92-101175CITY OF FEDERAL WAY
'3530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 865 8 326Th ST
PARCEL NO.: 3260700420
PROJECT DESCRIPTION: MECHANICAL
OWNER
RICHARD KELTNER
865 S. 326TH ST.
FEDERAL WAY WA 98003
839-2892
BUILDING PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
LENDER
r1 -'-� -11, i I --S
PERMIT NO.: 921166
ISSUED: 08/10/92
BY: AJ
BLD?: MEC?:X
PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN.........:?
FEES:
TYPE OF WORK:?
USE:?
1ST.: 0:
O:Sf
STORIES........: 0
REQUIRED PARKING..:
0
SPRINKLERS?......:?
MEC PRMT ISSUANCE... $ 20.00
CENSUS CATEGORY ..... :?2ND.:
0:
O:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
MEC APPLIANCE FEES.* S 8.50
OCCUPANCY GROUP----------
3RD.: 0:
O:Sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
:? :? :?
:?
OTHR: 0:
O:Sf
EXIST..$: 0
FRONT..........
0.00
ft
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:Sf
PROP ... S: 0
SIDE..........:
0.00
ft
WATER SERVICE..:?
:? :? :?
:?
DECK: 0:
O:Sf
REAR...........
O.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.: 0:
O:Sf
RECEIVED.:08/05/92
0: 0:
0: 0:
TOTL: 0:
O:Sf
IMPERV SURFACE:
0
sf
SENSITIVE AREAS?.:?
TOTAL FEES $ 28.50
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 URINALS........: 0
GAS PIPING.: 2
ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........:
0
DRINKING FOUNT.:
0
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....: 0
SHOWERS ............:
0
SUMPS..........:
0
GAS HWT....: 1
WOOD STOVES...:
0
15-30 HP....: 0
LAVATORIES.........:
0
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K.....:
0
30-50 HP....: 0
SINKS ..............:
0
DRAINS.........:
0
BBQ........: 0
MISC..........:
0
5+ HP.......: 0
DISH WASHERS.......:
0
LAWN SPRINKLERS:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
0
RANGE......: 0
<=10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS...:
0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
ALL 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 INFORMAT. N -F JRNISHED 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_prmt 07/31/92
1
DATE
0
0
SET BACKS AND FOOTINGS
DATE____ - -13Y __ -._..._......
OX TO POUR FOUNDATION WALLS
DATE ....... .... ..-_.._ _..BY .... ._.----
PLUMBING GROUNDWORK
DATE _..--........ -.......... _.... ... __ BY
PLUMBING ROUGH IN
DATE.... ...... ...-- ..... BY .... --.-
WATERLINE 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
=25� 92
DATE _ . -....._-BY
DCD
PSD
FD
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 865 S 326TH ST
PARCEL NO.: 326070-0420
PROJECT DESCRIPTION: MECHANICAL
OWNER
RICHARD KELTNER
865 S. 326TH ST.
FEDERAL WAY WA 98003
?892
BUILDINGPERMIT PERMIT NO.: 92-1166
BUILDING INSPECTION - 661-4140 ISSUED: 08/10/92
BY: AJ
CONTRACTOR LENDER
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
BLD?: MEC?:X
PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN.........:?
FEES:
TYPE OF WORK:?
USE:?
1ST.: 0:
0:Sf
STORIES........: 0
REQUIRED PARKING..:
0
SPRINKLERS?......:?
MEC PRMT ISSUANCE... $ 20.00
CENSUS CATEGORY.....:?
2ND.: 0:
0:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
MEC APPLIANCE FEES.* $ 8.50
OCCUPANCY GROUP----------
3RD.: 0:
0:Sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
:? :? :?
:?
OTHR: 0:
0:Sf
EXIST..$: 0
FRONT..........
0.00 ft
TYPE OF CONSTRUCTION-----
BSMT: 0:
0:Sf
PROP ... $: 0
SIDE..........:
0.00 ft
WATER SERVICE..:?
:? :? :?
:?
DECK: 0:
0:Sf
REAR...........
0.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.: 0:
0:Sf
RECEIVED.:08/05/92
0: 0:
0: 0:
TOTL: 0:
0:Sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
TOTAL FEES $ 28.50
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 URINALS........: 0
GAS PIPING.: 2
ft
HOOD...........
0
0-3 HP....... 0
BATH TUBS...........
0
DRINKING FOUNT.:
0
FURN<100K... 0
DUCT WORK......
0
3-15 HP...... 0
SHOWERS .............
0
SUMPS...........
0
GAS HWT....: 1
WOOD STOVES...:
0
15-30 HP....: 0
LAVATORIES.........:
0
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K......
0
30-50 HP..... 0
SINKS ...............
0
DRAINS..........
0
BBQ......... 0
MISC...........
0
5+ HP........ 0
DISH WASHERS........
0
LAWN SPRINKLERS:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
0
RANGE......: 0
<=10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS...:
0
GIIIIIIIIIIIIIIk-OGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
ALL 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 FURWSHED 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_prmt 07/31/92
DATE Cps gyp- /-�
b ,pevit #
AUG 0 3'992 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
1Rl�i —Please Print —
BOX 1 TENANT NAME:
OWNER -ti c.V\u-i -C& SITE LOCATIO`c6k X e,r
OWNER'S ADDRESS ` " t - CITY'- PHONE`S
DESCRIBE JOB -
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S REG. #.
Card MUST be presented I,-,
D
CONTRACTOR'S ADDRESS k - SI AITY IL CZYW--. PHONE_��
EXPIRATION DATE }T I`'1 -:;)- '14-4 c9 9
—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 (r� PHONE ��`'�'L �►L`-�
BOX 4 SEWER DISTRICT
WATER DISTRICT
BOX 5
ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION
BOX 6
PROPERTY TAX ACCOUNT NUMBER
•a�'C iC) — <-
CONVERSION BURNER
LEGAL DESCRIPTION
BOILER, SIZE BTU
$
(If 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 /
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)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
_SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET - _-L
$
N0. FURNACE, ELEC. GAS
$
1 GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
OTHER
$
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[IOF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE'
ANP -008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELORIS LINE)
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL
REMARKS:
SIDE REAR HEIGHT LIMIT
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
k
'IVa
c1r)
RECEIVED
ASSIGNED ADDRESS:
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL
BY DAT
DAT
DA
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ACCEPTED FOR FILING