92-101712C.7
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
SITE ADDRESS: 123 SW 330TH ST Unit: 1804
PARCEL NO.: 182104-9035
PROJECT DESCRIPTION: PLUMBING
OWNER
SANFORD DILLON
123 SW 330ST APT 1804
FEDERAL WAY WA 98023
FUEL TYPES.:? ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HWT....: 0
CONV BURNER: 0
080........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
Water Line OK
GAS PIPING OK
CONTRACTOR LENDER
HUBERDS PLUMBING
30604 54S
AUBURN WA
839-7876
HUBER232L7
9a-/D/%/a
PERMIT NO.: BLD92-2274
ISSUED: 10/08/92
BY: FLF
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
HOOD..........:
0
0-3 HP......: 0
PLM PRMT ISSUANCE.. $ 20.00
DUCT WORK.....:
0
3-15 HP.....: 0
PLUMBING PERMIT/SPK* $ 10.00
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 30.00
INSPECTION RECORD
Mechanical Inspection Notes:
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 WILL BE MET.
OWNER OR AGENT DATE
bld meth 07/01/92
P
Permit
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:'
OWNER SITE LOCATION 141 sdastv
OWNER'S ADORESS�g"r�lJ o CITY �' PHONE
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S REG.
Card MUST be presented
CONTRACTOR'S ADDRESS .3U-6-0 CITY_ /6e��/% PHONE MP3 9 7�-g
EXPIRATION DATE S��-��
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF OR
CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX.3 CONTACT PERSON - PHONE_ 83 2'-7 f 7-6
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER��O�'-iarJ35
LEGAL DESCRIPTION
(It necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed)
1ST' FLOOR / 2ND
FLOOR
3RD- FLOOR / BASEMENT / DECK /
GARAGE 1
BOX 8 ( ) SINGLE FAMILY
( ) NEW CONSTRUCTION
(kf MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRUCTURE-
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY
SQ FT
BOX 9 PLUMBINGFIXTURES (including rough -ins)
__
-- ` ' ' - MECHANICAL APPLIANCES — BASIC FEE $
ND. WATERCLOSETS
GAS PIPING, FEET
... _ $...- .
_ BATHTUBS
N0. FURNACE, ELEC. GAS $
_.L-ASHOWERS
- - -GAS HOT WATER HEATER _
- LAVATORIES
- CONVERIfON BURNER -
SINKS
BOILER, SIZE BTU
$
DISHWASHERS
- _ -.___ AIR HANDLING UNITS
--' $ ---'
ELECTRIC HOT WATER HEATER -
-- - . HEAT PUMPS, SIZE
- _LAUNDRY WASHER OUTLET
UNIT HEATERS
$
y URINALS -
-- _-" AIR COOLING UNITS, SIZE
DRINKING FOUNTAINS
- _=_;m -COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
-- -- - -
- - - --
-- $ - -- -- --
OTHER
-
$':
L -- 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 FURTHERTHAT 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 ASTO 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: Z� =9:Z
AHP -we 3M
W
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICALPERMIT PERMIT NO.: BLD92®2274
BUILDING INSPECTION - 661-4140 ISSUED: 10/08/92
BY: F'LP
SITE ADDRESS: 123 SA 330TH ST Unit.- 1804
PARCEL NO.: 182104-9035
PROJECT DESCRIPTION: PLUMBING
OWNER
SANFORD DILLON
123 SN 330ST APT 1804
INERAL WAY WA 98023
CONTRACTOR LENDER
HUBERDS PLUMBING
30604 54S
AUBURN WA
839-7876
HUBER232L7
FUEL TYPES.:?
?
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 HP......: 0
PLM PRMT ISSUANCE.. S 20.00
FURN<100K..:
0
DUCT WORK.....:
0
3-15 HP.....: 0
PLUMBING PERMIT/SPK* S 10.00
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 ...... :
0
<=10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES S 30.00
INSPECTION RECORD
ter Line OK �� �Z- 1'ZI�icJ Mechanical Inspection
GAS PIPING OK
Date/7—Z-2 7L By /1PK/
Notes: j 1-1-4A/, N G 1 C�r s--- o AJ Pe- (4 Ai r5/ .,✓ 6� I>J?-A I"
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK 18 STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUJ AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY F FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE Z
bld mech 07/01/92
�1fjIV v 2 �'a�
a
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 1O '�2-S� BY �_
DCD
PSD
FD