94-100793 Ar
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9Y /130-793
CITY OF
FEDERAL
3353OFirsttWay South VIE CHAN I CAL P E�I PERMIT NO: BLD94
31
ISSUED: 04/22/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 10/19/94
ADDRESS:2142 SW 336TH ST
NO. : 132103-9097
PROJECT DESCRIPTION:PAC - INSTALLATION OF DUCT WORK ONLY.
4 OWNER CONTRACTOR — — LENDER
PRO II CLEANERS **X OWNER IS CONTRACTOR ***
2142 SW 336TH ST
FEDERAL WAY WA 98023 •
661-1977
ft# ow 2*Y
FUEL TYPES.:? ? 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 • 1 3-15 HP • 0 MFC APPLIANCE FEES.* $ 6.50
GAS HNT - 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0
BBQ ' 0 MISC - 0 5+ HP.......: u
GAS DRYER..: 0 AIR HANDLING UNITS `JEL TANKS--
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,00 CFM: 0 JADERfiROUND.: 0
TOTAL FEES $ 26.50
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes. then eater expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
i
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 FURNISED BY ME IS TRUE D CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
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OWNER OR AGENT ___ f .0_ __ _ _ ' DATE y7,/de,2/ 7
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Permit # 61Y ""t--0 _..5/
• 4
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print
D1 ,TENANT NAME: f/LL'A
OWNER / 'r')9 ?_ 46)/37e SITE LOCATION '/ 2 r'e-4-1 .33 G . S7
OWNER'S ADDRESS s "lE= CITY PHONE
DESCRIBE JOB /4"."U/ C /� 9 % LcJC..)'t UAz/GX
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
�`BOX 2;CONTRACTOR'S NAME --- e5Gc)A/C,r-- CONTRACTOR'S REG. #
- Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
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.
(B_OX CONTACT PERSON PHONE
B(4 SEWER DISTRICT WATER DISTRICT
Boy_ ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER / 3 2 l4' 3 -- 90C-' ,7
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
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
OX 9--PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
2G Z-
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 - L OTHER D(' T -c fLt( $
DRAINS /9/'72reo /eere $
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 CITY AS A PART OF THIS APPLICATION.
V-;`) ////
-,-OWNER/AGENTDATE:
ANP 008 3/90