92-102315CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 2221 SW 332ND ST
PARCEL NO.: 894500-0100
IT3UILDING INSPECTION 831-4140
-
v: -- 'FALL
GASUR'NACE,
HO'? _ _;1 HEATER, & GAS PIPING
LORETTA RINEHART
PACIFIC GAS HEATING & AIR INC
2221 SW 332ND ST
11002 34TH AVE S
ERAL WAY WA 98023
TACOMA WA 98444
-2485
582-5882
PACIFGH110ME
TYr S.: G
........
0
BOILERS/COMPRESSORS
GAS PIPING.: i
..........:
0
0-3 HP......: 0
FURN<100K..: 1
DUCT WORK.....:
0
3-15 HP.....: 0
GAS HWT.... : 1
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER: 0
FURN>100K.....:
0
30-50 HP....: 0
BBO........ . 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
Wer Line OK
GAS PIPING OK
•
INSPECTION RECORD
Mechanical Inspection Notes:
Date By
LENDER
9%a, /0 a 315
PERMIT NO.: BLD92-2599
ISSUED: 12/29/92
BY: FLF
FEES:
MEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* $ 18.50
TOTAL FEES $ 38.50
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 1A0 DATE
bld mech 07/01/92 If I
CITY OF FEDERAL "JAY :. ! /�
,' ;am u d A l !
IT
33530 First Way South BUILDING INSPECTION 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 2221 SW 332ND ST
PARCEL NO.: 894500-0100
P;CJEC T DESCRIPTION: INSTALL GAS FURNACE, HOT WATER HEATER, & GAS PIPING
LORETTA RINEHART
2221 SW 332ND ST
FEDERAL WAY WA 98023
838-2485
FUEL TYPES.:GAS
GAS PIPING.: 7 ft
FURN<100K..: 1
GAS HWT.... : 1
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
CONTRACTOR
PACIFIC GAS HEATING & AIR INC
11002 34TH AVE S
TACOMA WA 98444
582-5882
PACIFGH110ME
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 OK Mechanical Inspect -mon
I& PIPING OK Z -3� -%2 Date /,'
Notes-.
LENDER
PERMIT NO.: BLL92 2:539
ISSUED: 12/29/92
BY: FLF
FEES:
MEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* $ 18.50
TOTAL FEES $ 38.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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 I�Z' - y (
DEC 241992
• �err>o#'��� s.
CITY OF FEDERAL WAY
o ryoFFENRAle.l�'p'a".e BUILDING PERMIT APPLICATION
INAWIMIDEPT — Please Print —
BOX 1 TENANT NAME:
OWNER ) may` u.2 _¢), SITE LOCATION ^" —1
OWNER'S ADDRESS C6 ire CITY B PHONE 3
DESCRIBE JOB ' <cc)
THE PROPERTY IS OWNED BY: SINGLE/M RIED✓ PARTNERS P CORPORATION
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S REG. #
i
CONTRACTOR'S ADDRESS //fib) � Ci'J r CITY :7a— /"&2� e, PHON
EXPIRATION DATE %-..S'
zff�
presss nt dm q
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 PHONEYS Q —_S Ef P ol
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBE
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 / 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)
MECHANICAL APPLIANCES —
BASIC FEE $
NO WATERCLOSETS
GAS PIPING, FEET �]
$
S
NO.- FURNACE, ELEC. GAS
$
S
_GAS HOT WATER HEATER
$
IES
CONVERSION BURNER
$
BOILER, SIZE BTU
$
HERS
\_SUMPS,
AIR HANDLING UNITS
$
HOT WATER HEATER
HEAT PUMPS, SIZE
$
WASHER OUTLET
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
FO TAINS
COMMERCIAL HOOD
$
PRINKL 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.
OWNER/AGENT: DATE: 1�
ANP -008 3/90