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93-102264 CITY OF FEDERAL WAY South MECHANICAL PERMIT PERMIT74 ISSUED: 09/02/93 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC 661-4000 EXPIRES: 03/01/94 ADDRESS:28638 8TH PL S NO. : 515296-0080 PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE, HOT MATER HEATER, & PIPING. = OWNER - CONTRACTOR - LENDER = - BONNIE NASSET GLENDALE HEATING & OIL CO INC 2 8TH PL S 12462 DES MOINES MEM DR FEIIPL NAY WA 98003 SEATTLE MA 98168 941-8853 GLENDH0110PU FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES: GAS PIPING.: 50 ft HOOD - 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00 FURN<100K..: 1 DUCT MORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 19.50 GAS HMT • 1 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 $ 39.50 Inspection Record Water Line OK Mechanical Inspection Notes: GAS PIPING OK Date By PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. [ CERTIFY THAT THE INFO ION FURNISED BY ME IS RUE AN) CORRECT 0 THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS MILL BE MET. )WNER OR AGENT / r e ' ft/ DATE 9/Z FILE COPY ,7 7 CITY 335300FirstF EWay South RAL WAY MECHANICAL PEIZMIT PERMIT 74 ISSUED: 09/02/93 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC 661-4000 EXPIRES: 03/01/94 ADDRESS:28638 8TH PL S NO. : 515296-0080 PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE, HOT WATER HEATER, & PIPING. OWHER _.______ __ _ — __-_..— CONTRACTOR LBONNIE NASSET GLEIDALE HEATING & 011 CO INC 2863 8TH PLS 12462 DES MOINES MEM DR FE MAY MA 98003 SEATTLE NA 98168 941-8853 .�.. 1 M14DHO1i0 FUEL TYPES.:GAS FANSBOILER /CflMPPE ?#''''i ., FEES: GAS PIPING.: 50 ft HOOD 0 0-3 Ii'.. .,.n_ +; �., 7 .. $ 20.00 FURN<100K,.: 1 DUCT WORK_. : 4-415 4 ; $ 19.50 GAS ANT i WOOD STI)W'S 0 15-30 H .. 0 '41,%.."� CONY BURNER: 0 FURN>i , �` ` �' "" 88Q • 0 MISC... . 0 GAS DRYER..: 0 AIR HANOII '' w RANGE ' 0 (40,000 C + + GAS LOGS...: 0 > 10,000 CFM: ,, 1 u + IID.: 0 TOTAL FEES $ 39.50 Inspection Record Mater Line OK Mechanical Inspection Notes: GAS PIPING 0#,/01'q, 4W,;ate/( By .f/ PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE TEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISED BY WE IS.TRUE AND CORRECT i0 THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS WILL BE NET. AMER OP AGENT ,4.., „LI-2' _t2 f21,„ (.-- DATE - C.- f? f el/17 eFIELD COPY .p_ 1 .,lj -7- [3 - LJ1S4rt 9 7 Q w,rii 0 rJ 2 /IA/0 CD"Vr/24 e 1• .2 .�6'ea T G L 4/2 4 NC. 5 ... c-r,t/ ^ [=2.n..v¢T %looms SEIVACKS!& FOOTINGS' Date By FOUNDATION WALLS Date Bi PLUMBING GROUNDWORK Date By UNDERFLOOR FRAMING Date By SHEAR WALLS,, Date By PLUMBING ROUGH-IN Date By GAS PIPING Date By MECHANICAL ROUGH-IN Date By MECHANICAL (OTHER) Date By FRAMING Date By INSULATION Date By GWB - 1ST LAYER Date By 7111111111.1.m .m.m......m.mmm...GANB - 2ND LAYER Date By SUSPENDED CEILING Date By PLANNING FINAL Date By ENGINEERING FINAL Date By r FIRE FINAL Date By BUILDING FINAL Date By OTHER Date By OTHER Date By I CD01 93 110 City of Federal Way • APPLICATION FOR BUILDING PERMIT ' PLEASE PRINT APPLICATION #: f5V 0 93 (A14 SITE LOCATION Address 2 y 3 _ PL Tenant (if known) , Lot # Assessor's Tax # 41 A Building Owner Name Address 4/0 1'7 /14 City )-- State LA) 4 ' Zip Phone Nature of Work /2e,_,PQ.Ql� / �J l` . e- is APPLICANT Name (F,M,L) — Address n� l 4/67 �• GS //i40/4)e-5 thio y SC City .s G i% C L= State — /4 Zip (>X/ `ij Contact Person Day Phone Other Phone _ Fax Bu i ! t G CONTRACTOR Company -• e Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No ARC I ' CT Name Address City State Zip Contact Person Phone Fax LEGAL s ESCRIPTION Please Complete Reverse Side CO0492(Rev 4,93'., f 'STRUCTURE fisting Use ropo Permit includes: Building ❑ Plumbing Mechanical ❑ Other r _ 1 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 Cl Project Valuation $ Zoning Lot Size Existing Bldg Valuation $ LENDE Name Address City State Zip MECHANICAL CONTRACTOR Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No PLUMB G'CONTRACTOR Contractor a Address City 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 tMECHANICAL UNIT COUNT Fuel Type (electric/other) 6m- Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons ' Length of Gas Piping �''Z ` Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs C 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 3-1 5 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 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. ,4-Owner/Agent: Date: ___