92-101576 CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-22 03
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/25/92
Federal Way, WA 98003 BY: MH
661-4000
SITE ADDRESS: 29907 2ND PL SW
PARCEL NO.: 72 0530-0160
PROJECT DESCRIPTION: MECH
OWNER — CONTRACTOR — LENDER
PETER MULLIN AMERICAN HEATING SERVICE, INC.
29907 2ND PL SW 7517 PORTLAND AVE.
FEDERAL WAY WA 98023 TACOMA WA 98404
925-
0524 847-8399
AMERIHS083M5
FUEL TYPES.:GAS 7 FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 1 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... S 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* S 18.50
GAS NWT • 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 S 38.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
IllkS PIPING OK //OZ A.,t , Date !�jq- By 949\
7
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFOR ATI oh FURNISHED BY E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE q �C
bld mech 07/01/92
cV
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RECEIVED BY ermit # 4 C i) 9(Q.—
COMMUNITY DEVELOPMENT DEPARTMENI�
• CITY OF FEDERAL WAY
r • SEP 16 1992 BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME:
OWNER , !6i( /n2',,&) SITE LOCATION
OWNER'S ADDRESS 9''07 ^J' /el SG%Je CITY keafra/ /(A/ PHONE 9--(-15:-0-51.?(-/
DESCRIBE JOB /tel J ,'/ tYrnir'E' . ei�lit' fz's�
THE PROPERTY IS OWNED BY: SINGLE/MARRIED / �
PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Al %e .:�(.1 ,�a�l�l"/.it CONTRACTOR'S REG. #/ øi '#S Ca F M5
Card MUST be presented
CONTRACTOR'S ADDRESS 767 7 X2.711/61116 ATT CITY 174 '-6/(4- PHONE 3'7-/&'2--
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 1-1 --6) J T 0._0/&6?
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 I GARAGE /
BOX 8/M. 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 $
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 )2.14(Afi,, $
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 CITT3jY AS A PART OF THIS APPLICATION.
OWNER/AGEN��L:(t f/ / /9 &A. 7L) DATE: (7 / - l
• AHP•009 3,90