92-102200 9.), A0)400
CITY OF FEDERAL WAY IVI EC HAN I CAL PERMIT PERMIT NO.: BLD92-2538
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/14/92
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 206 SW 327TH PL
PARCEL NO.: 926491-0220
PROJECT DESCRIPTION: HVAC
OWNER — CONTRACTOR — LENDER
RONALD MC KAY WASHINGTON NATURAL GAS
206 SW 327TH PL 3130 S 38 ST
FEDERAL WAY WA 98023 FEDERAL WAY WA
III
661 0494 475-6700
WASHING285CB
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 25 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 8.50
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..: 1 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 $ 28.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
/-//-'/3
•GAS PIPING OK.Z.crSs W4,v' 4_, i Date +' "' By o;'1/✓
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 ,,i,a „i� DATE /,- ` V- %f)
bld_mech 07/01/92
. . ' ^
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE sY__-_____ 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 BYDATE BY �_-_� ��-_ DATE ---___________oY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE /-//--CI 5- BY i-1-111 ___
//�' /7{r .� Al ��
4171101447�r / ~ /y ' �— A
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•
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• Permits R(09ly -:c)
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER h'G"rl a i d IU m e SITE LOCATION
OWNER'S ADDRESS a0(o 61,0 5;11 pLCITY F M L iCtL PHONE OW-0414-
DESCRIBE JOB c 1C 1pin(-j -Tt 14crr�up ch-LJ ez,-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED k PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 164-l r1 L T /ua u t L L. (las CONTRACTOR'S REG. # Lt ///i-1C1<2 (i
Card MUST be presented
CONTRACTOR'S ADDRESS SI Q'`\O -0 CITY da- da--- PHONE 475-6)700
EXPIRATION DATE
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTx NTRACTO'S A
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON IkhhI(- �e9I PHONE 7 --;(.5
Z`
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBERS q Lig/ o ZZ-C
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 (>4 SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) O 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
BATHTUBS NO. 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 COMMERCJAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS I OTHER a'r J
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/JSUPPLIED rTO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENTS �� b �-- ,h g JL_ DATE: /�—� ✓Q�
ANP-008 3/90