HomeMy WebLinkAbout93-102109CITY FEDERAL
335300First Way South MECHANICAL P
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:32715 42ND AVE SW
NO.: 873203-0140
PROJECT DESCRIPTION : HVAC - RANGE 6 GAS PIPING
OWNER
KEN HOOPER
32115 42ND AVE SW
FEDERAL WAY WA 98023
330
CONTRACTOR
WASHINGTON NATURAL GAS
3130 S 38TH ST
P 0 BOX 11066 TAC WA 98411
TACOMA WA 98405
415-6100
WASHING285CB
LENDER
q 3 - /Oxo 9
PERMIT NO: BLD93-0913
ISSUED: 08/24/93
BY: FC
EXPIRES: 02/20/94
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 25 ft
HOOD..........:
0
0-3 HP......: 0
MEC PRMT ISSUANCE... $ 20.00
FURN<100K.,: 0
DUCT WORK.....:
0
3-15 HP.....: 0
MEC APPLIANCE FEES.; $ 9.50
GAS HWT.... : 0
WOOD 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 GROUND: 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES $ 29.50
Ins'pection Record
Water Line OK ----------
Mechanical Inspection Notes: ----------------------________---------_
GAS PIPING OK ----------
Date ------ BY ------ ------------------------------------------------
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT -------------------------------------- DATE
FILE COPY
ok,o o r
CIMCFG \�PO�.�City of Federal Way
\0,%%APPLICATION FOR BUILDING PERMIT
PLEASE PRINT
1\
d PP/ 1r`d Tlr]A/ Sf • // / l 1 / / � � r / /
SITE LOCATION Address — \
Tenant (if known) Lot # Assessor's Tax #
Il
Building Owner Name Address
ti
ENi.t
State Zp Phone_77H--o Work -10C
APPLICANT
Name (F,M,L)
Address
City - States Zip Q`,L j
Contact Person Day Phone Other Phone Fax
_ � 3
BUILDING CONTRACTOR .
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT .:.'
Name
Address
e
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 IRev 4/971
APPLICANT
Name (F,M,L)
Address
City - States Zip Q`,L j
Contact Person Day Phone Other Phone Fax
_ � 3
BUILDING CONTRACTOR .
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT .:.'
Name
Address
e
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 IRev 4/971
BUILDING CONTRACTOR .
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT .:.'
Name
Address
e
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 IRev 4/971
ARCHITECT .:.'
Name
Address
e
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 IRev 4/971
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 IRev 4/971
4
tUCTLREExisting
Address
Use
State
Proposed Use
State V'
Zi
Permit includes:
Phone
❑ Building
❑ Plumbing
Mechanical
❑
Other
Type of Work:
Residential
❑ Commercial
❑ New
❑ Addition
❑ Remodel
❑ Garage
❑ Number of Units _
❑ Shed
❑
❑
Deck
Other
Enter 1st 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
Hood
sq ft
sq ft
Water Availability
❑ Sewer Availability ❑ On -Site Septic System Availability ❑
Project Valuation
S
0-3 Tons
Zoning
Lot Size
Wood Stoves
Existing Bldg Valuation
S,'''
LENDER
Name
Address
City I State I Zip
,1ECHANICAI CONTRACTOR
Contractor Name
Address
City
State
City )C!
State V'
Zi
Contact
Phone
Fax
_
Drains Total Fixture Co
Air Handling > = 10,000 CFM
License # i S j �$S C ,
Expiration Date -� l
Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
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
Lavatories
Washing Machine
Drains Total Fixture Co
T'fECHANICAL UNIT 'COUNT
"
Fuel Type (electric/other)
Gas Dryer
Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping r
Range
Air Handling > = 10,000 CFM
30-50 Tons
Furn <10OK 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: 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 pert of this
application.
Owner/Agent: DateLu,
CITY o1= FEDERAL WAY
MECHANICAL P
PERISSUED:
33530 First Way South
06/24/9313
Federal Way, WA 98003
Building Inspection Requests 661-4140
BY:
FC
661-4000
EXPIRES:
02/20/94
ADDRE:SS:32715 42ND AVE SW
NO.: 873203-0140
PROJECT DESCRIPTION : NVAC - RANGE & GAS PIPING
OWNER CONTRACTOR EENDEP
KEN HOOPER WASHINGTON NATURAL GAS
332715 420D AVE SW 3130 S 38TH ST
FEDERAL WAY WA 98023 P 0 BOX: 11048 TAC VA 98411
TACOMA WA 98405
08-8330 475-67OO
WASHING285CO
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF N0 WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAT TNF INFORMATION FURNIS€D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS WILL BE MET.
OWNER LIR AGE";-, �� < �,� is � n. � ln►�. I i = Z �"`1,,
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FIELD COPY