93-102355 1,
93—/O.)35CITY
335300FirsF tEWay South RAL WAY MECHANICAL PERMIT PERMSSUED: 09/13/9IT NO: 3944
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/12/94
ADDRESS: 37308 2ND AVE SW
NO. : 218820-3555
PROJECT DESCRIPTION:HVAC - INSTALL 250 GAL. LPG TANK K PIPING.
OWNER -- CONTRACTOR -- LENDER
Illr
FLOYD HOLDEN SUBURBAN PRPN DIV QNTM CHM CRP
37308 - 2ND AVE SW 1125 THORNE RD
FEDERAL WAI WA 98023 TACOMA WA 98421
38-7936 383-5588
SUBURPD088PA
FUEL TYPES.:PRO FANS • 0 BOILERSICOMPRESSORS FEES:
GAS PIPING.: 50 ft HOOD • 0 0-3 HP • 0 MEC PENT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 53.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN>100I • 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP • 0
GAS DRIER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 73.00
S
Inspection Record Water Line OK Mechanical Inspection Notes: _
GAS PIPING OK Date By
PERMITS EIPIRE 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 KE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ----"----- - DATE _9/j/1_
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print-
BOX 1 TENANT NAME:
OWNER -Plc)9 / LOW SITE LOCATION
OWNER'S ADDRESS 37 'g- oZ'V O 4tif. .Sw CITYcDg24L 14.14V PHONE 95 -3.273
DESCRIBE JOB SNS L.:L t'G•4->/0ff R12 941*-44.1 tf 4F'vLI £`.4s c Lrnrea
THE PROPERTY IS OWNED BY: SiticiMMARRIED ♦— PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 'S. v ',,;2Bg' 1p p44/ . CONTRACTOR'S REG. #.5agiriRPOagyP19
/ Card MUST be presented
CONTRACTOR'S ADDRESS //c S T�n - /& CITY ' 4f7/194 PHONE 8 3
EXPIRATION DATE /(p-/- 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 •'`/ •2(: PHONE 3Fj3
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER s 'W 20 -36756
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 ( ) 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$ . Q. X)
NO. WATERCLOSETS GAS PIPING, FEET _SD $ 3 c3c7
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 1/ OTHER aS^‘ G-/' ,A/ LPG TJ9i//C$ Sd..00
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ f3. )C
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: C$ 4Q6%4 #311111ATE:
ANP0083,90