92-101837CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
SITE ADDRESS: 119 SW 330TH ST Unit: 1903
PARCEL NO.: 182104-9035
PROJECT DESCRIPTION: Plumbing
OWNER
SANFORD DILLON
K0 CAMPUS DR
N MATEO CA
FUEL TYPES.:? ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HWT....: 0
CONV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
ter Line OK
PIPING OK
CONTRACTOR LENDER
HUBERS PLUMBING
30604 54TH AVE S
AUBURN WA 98001
839-7876
HUBERP2321.7
91, /01 k3-7
PERMIT NO.: BLD92-2341
ISSUED: 10/26/92
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 $ 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
bld_mech 07/01/92
4
DATE
CITY OF FEDERAL WAY ? a
BUILDING PERMIT APPLICATION�0 2a73
— Please Print —
BOX 1 TENANT NAME:
OWNER SITE LOCATION 3v a Fd�
OWNER'S ADDRESS 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 `a5�f� �7 . CITY PHONE__
EXPIRATION DATE
—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
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 1
3RD FLOOR_____J_ BASEMENT_____J_ 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 $
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 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 INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
ANP -008 3/90
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2341
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/26/92
Federal Way, WA 98003 BY: FLF
"Z61-4000
SITE ADDRESS: 119 SW 330TH ST Unit: 1903
PARCEL NO.: 182104-9035
PROJECT DESCRIPTION: Plumbing
OWNER
CONTRACTOR
LENDER
SANFORD DILLON
HUBERS PLUMBING
2600 CAMPUS DR
30604 54TH AVE S
MATEO CA
AUBURN WA 98001
839-7876
HUBERP2321.7
FUEL TYPES.:? ?
FANS..........:
0 BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 0 ft
FURN<100K..: 0
HOOD..........:
DUCT {KIRK.....:
0 0-3 HP......: 0
0 3-15 HP.....: 0
PLM PRMT ISSUANCE.. $ 20.00
PLUMBING PERMIT/SPK* $ 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 $ 30.00
INSPECTION RECORD
ater Line
OK1d.1'7- iz o ri✓
Mechanical Inspection Notes:
GAS PIPING
OK
Date /0 07-52'. By A 41
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
1 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 mech 07/01/92
DATE / 6 -'7� 11
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/0--)7-TZ- BY 141AI
DCD
PSD
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