93-102336 i 4 3
93 ' /00). 34,
CITY OF
33530 First Way South MECHANICAL P E�I T PERMIT88
ISSUED: 09/09/93
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/08/94
ADDRESS:37308 2ND AVE SW
NO. : 218820-3555
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE 6 PIPING.
OWNER — CONTRACTOR — LENDER
FLOYD HOLDEN A & N HEATING CO
37308 - 2ND AVE SW 10512 RUSTIC RD S
EDERAL WAY NA 98023 SEATTLE NA 98178
838-7936 939-9927
ANHEAC*081N7
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 40 ft HOOD . 0 0-3 HP - 0 NEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT MORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 13.00
GAS HMT . 0 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 $ 33.00
4111
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO M I STARTED. : SIDENT) AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMAT 0 RMI BY E AND CI" T TO"' BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS MILL BE MET.
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OWNER OR AGENT __� �_ DATE ` 9 l
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City of Federal Wa41)
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FIFY L APPLICATION FOR BUILDING PERMIT
I
PLEASE PR/NT APPLICATION #: BLD93 -
)!SITE LOCATION Address
Tenant (if known �� /J Lot # Assessor's Tax #
Building Owner Name Address
City /27t-0 (U�,A State � Zip Phone a-3 - 773(,
Nature of Work G � T/ Pf/iT
................... ...................................................................
............ .........................................................................
APPLICANT
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be pr-. ented) Expiration Date Verified G Yes G No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4;'93
(STRUCTURE lilting Use 47pop
Permit includes: U Building ❑ Plumbing echanical _) ❑ Other
I Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 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
City7 State Zip
t_MECHANICAL CONTRACTOR
Con actor Name Address 701— 37z_7'" 57 iYe--- -
City '7c 2 37 T ST- At E La 6 /A,4:4eA.J al 4.- State 4.,L/77 Zip r1 2____-
Contact / Phone Fax
/Cll�ae / /'/C /2i '/ Jay-1,Z 7 959-7..t./ •--
License # , i1///—, C' ,1' a/N 7 Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR:
Contractor Name Address
City7. State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING 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
V, 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 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: 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 plication'. ade.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,
and attorneys'fees incurred in investiga ' n and d .nse o uch cl:' hic .y be made by any person,including the undersigned,and filed against the City of Federal Way,
but only where such claim ans.. out o the re'- : of a City, i' . ng it • icers and employees,upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent: E' so Date: es5 / 7' L ---