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Home My WebLink About93-101212CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 661-4000 MECHANICAL PERMIT BUILDING INSPECTION - 661-4140 SITE ADDRESS: 32809 26TH AVE SW PARCEL NO.: 894520-0150 PROJECT DESCRIPTION: HVAC - INSTALL 1 GAS RANGE OWNER CONTRACTOR ROBERT CLARK PUYALLUP GAS APPLIANCE INC. 32809 26TH AVE SW P.O. BOX 95 FEDERAL WAY WA 98023 PUYALLUP WA 98371 0709 848-1549 PUYALGA285RI FUEL TYPES.:GAS GAS PIPING.: 0 FURN<100K..: 0 GAS HWT....: 0 CONV BURNER: 0 BBQ........: 0 GAS DRYER..: 0 RANGE......: 1 GAS LOGS...: 0 FANS..........: 0 ftHOOD..........: 0 DUCT WORK.....: 0 WOOD STOVES...: 0 FURN>100K.....: 0 MISC..........: 0 AIR HANDLING UNITS <=10,000 CFM: 0 > 10,000 CFM: 0 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 #AS ter Line OK Mechanical Inspection PIPING OKS�O-moi 3 f�� Date----i2�3 By Notes: LENDER q�- 10 l ;q -?e- PERMIT NO.: BLD93-0524 ISSUED: 05/19/93 BY: FLF FEES: MEC PRMT ISSUANCE... $ 20.00 MEC APPLIANCE FEES.* $ 6.50 TOTAL FEES S 26.50 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. I CERTIFY THAT THE INFOR TION FURNISHED BY ME IS TRUE AND RRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT �n/�"i/v DATE bld meth 07/01/92 PLEASE PRINT jSiTE-1.6C,A*T 9 City of Federal Way 0 % APPLICATION FOR BUILDING PERMIT APPLICATION #. 9C.i�� Name (F,M,L) Address Tenant of known) Lot # Tax# Building Owner Name Address City rState Zip I Phone Nature of Work Name (F,M,L) City Address 12 - City I State Z� -1zip %r-,371 Contact Person Day Phones. Other Phone Fax Il,// 5kov 1 1 ---- I I Company Name Address 7 City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side CDO492 V�Wv 41931 C RUCTURE n of isting Use City Proposed Use State Zip Phone includes: License # Building 'NKPermit ❑ Plumbing echan(cal ❑ Other Type of Work -Residential ❑ Commercial ❑ New ❑ Addition ❑ Remodel ❑ Garage ❑ Num er of Units _ ❑ Shed ❑ ❑ Deck Other Enter 1 st Floor Area Basement sq ft sq ft 2nd Floor Decks sq ft 3rd Floor sq ft sq ft Garage sq ft Existing Floor Area Proposed Total Area 3-15 Tons sq ft sq ft Water Availability ❑ Sewer Availability ❑ On -Site Septic System Availability ❑ ..Project Valuation S: Zoning Lot Size Existing Bldg.ValtiiC*in Name n of Address City Zip State Zip ;....: •. ;:>.. :.; .:::..: ....:.::....::. . hCHA rI CAI' CQNTRACTOR;' Contractor Name `Cy ,r� � � Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No PLUIVIBING CONTRACTOR �';'`::::'.::' I MM Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps 50+ Tons Lavatories Washing Machine Drains Totat.Fizue::Count;:'•:':;:;.:.::':; ��cxArvzCai: uNrr covivT:>> . : Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping ange 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 BBQ's Wood Stoves 3-15 Tons Total Unit.Count DISCLAIMER: 1 certify under penalty of perjury that the information furnished by me is true and correct to the beat 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 au 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 ,including its officers and employees, upon the accuracy of the information supplied to the City as a part of this application. Owner/Agent: e:_— '-4-- Date: �� a 7,.? t ~ CITY OF FEDERAL WAY MECHANICAL PERMIT 33530 First Way South BUILDING INSPECTION - 661-4140 Federal Way, WA 98003 661-4000 SITE ADDRESS: 32809 26TH AVE SW PARCEL NO.: 894520-0150 PROJECT DESCRIPTION: HVAC - INSTALL 1 GAS RANGE OWNER CONTRACTOR LENDER ROBERT CLARK PUYALLUP GAS APPLIANCE INC. 32809 26TH AVE SW P.O. BOX 95 FEDERAL WAY WA 98023 PUYALLUP WA 98371 0709 848-1549 PUYALGA285R1 FUEL TYPES.:GAS GAS PIPING.: 0 ft FURN<100K..: 0 GAS HWT....: 0 CONV BURNER: 0 BBQ........: 0 GAS DRYER..: 0 RANGE......: 1 GAS LOGS...: 0 ater Line OK AS PIPING OK PERMIT NO.: BLD93-0524 ISSUED: 05/19/93 BY: FLF FANS..........: 0 BOILERS/COMPRESSORS FEES: HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... S 20.00 DUCT WORK.....: 0 3-15 HP.....: 0 MEC APPLIANCE FEES.* $ 6.50 WOOD STOVES...: 0 15-30 HP....: 0 FURN>100K..... : 0 30-50 HP....: 0 MISC..........: 0 5+ HP.......: 0 AIR HANDLING UNITS FUEL TANKS --------- -10,000 CFM: 0 ABOVE GROUND: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES S 26.50 INSPECTION RECORD Mechanical Inspection Notes: Date By ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. 1 CERTIFY THAT THE INFOR71ON FURNISHED BY ME IS TRUE AND ORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT _ �� DATE a2 -d bld meth 07/01/92