92-101356 9a. I0/ 5.--
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: ELD92-2091
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/27/92
Federal Way, WA 98003 BY: AJ
661-4000
SITE ADDRESS: 1223 SW 326TH PL
PARCEL NO.: 926494-0820
PROJECT DESCRIPTION: MECHANICAL—INSTALL LOGS
riOWNER — CONTRACTOR -- LENDER
FREDERICK WOODRUFF AMERICAN HEATING SERVICE, INC.
1223 SW 326TH PL 7517 PORTLAND AVE.
FEDERAL WAY WA 98023 TACOMA WA 98404
874-1390 847-8399
• AMERIHS083M5
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 10 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..: 0 AIR HANDLING UNITS FUEL TANKS---------
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 28.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
•S PIPING 0K9 / ' - Date By .;
111C
Y
. iii Nox ihin......a .....•....-
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. f _ /7- Q L/
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITYOF FEDERAL WAY REQ NTS WILL BE MET
OWNER OR AGENT �� ��EQ,�1/��� I /tL- DATE '"Y �l
bld mech 07/01/92
• 0
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE _ _ BY _-____ DATE _- -nY --_-__ - DATE ________� ��eY
PLUMBING ROUGH IN WATER LINE O.K. ____ _—___ MECHANICAL INSPECTION
�
DATE _ __ _-BY �^�
— ___�_ GASp|p|wGO�m - 5-6, 2 /4-7/el_ DATE _ _�'8v
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY � DATE BY _--_' _ o4Ts _ _____ov
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE BY
_
_
RECEIVED BY • Pere ## g id9 2 -
CMMUIVITY DEVELOPMENT DEPARTMENT
AUG 2 4 199 CITY OF FEDERAL WAY
�UILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER FRE DER ioce u (k SITE LOCATION
OWNER'S ADDRESS �I`,�� :(� 3 ji7.�
PI CITY F 1 Cj&.i PHONE 37'1' I
DESCRIBE JOB .t—4 U )100,S
THE PROPERTY IS OWNED BY: SINGLE/ RRIED >4 PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME b�1�� 1 CAPJ T►VGs >1 11\J& CONTRACTOR'S REG. #AO/16( K
-7 _ Card MUST be presented
CONTRACTOR'S ADDRESS l PG��LAKIO CITY AiiL '1/1/-R PHONE -�2 T- 17E) 2_
EXPIRATION DATE
— 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 PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER fife
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 = ) ( ) 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 I� $
BATHTUBS NO. -- - GAS $
SHOWERS - ATER'
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 _COMMERCIAL,IdOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER ?I 1e c ; $
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 ACC iACY IF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: _A '�. i �.� �.� E:
ANP-008 3/90