92-102109 CITY OF FEDERAL WAY M E C H A N I C A L P E R M I T PERMIT 0! lBLD92g2�l81
33530 First Way South BUILDING INSPECTIOfV - 661-4140 ISSUED: 12/02/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 434 S 289TIi 8�'
PARCEL NO.: 515298-0070
PROJECT DESCRIPTION: INSTAY�L HEAT N GLOW UNIT
OWNER CONTRACTOR
IENDER
ANIL DEWAN WESTERN fURNACES INC.
434 S 289TH ST P.O. BOX 11145
FEDERAL WAY NA 98003 TACOMA WA 98k11
552-4122 474-8401
WESTEF*372N0
FUEL TYPES.:GAS FANS..........: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 75 ft HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... S 20.00
FURN<100K..: 0 DUCT IdORK.....: 0 3-15 HP.....: 0 MEC APPLIANCE FEES.* E 8.50
GAS HWT....: 0 NOOD STOVES...: 0 15-30 HP....: 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0
BBQ........: 0 MISC..........: 1 5+ HP.......: 0
GAS DRYER..: 0 AIR NANDLING UNYTS FUEL TANKS---------
RANGE......: 0 <=10,000 CFM: 0 ABOVE GRWND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGRWND.: 0 TOTAL FEES S 28.50
INSPECTION RECORD
Water Line OK Mechanical nspect'on Notes:
�S PIPING OK Date �z � ��
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 l� � GI �
bld mech 07/01/92 �''�/
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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE_.._... _._......-_ _.-_BY_ --- -.._ _.-._ OATE __- _-_.._-_BY -_ -__--. DATE _- _ -__BY ._. __ _ __
PLUMBING ROUGH IN WATER LINE O.K. __._ ___. MECHANICAL INSPECTION
__--
DATE___ ____ BY _... __.._ GAS PIPING O.K._���L� %� - ._._ DATE _ _____ _BY ___
O.K. TO ENCLOSE FRAMING iNSULATION WALL BOARD AND FIRE WA�L
DATE__- ----_ ____BY ___ _---.. DATE __ _-----_ .BY -- __ _._.--__ DATE .__ __ __ _ BY _
FINAL O.K. TO CCUPY �
/� DCD PSD FD
DATE���. _"/.�BY _ -
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NOV24 �9
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME:
OWNER Ani 1 �Pwan SITE LOCATION 434 South 289TH ST
OWNER'SADDRESS 434 South 289TH St CITY Federal Way pHONE 552-4122
DESCRIBEJOB Install Heat N Glow Unit
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME _�Le s t e r n F u r n a c e s CONTRACTOR'S REG. # W E S T E F*3 7 2 N 0
Card MUST be presented
CONTRACTOR'SADDRESS PO BOX 11145 CITY Tacoma PHONE 474-8401
EXPIRATION DATE 12/31/9 2
—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.
BOX3 CONTACTPERSON Mar�aret Medina PHONE 800-441-8401
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
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 (X ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ 20 . 00
N0. WATERCLOSETS GAS PI PING, FEET 7 5 F t $ 2 . 0 0
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 H e a t N G 1 o w $ 7 . 5 0
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ 29 . 50
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 CLAI M(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 AGRINST 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.
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OWNER/AGENT: DATE: �� � 7 7 �
ANP-OOB 3/90