92-101690CITY o.FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 32211 26TH AVE SSP
PARCEL NO.: 873180-0570
PROJECT DESCRIPTION: MMAC - INSTALL GAS RANGE
OWNER CONTRACTOR LENDER
GREG KEIL PUYALLUP GAS APPLIANCE INC.
32211 26TH AV SWI
FEDERAL WAY WA 98003 PUYALLUP WA
$48-,549 848-1549
PUYALGA285RI
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
FANS..........: 0
HOOD..........: 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC..........: 0
AIR HANDLING UNITS
<$10,000 CFM: 0
> 10,000 CFM: 0
Water Line OK
NS PIPINGOK
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
Mechanical. Inspection Notes: ?'ft -t -q(
Date/6-�2--�7 By I- C--
ba 1" ' AD
PERMIT NO.: BLD92-2252
ISSUED: 10/06/92
BY: FLF
FEES:
NEC PRMT ISSUANCE... S 20.00
NEC 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 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
bld meth 07/01/92
DATE /6 ` O —?2J
r!- EIVED BY Permit # �L� �Z �2 Z
i 0*""' 'aT't bEVELOPMENT DEPARTMENT
0 C T 5 1992 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER SITE LOCATION "G6 _= A .,
OWNER'S ADDRESS CITY _ l� PHONE
DESCRIBE JOB !V IN CW
THE PROPERTY IS OWNED BY: SINGLE/MARRIED e!� PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAMES 1�.4r�� U'#" �r-'�.1 Af'f'�/A ►� CONTRACTOR'S REG.
CONTRACTOR'S ADDRESS / 9. CITY/���1 PHOS
EXPIRATION DATE __zj
—
OR—
VX
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 L9.7 C- PHONE ?V2'/�Y
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 9 73 /go 7 d 7—
LEGAL DESCRIPTION
(If necessary, please sub It selaraelage with thIgdescription.)
K.C. Plat Recording # N"gS %l`�
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLOOR / 2ND FLOOR
3RD FLOOR_____J_ BASEMENT / DECK ! GARAGE
BOX 8 ( ) SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL
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 H00
k� ''
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER ��(S ,�
$
DRAINS
$
OTHER
$
TOTAL FIXTURES
$
TOTAL MECHANICAL FEE
$
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 PART OF THIS APPLICATION.
OWNER/AGENT: DATE: 'le" l
ANP4= 3/90
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
SITE ADDRESS: 32211 26TH AVE SW
PARCEL NO.: 873180-0570
PROJECT DESCRIPTION: HVAC - INSTALL GAS RANGE
OWNER CONTRACTOR
GREG KEIL PUYALLUP GAS APPLIANCE INC.
32211 26TH AV SW
FEDERAL WAY WA 98003 PUYALLUP WA
848-1549 848-1549
_ PUYALGA285R1
LENDER
PERMIT NO.: BLD92-2252
ISSUED: 10/06/92
BY: FLF
Water Line OK
aS PIPING OK
INSPECTION RECORD
Mechanical Inspection
Date By
Notes:
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
bld meth 07/01/92
DATE ,� 7 Z
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 HP......:
0
NEC PRMT ISSUANCE... $ 20.00
FURN<100K..:
0
DUCT WORK.....:
0
3-15 HP.....:
0
NEC APPLIANCE FEES.* $ 6.50
GAS HWT.... :
0
WOOD STOVES...:
0
15-30 HP....:
0
CONY BURNER:
0
FURN>10OK..... :
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 $ 26.50
Water Line OK
aS PIPING OK
INSPECTION RECORD
Mechanical Inspection
Date By
Notes:
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
bld meth 07/01/92
DATE ,� 7 Z