct4SS....:? NEC APPLIANCE FEES.* $ 13.00
OCCUPANCY GROUP 3RD.: 0 0:sf VA'_UATION --------- REQi1IRFD SETBACKS FIRE FLOW.... 0 gps MEC 4PPLIANCE FEES.* $ 6.50
:? :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT - 0.00 ft �'
TYPE OF CONSTRUCTION RSNT: 0:_ 0:sf PROP. .$: 0 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? : DECK: C: 0:s- REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 3:sf RECEIVED.:04/05/94 I
: ' 0: 0: 0: 0: TOTL: : 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
Id) FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 39.50
GAS PIPING.: 40 ft HOOD - 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS • . 0 SUMPS • 0
GAS HNT • 1 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES - 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP - 0 SINKS - 0 DRAINS • 0
BBQ - 0 MISC - 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
1 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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 NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT �J y DATE _ _(1,(2_(1:1_4:1____
FILE COPY
CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO:
04/90/9483
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KC
661-4000 EXPIRES: 10 17 94
ADDRESS:34416 30TH AVE SW
NO. : 797200-0240
PROJECT DESCRIPTION:HVAC - INSTAII. GAS FURNACE i GAS PIPING
REVISED TO INCLUDE I NOT NATER HEATER
KIN IELANIK
34416 - 30TH AVE SN
OWNER411{...
CONTRACTOR LENDER -- --- —--------iii-
AMERICAN HEATING SERVICES INC.
7503 PORTLAND AVE STE,1i
FEDERAL NAY NA 98023 TACOMA $A 98404
661-2167 S49-1"u
evilw.Ir,:VU4a
---_.-
_
BLD?: MEC?:X PLN?: FLR T> --PROP-- Db►rt I TR!` ,Ifv f,- 4 I f -' FEES:
TYPE OF NOW? USE:RES 1ST f 1: 0: 5f+ :ILS.... ....: 0 I FF40)t, R RI;I Y,K: ) .PR#ERL R ..,. . iip ITEC PRNT ISSUANCE... $ 20.00
CENSUS CATEGORY 100 � --- 0:0 GMT ..,.. v 0 f 4AZAR:- NEC APPLIANCE FEES.$ i 13.00
OCCUPANCY GROUP �
I9Ai. ., „, I €0 , tlRi FL 0PLIANCE FEES.' $ 6.50
� � :? .. .. t.L:' a
TYPE OF CONSTRUCTION ; 1„st 8 ' o, • 0.00 ft NATER SERVICE..:?
•? •? •? •? !,, • 0: limiy,, 40444,004;4 .?EAR • 0.00:f t SEVER SERVICE..:?
OCCUPANT LOAD 0 s fIVEO.: to/4
0: 0: 0: 0: T; 0: 0 INPERY SURFACE: 0 sf SENSITIVE AREAS?.:?
y$.
FUEL TYPES.:6AS FANS • 0 BOILERS/COMPRESSORS NATER CLOSETS - 0 URINALS • 0 TOTAL FEES $ 39.50
GAS PIPING.: 40 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN€100X..: 1 DUCT WORK - 0 3-15 NP - 0 SHOVERS • 0 SINNPS • 0
GAS HNT • 1 ROOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100$ - 0 30-50 HP. • 0 SINKS . 0 DRAINS • 0
BBQ . 0 RISC . 0 5+ HP • 0 DISH HASHERS - 0 !.ANN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS- - ELEC VTR HEATERS.,.: 0 OTHER FIXTURES..: 0
6 RANGE 0 <-10,000 CFN: 0 ABOVE GROUND: 0 LAUN $SHR OUTLTS_,.: 0
GAS LOGS...: 0 ) 10,000 CFN: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAI THE INFORMATION FURNISED BY NE IS TRUE AND CORRECT TO THE BEST t)F NY KNOWLEDGE AND THE APPLICABLE CITY Of fERERAI NAY REQUIREMENTS MILL BE NI' V
i
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CITY OF FEOERAL WAY 61_0`4_(),_
BUILDING PERMIT APPLICATION
-" Please Print-
BOX 1 TENANT NAME -------
h
OWNER pt` ' + lig. SITE LOCATION -Ju a 4
OWNER'S ADDRESS t • 'J/ `S CITY, -- U)J1 1'r
PIlONE_
6 /-.:7,,r4:7
DESCRIBE JOB . t.2 lr_ _ ,i1S- e=LECe /- 6, g1 '/1� _.. ----_
THE PROPERTY IS OWNED BY: SINGLE/MARRIED _PARTNERSHIP,. - .,CORPORATION �—:--_
BO:X 2 CONTRACTOR'S NAME /� � a L C11_:- 71 d-, ____S iell.K,E.CONTRACTOR'S REQ. #191 475 ..00.17.
ala
;;ONTRACTOR'S ADDRESS 7 _ ,L ILT b _ CITY.712Cbt 1/ PHONE . -/ 7c_', -
EXPIRATION DATE '• Il�
— OR—
II HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPPCIALTY CONTRACTORS AND
CHAPTER 1827.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION _-- _:: —
DCX 3CON?ACT PERSON C" 1Lt PHNE. 3? 72e.,)
`
— O.
ROX 4 SEWER DISTRICT ___ __WATER DISTRICT - -----------
.....••
— _-- --
BOX S EST It/,A1 EO PROJECT COST _ _EXISTING BUILDING VALUATION --- -BOX 6 PROPERTY TAX ACCOUNT NUMBER --_..7.1._ ______.:—. _— -- --
LEGAL DESCRIPTION ____--__--_._—_. _.— _ ___ ----.. . ..,
(If necessary, please subrIt a separate page with me legal description.) -� --
K,C, PIat .cor'din # — - - --- ----- —
IDX 7 BUILDING SQUARE FOOTAGE tExlsiing!Propasad) 1ST FLOOR _l -_ 2ND FLOOR .....1 - -
3RD PLOCH_._—_ �.._J_ . BASEMENT1.___.— — DECK_.. .J — GARAGE_ ...J -.
_
r4OX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL ' _TOTAL AREA OF PROPERTY _______- _30 FT —_
-._,_..._.... N W APPLIANCE:— 8AS1C FEE$
a7X 8 PLUMBING FIXTURES (Includin, rcugh•in3) GAS FIRING. FEET—..MECHA.��_r $
NO ___WA?EnLOSET$
__BATHTUBS NO.^ FURNACE, ELEC._ GAS _ - $ -- ___
.._SHOWERS --GAS HOT WATER HEATER $ -�.r-_
— _ LAVATORIES —CONVERSION BURNER $ _
_�.__SINKS BOILR, SIZE RTU $ -._
-__ -_DISHWASHERS AIR HANDLING UNITS S
._ ELECTRIC HOT WATER HEATER _HEAT PUMPS, SIE $ ------
__ LAUNDRY
--
_ ___,..._LAUNDRY WASHER OUTLETUNIT HEATERS $
__URINALS AIR COOLING UNITS, SIZE . _.. - $ -
"� _DRINKING FOUNTAINS —COMMERCIAL HOOD $ ---------
SUMPS; SPRINKLER VACUUM BREAKERS —CTHE9 - $ --w` -
W DRAINS —_. _._... ._.__ -- — s
__OTHER _ --� s
__TOTAL• —TOTAL FIXTURES --- -- - --
TOTAL MECHANICAL FEE �� $ -=-_,
I CEHTicY UNDER PENALTY CF PERJURY THAT THE INFORMATION FURNISHED BY ME'S"RUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND FliRT HER THAT I AM ALIT HO 1IZER BY THE OWNER OF THE ABOVE PARAISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION iS
',ADE,I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY ASIO ANY CLAIM(INCLUDING COSTS,EXPENSES.AND ATTORNEYS'
SEES INCURRED IN INVESTIGATION ANO DEFENSE of SUCH CLAIM},'WHIC'H MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED.
MD FILED AGAINST THE CITY OF FEDERAL WAY,PUT ONLY WHERE SUCH CLAIM ARISES OUT OP THE RELIANCE OF THE CITY,INCLUDING ITS
)FFICERS AND ¶MI2LLYEI S, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
-ia -NE.RAACENT; l-6i_ 6- : ' A ATE' _ ,, —
OM 496 7;80