93-101536 IVIEC 9 -- ID/5..3 .CITY OF FEDERAL WAY H A N I CA L PERMIT PERMIT NO.: BLD93-0681
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 06/22/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 33113 3RD CT SW
PARCEL NO.: 729802-0210
PROJECT DESCRIPTION: HVAC — INSTALL A/C UNIT
OWNER CONTRACTOR -- LENDER
BOB MIDDLETON HESS MECHANICAL
33113 - 3RD CT SW 16548 NE 35TH CT PP204
FEDERAL WAY WA 98023 REDMOND WA 98052
2733 206-881-6806 206-369-7419
HESSM**088QP
FUEL TYPES.:ELE 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 • 1 MEC APPLIANCE FEES.* $ 16.50
GAS HWT • 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 • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 36.50
INSPECTION RECORD
titer Line OK Mechapi al Inspection Notes: ,---
GAS PIPING OK Datet,o11 eio) ByaW
1
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT WDATE — Z -
bld mech 07/01/92
• •
City of Federal Way ►,
•
NY4 AlY APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION #: 5('11 e7
SITE LOCATION Address j 3//3 37,4Y)
- y
Tenant (if known) Lot # Assessor's Tax #
•
' IL /0 c..&'7`a�/ 7zgeoz d2/o
Building Owner Name Address
City be , i State (/✓s fi Zip Phone O 2 4/- .7_j
Nature of Work
APPLICANT
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
Company Name
Address
F
City � �—f L4C )r) State Ly Zip cc/�?
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
C00492(Rev 4/931
STRUCTURE sting Use
l. c, •roPosed Use
Permit includes: ❑ Building ❑ Plumbing Mechanical ❑ Other
Type of Work: 'Residential ❑ New ❑ Remodel 11 Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Er ter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractorm /t """ / Address �i _ �
7-, /I/Y i!Ifa�( - /CJ�S�yO �r c 0
City State ,...i..-q. Zip ! .la
Contact Pho Fax
License # /��55/14 -44ilt e&yop Expiration Date / ^7/7 Verified 111 Yes ❑ No
75
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
I PLLTIBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work .0-3IgLi� Underground
BBQ's Wood Stoves ,/-----i-15 Tons ,, Total Unit Count
.,
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct he 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 t,e 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.
7 "? 7
Owner/Agent: -.L,' AUL A - _ Date: (� "