93-102524 AfriIrafr- 93 I1 saCITYy
3353OISSUED: 1
0Firstt Way South F FEDERAL WAY MECHANICAL P El�:M I T PERMIT1LD93-1064
0/04/93
Federal -Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/02/94
ADDRESS:35627 9TH AVE SW
NO. : 440560-0175
PROJECT DESCRIPTION:HVAC - ISNTALL GAS FURNACE, HOT WATER HEATER, b PIPING.
= OWNER — CONTRACTOR — LENDER —
LENN RICHTER LEONARD/HILLMAN INC
35627 - 9TH AVE SW 5695 IMPERIAL MAY SW
FEDERAL MAY NA 98023 PORT ORCHARD NA 98366
432-6639 674-2500
LEONAI126*R7
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 35 ft HOOD - 0 0-3 HP 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT MORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 19.50
GAS HNT • 1 MOOD 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 $ 39.50
Does the plater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then plater expansion tank is required on Hot Water Tank)
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 FURN,ISED 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 ��* �✓ di'"''' DATE / — y.. 1.
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Perm# c) .`0jc'f
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print-
BOX 1 TENANT NAME: /
OWNER 4 e,co. ' I s ck Tei SITE LOCATION 3 5-4- 7 Ave S t✓
OWNER'S ADDRESS Al 3 ,10 E9 CITY Hayle tI lie)4 PHONE 4172 ., 6(39
DESCRIBE JOBM-r-Fvrii# €c K.e, e.,.,�n.7' eP e/ 7#4. P 'I'
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ,x PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME LeoN of -d l,cl. L CONTRACTOR'S REG. # 1eouAT "/.2E R7
Card MUST be presented
CONTRACTOR'S ADDRESS 5(95' -'m . rIe/ 4/r y S c/ CITY ?e.T' okde,-../ PHONE (7y ,7soo
EXPIRATION DATE /2- 27-93
— 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 "7'o Ler. 7.-0/ PHONE L71- 2s-ea
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 1/9/ 05-6'0 - c2/ 7.5
LEGAL DES RIPTION Lor 2 3/ Si oc.k Z L /O r .a 0. M a,vof � V/ , y,s/3s
(Yip o 51( ' d /'75'
(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 (>4 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 2 e ' $
BATHTUBS NO. - 94.. FURNACE, ELEC. GAS ) $
SHOWERS X GAS HOT WATER HEATER S
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER _HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS AIR COOLING UNITS, SIZE S
DRINKING FOUNTAINS COMMERCIAL HOOD S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
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 THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: • DATE: /v tl_ :73
ANP-008 3,90