93-100444 CITY OF FEDERAL VVAY M E C H A N I C A L P E R M I T PERMIT O? BLD 3�0194
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: A2/22/93
�ederal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 2248 S 292ND ST
PARCEL NO.: 422290-0010
PROJECT DESCRIPTION: HVAC
041NER CONTRACTOR LENDER
CORA RAFANNA ABC GAS INSTALLATIONS
2248 S 292ND STREET 9923 64TH CT E
fEDERAL WAY WA 98003 PUYALLUP WA 98373
946-8267 845-7482
ABCGAI*113N3
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... S 20.00
fURN<100K..: 0 DUCT LJORK.....: 0 3-15 HP.....: 0 MEC APPLIANCE FEES.* S 6.50
GAS HWT....: 1 W000 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 GRWND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGRWND.: 0 TOTAL FEES S 26,50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date �-5-�.� By J}�' )
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
1 CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIRE L BE MET.
� ������-����G � �� ,
OWNER OR AGENT DATE :����� ��} Q
bld mech 07/01/92 �i�
- J
�
' �� � ,�C-f� �' 3 -- 6 ( i'�
, , Permit #
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME:
OWNER SITE LOCATION
OWNER'S ADDRESS �' ' S' S�— CITY�t=�-�---�'�`'--z-�. PHONE y XC. �1 c 7
�
DESCRIBE JOB ��j
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME `�zi'�' C- �`'...z ,�� '�'�-�..%� CONTRACTOR'S REG. # `�'��L�'�� � l�31U3
� - Card MUST be presented
CONTRACTOR'S ADDRESS �;5�� C <,� G'N- �=��`= CITY �� � � �' PHONE �✓'i�5' ���Z
EXPI RATION DATE �� 5'j
;
— 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 4 .� �...1 y� � - � �' , (�
LEGAL DESCRIPTION
(If 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 / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
N0. WATERCLOSETS GAS PIPING, FEET � $
BATHTUBS N0. 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 OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
I CERTIFY UNOER 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 AG/AINST 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/AGENT: �—''j���-�`�-�� ���--- DATE: _� � - 3 j
ANP-008 3/90