93-100946 Q ��ao 4Y(
CITY OF FEDERAL WAY M E C H A N I C A L P E R M I T PERMIT NO.� BLD93-0418
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 04/19/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 29018 19TH AVE S
PARCEL NO.: 422300-0160
PROJECT DESCRIPTION: HVAC RANGE
041NER CONTRACTOR LENDER
JOHN HARWELL J & J HEATING
29818 19TH AVE S 446 bTH AVE
FEDERAL 41AY LIA 98003 FOX ISLAND NA 98333
•5440 206-549-2511
JJHEA**099RQ
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 20 ft HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... S 20.00
FURN<100K..: 0 DUCT NORK.....: 0 3-15 HP.....: 0 MEC APPL[ANCE FEES.* E 9.50
GAS HNT....: 0 NOOD 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......: 1 <=10,000 CFM: 0 ABOVE GRWND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES E 29.50
INSPECTION RECORD
-- ter Line OK Mechanical Inspection Notes:
GAS PIPING OK� ��i� �y Date ��� By �'.�(��
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 WILI.BE MET.
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OWNER OR AGENT ,r-'� RlV,'-'� DATE �� � � �.
bld_mech 07/01/92 �
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p,,,� � City of Federal Way
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�v � APPLICATION FOR BUILDING PERMIT .
PLEASE PR/NT APPLICAT/ON #:
STTE LOCATION : Address
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Tenant (if known) , � \ Lot # Assess r's Tax#
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Building Owner Name , Address -
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City ��� � State Zip Phone � - � �j
Nature of Work � � ,�f �� `-� ������
E�PPLIC��
Name (F,M,L) r,---
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Address ; � �
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City - (���,%,� State L �� Z�P < <�-
Contact Person Day Phone Other Phone Fax
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BUII,DING CONTRACTOR `
Company Name
Address '
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHTI'ECT >
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side �
CD0492 IRev 4/931
STRUCTURE Existing Use Proposed Use
rmit includes: ❑ Building ❑ Plumbing Mechanical � Other
ype of Work: ❑ Residential 0 New ❑ Remodel ❑ Number of Units ❑ Deck
� ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1 st Floor sq h 2nd Fioor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Totai Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ ' Project Valuation S
Zoning Lot Size F�cisting Bidg Valuafion $ '.
I.ENDER
Name Address
City State Zip
MECHANICAL CQNTRACTOR '
__ ____ _ _ _ _
_.. _ _ _ ___. _ __ _ _ _
__ __ _ _ __ _ __
Contractor Name ---r- Address
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Contact Phona, Fax
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License �i -'r`� �� . (J c"�G( F��, Expiration Date /z i C Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLU117BING FIXTURE COTJNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps �
Lavatories Washing Machine Drains Total Fxture Count '' t
11'IECHAI�ICI�I. UNIT C�UNT
Fuel Type (electric/other) Gas Dryer � Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping � Range � Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Underground
BB�.�s Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I certify under penalty of parjury that the information furnished by me is true end correct to the best of my knowledge and further that I em authorized by the owner
of the above premisas to perform the worlc tor which permit application ie mada.1 further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,
and attorneys'fees incurred in investigation and defensa of such claim�,which may be made by any person,including the undersigned,and filed apainst the City of Federal Way,
but only where such claim arises out of the rali e of the City, including its officers and employees,upon the accuracy of the information cupplied to the City as a part of this
epplication. : ��
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Owner/Agent: � �Y-.- ' '�� p � -