92-101720 9c)-40/ 7 W
CITY OF FEDERAL WAY IV1 EC HAN I CAL PERMIT PERMIT NO.: BLD92-2278
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/12/92
Federal Way, WA 98003 BY: RM
661-4000
SITE ADDRESS: 744 SW 327TH ST
PARCEL NO.: 926492-0980
PROJECT DESCRIPTION: HVAC = INSTALL GAS REPLACEMENT WATER HEATER
OWNER — CONTRACTOR — LENDER
JOHN RAE PUYALLUP GAS APPLIANCE INC.
744 SW 327TH ST.
FEDERAL WAY WA PUYALLUP WA
838-3507 848-1549
PUVALGA285R1
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..: 0 DUCT WORK • 0 3-15 HP • 0 I MEC APPLIANCE FEES.* $ 6.50
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 $ 26.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
dis PIPING OK // ' h DatelO-/b `iz- By rfr e
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.
i
%97'lOWNER OR AGENT �� 114 DATE /� '/4-'-?2, _
bld_mech 07/01/92
: v ,
i4t,J t1
7 11v
2 ,s.
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE ____ BY DATE _ _BY DATE _ __ _-__-sv
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE BY -_-_ _ GAS PIPING O.K. DATE _ -_-___ ____-aY
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/°-/6' 5'7 BY J
_
0 0
Per•# eLDgz - 27 '/
RECEIVED BY ,
COMMUNITY OEVELOPMENTDEPART M`-NT CITY OF FEDERAL WAY
OCT 7 1992 BUILDING PERMIT APPLICATION
- Please Print—
BOX 1 TENANT NAME:
OWNER _'a d it) A4f- SITE LOCATION __5.4.a6-5OWNER'S ADDRESS/ y S.v 22 j X57, CITY�f !'__5.4.a6-511L G&y PHONE ?.?2 3 S 0
DESCRIBE JOB j/t)57d��-C k1� kiFf4-ffic kJ 7.A)
THE PROPERTY IS OWNED BY: SINGLE/MARRIED 'C PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME pe//,J'1 i:� G'—L1 f 1/,4-//GV6 /-'e ' CONTRACTOR'S REG. v/JL q 2S Ri
�J p Card MUST be presented
CONTRACTOR'S ADDRESS /4 E2' / ,� CITY�`y�<<< PHONE P' '7
EXPIRATION DATE 3 9 3
— 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 C,% ve. 6'-I /E%-�L PHONE 73J'- 35-0 •7
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please sub a separate ale with the legal description.)
K.C. Plat Recording # / �l `2e 74 O
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 0 $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS l 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 COMMERCIAL HOOD $
SUMPS, SPRINKLER 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 T E ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: �ll✓ � � �� DATE: l‘) '
ANP-008 3/90