92-102004 9)')0( boy
CITY OF FEDERAL WAY IVI EC HAN I CAL PERMIT PERMIT NO.: BLD92-2426
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/13/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 3301 SW 323RD ST
PARCEL NO.: 873190-0910
PROJECT DESCRIPTION: INSTALL GAS FURNACE
OWNER CONTRACTOR -- LENDER
DALE WOLVIN
3301 SW 323RD ST
FEDERAL WAY WA 98023
952-3654
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 5 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 12.00
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 $ 32.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
SAS PIPING OK,L.t s i tI 4/i) (2 ' Date 1715`1.z By iki /U%
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 er. c fr \(-2DATE \ ( Z i \QI CI L—
bld mech 07/01/92
0 (//6.'
1
`, e
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE -........ BY DATE .._. .....BY DATE -_-..
BY
PLUMBING ROUGH IN WATER LINE O.K. _..._.. -_.... MECHANICAL INSPECTION
DATE ......._ BY .._ GAS PIPING O.K. ._.. DATE - _
BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE -.......... BY .... DATE _ -......._-__BY _ DATE .._BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE 1)'tS =hZ BY Vkl A-)
0 II
Permit #
' • WCti .- 21140
EI C I. OF FEDERAL WAY
NOV 61992 BUILDING PERMIT APPLICATION
qf} r . 3-;; ;`"r IAL WAY — Please Print—
.• . NO QE
BOX 1 TENT NAME: t
O'4`;NER �' - c
� SITE LOCATION - _
OWNER'S ADDRESS 1 f.__ 3 31 CI - Li. t .'. _ . PHONE c1 ,�-� q
DESCRIBE JOB t L- &. - L,,cb,e,_ 1
THE PROPERTY IS OWNED BY: SINGLE'MA RIED A PARTNERSHIP CORPORATION
30X 2 CONTRACTOR'S NAME Northwest Water Heater CONTRACTOR'S REG- # NORTHWH103R2
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Durango St_ SW . • CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92
— 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.
30X 3 CONTACT PERSON Angel Foster
- PHONE984-6404
30X 4 SEWER DISTRICT WATER DISTRICT
30X 5 ESTIMATED PROJECT COST 4 Gc)L EXISTING BUILDING VALUATION
30X 6 PROPERTY TAX ACCOUNT NUMBER: b 13 1c1C)-- C51
LEGAL DESCRIPTION
(If necessary, please submit a separate pace with the legal description.)
K.C. Plat Recording # _
30X 7 BUILDING SQUARE FOOTAGE. (Existing/Proposed) 1ST. FLOOR / 2ND FLOOR
3RD - FLOOR / BASEMENT / - - DECK / GARAGE • / -
•
30X 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE __ _ _ __
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY • SQ FT
•
>OX 9 PLUMBING FIXTURES (including rough-ins) - - -.. .. MECHWCAL APPLIANCES — BASIC FEE S----- -.
NO. - WATERCLOSETS - GAS PIPING, FEET . . - S.--- -
BATHTUBS NO. / FURNACE, ELEC. GAS ?` ' S
SHOWERS - - _____ _
GAS HOT W,4TERHEATER-� - - - �.- S -
LAVATORIES - - - - . - CONVERS`tON BURNER - -- -- S._ -
SINKS BOILER, SIZE BTU $
DISHWASHERS - AIR HANDLING UNITS .. 6.-------- '-
ELECTRIC HOT WATER HEATER -.- -_-- - - HEAT PUMPS, SIZE -
LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS - - - AIR COOLING UNITS, SIZE >3 S
DRINKING FOUNTAINS ..- -• . - . - COMMERCIAL HOOD . - S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS . .-- .- .... - . .
-- - . OTHER
- TOTAL FIXTURES _ - - . ...-_. - . . . -. - $
S ----
TOTAL MECHANICAL FEE ** $
CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
ND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
ADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
ND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
FFICERS AND EMPLOYEES, UPON THE ACCURACY OF I HE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
%NER!AGENT: -,, _. 't'� _Ad� 1 �-'
DATE: t li CCD