93-100121CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICAL PERMIT
BUILDING; INSPECTION - 661-4140
SITE ADDRESS: 30434 STH AVE S
PARCEL NO.: 091800®0025
PROJECT DESCRIPTION: INSTALL GAS HOT WATER HEATER
OWNER CONTRACTOR
ANASTACIO MENDEZ AMERICAN HEATING SERVICES INC.
30434 - 8TH AVE S 7503 PORTLAND AVE STE.#B
FEDERAL WAY WA 98003 TACOMA WA 98404
4849 539-1702
AMERIHS083M5
FUEL TYPES.:GAS
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<100K..:
0
DUCT WORK.....: 0
GAS HWT.... :
1
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K.....: 0
BBQ.........
0
MISC........... 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
—10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
Water Line OK
IRS PIPING OK
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
Mechanical Inspe ion Notes:
DategL--) By
LENDER
93-fowaI
PERMIT NO.: BLD93-0031
ISSUED: 01/22/93
BY: FLF
FEES:
MEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* $ 6.50
TOTAL, FEES $ 26.50
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 DATE `
bld_mech 07/01/92
SET BACKS AND FOOTINGS
DATE BY _.__......_
OX TO POUR FOUNDATION WALLS
DATE .........-_-._BY ......
---
PLUMBING GROUNDWORK
DATE ..-_. ____- __BY -
PLUMBING ROUGH IN
DATE ... ....-__BY
WATER LINE O.K. _.... __-_.
GAS PIPING O.K.--- __.. __.-
__
MECHANICAL INSPECTION
DATE
O.K. TO ENCLOSE FRAMING
DATE---..BY _-_.......--._
INSULATION
DATE BY _-
_..__
WALL BOARD AND FIRE WALL
DATE __-- __._..__BY
FINAL O.K. TO OCCUPY
DATE _....-.._-........BY --
DCD JPSD
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CITY OF FEDERAL WAYO
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER U SITE LOCATION—, r�
OWNER'S ADDRESSCITY �/IPr/t� l C� v PHONE
DESCRIBE JOB ' S a_ -J v- ��S ll — " a
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME I.!li'1 ✓C. C . CONTRACTOR'S REG. # �9r�'L
Card MUST be presented
CONTRACTOR'S ADDRESS U� �T/ �L� � CITY PHONE �Jyyk
EXPIRATION DATE 7-2til- `h3
—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
PHONE
BOX 4 SEWER DISTRICT
WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(Ii 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 %_ DEC / GARAGE /
BOX 8 ( ) SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS =
) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL
TOTAL AREA OF PROPERTY SO FT
11 •
PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET $
N0. FURNACE, ELEC. GAS $
GAS HOT WATER HEATER $
CONVERSION BURNER $
BOILER, SIZE BTU $
AIR HANDLING UNITS $
HEAT PUMPS, SIZE $
UNIT HEATERS $
AIR COOLING UNITS, SIZE $
COMMERCIAL HOOD $
OTHER $
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.
OWNER/AG
DATE: / /_ ?13
ANP -00e 31vc