92-101508CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 5330 SW 315TH ST
PARCEL NO.: 321020-0050
PROJECT DESCRIPTION:
OWNER
LEVY
5320 SW 315TH ST
FEDERAL WAY WA
756-1687
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 1
GAS HWT....: 0
CONV BURNER: 0
BBQ. .. 0
GAS DRYER..: 0
RANGE......: 0
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
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
AMERICAN HEATING SERVICE, INC.
7517 PORTLAND AVE.
TACOMA WA 98404
847-8399
AMERIHS083M5
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
Water Line OR Mechanical Inspection Notes:
GAS PIPING OK
I CERTIFY THAT THE INFORMATION FURNISHED
OWNER OR AGENT 11114,
bld mech 07/01/92 ,
Date By
LENDER
9;)- 10/ -5-1) c'
PERMIT NO.: BLD92-2164
ISSUED: 09/16/92
BY: JJ
FEES:
NEC PRMT ISSUANCE... $ 20.00
NEC APPLIANCE FEES.* $ 10.00
TOTAL FEES S 30.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE ��
RECEIVED EY
Permit
y CpMt DEVELOPMENT DEPARTMENT -
$ 'I992 CITY OF FEDERAL WAY
SEP : BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: -
OWNER '
OWNER'S ADDRESS
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SI
BOX 2 CONTRACTOR'S NAME
LOCATION
— CITY PHONE
PARTNERSHIP
CORPORATION
CONTRACTOR'S REG.
CONTRACTOR'S ADDRESS %'-)7f7 Pol,?M O AV 7 CITY ` 7.7ydeyAA
EXPIRATION DATE 7— AS7-17I
—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.
BOX 3 CONTACT PERSON PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER $ 19 ;LQ 05-0
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______J_ 2ND
FLOOR _ I
3RD FLOOR / BASEMENT_) DECK --------J—
GARAGE—_J
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 $
NO.. - WATCI3CLOSETS
BATHTU03
GAS PIPING, FEET
NO. FURNACE, ELEC.
$
GAS -4—$
SHOWS11a
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
$
—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 INF RM/�ATIO_ SUP TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENI %` � �aA C�( 64
a
AMP40 3W
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 5330 SW 315TE ST
PARCEL NO.: 321020®0050
PROJECT DESCRIPTION:
OWNER
LEVY
5320 SW 315TH ST
FEDERAL WAY WA
1687
FUEL TYPES.:GAS ?
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<100K..:
1
DUCT WORK.....: 0
GAS HWT....:
0
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K..... : 0
BBQ........:
0
MISC..........: 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<a10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
MECHANICALPERMIT PERMIT NO.: BLD92®2164
BUILDING INSPECTION - 661-4140 ISSUED: 09/16/92
BY: JJ
CONTRACTOR
AMERICAN HEATING SERVICE, INC.
7517 PORTLAND AVE.
TACOMA WA 98404
847-8399
AMERIHS083M5
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
4Pter Line OIC Mechanical Inspection
GAS PIPING OIC Date Ey
I CERTIFY THAT THE INFORMATION FURNISHED BY
OWNER OR AGENT
bld mech 07/01/92
,V,w z'46 -
Notes:
LENDER
FEES:
NEC PRMT ISSUANCE... S 20.00
NEC APPLIANCE FEES." S 10.00
TOTAL FEES S 30.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE qll.)
a47
SET BACKS AND FOOTINGS
DATE BY
OX TO POUR FOUNDATION WALLS
DATE BY
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE BY
WATER LINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE BY
O.K. TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE o�q-BY
DCD
PSD
FD
/or L y/f
� a
—' ► is �
��c� i%-� �-
mod
0