93-100744 93 - 1O6 -2yy
CITY OF FEDERAL WAY IVI EC HAN I CAL PERMIT PERMIT NO.: BLD93®0336
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 03/26/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 2754 SW 323RD ST
PARCEL NO.: 873190-0430
PROJECT DESCRIPTION: HVAC ISNTALL GAS FURNACE & HOT WATER HEATER
— OWNER ,- CONTRACTOR — LENDER
WAYNE KENNEDY PUYALLUP HTNG/AIR CDTNG INC
2754 SW 323RD ST 2415 INTER AVENUE
FEDERAL WAY WA 98023 PUYALLUP WA 98372
838-1307 845-0581 838-2177
PUYALHA348ME
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 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.* $ 16.50
GAS HWT • 1 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 $ 36.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
41110\S PIPING OK=--Ss /4-4w Dates 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 '1 DATE l ci/4
bld mech 07/01/92
A V 0
t
• •
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_....._ . .BY —
- a(,'5'3 /vD+' (1 d H,:,- - Aid J"ec&-sS— ,VD 1,15-P-r 77JIJ
-
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APPLICATION FOR DEVELOPMENT PERMIT
PLEASE PRINT APPLICATION #: #9'3 c23
SITE LOCATION Address `L 1. y 3 Z3 Sled)
Tenant Lot # Assessor's Tax #
X3/90 CV. `(30
Building Owner Name ..i.‘jPhone
CityC. State Zip
� �L.ci�_�•N''‘ �� gfti.t.3
APPLICANT '>
Name (F,M,L) J \'Q\ -i' _
Address ('^
City �-`•` - A State ` \ Zip f\‘'.041,''
'Ill
Day PhoneOther Phone F
BUILDING CONTRACTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified
❑ Yes ❑ No
ARCHITECT
Name -
Address
City State Zip
Contact Person Phone Fax
I
STRUCTURE Existing Use Proposed Use
Permit includes: 0 Building 0 Plumbing Mechanical 0 Other
Type of Work: 0 Residential 0 New 0 Remodel 0 Number of Units_ 0 Deck
0 Commercial ❑ Addition 0 Garage 0 Shed 0 Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability 0 Sewer Approval 0 Project Valuation $
Please Complete Reverse Side
c0o492 IRev 2B?'
1
LENDER
Name
Address
City State Zip
Contact Phone Fax
MECHANICAL CONTRACTOR _
Contractor Name _
Address
-.k. -:--
City
City ,c State Zip 0.r.,..,
��. fin,:= 1 2—
Contact Contact \2—% _ _� Phone "--:* Fax
3
License # ' Expir tion Date Verified
v \ ' '`4:- , •\Q, • : 3\ \t\V\ ❑ Yes ❑ No
PLUMBLNG CONTRACTOR
Contractor Name
Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified
❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total`'Fixture Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other) c-':\1 Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs '--. Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: 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. -
� , � c 31 -2, \ 53
Owner/Agent: Date: