92-102260 1 o
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.:BLD 2�570
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/18/92
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 4002 SW 333RD ST
PARCEL NO.: 327900-0060
PROJECT DESCRIPTION: INSTALL GAS FURNACE® HOT WATER HEATER, & PIPING
OWNER CONTRACTORIm — LENDER
BRUCE ANDERSON SUNLOK INC.
4002 SW 333RD ST 11630 SLATER NE
FEDERAL WAY WA 98023 KIRKLAND WA 98034
04-6202 2068234454 874-2570
SUNL01*107J6
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..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 18.50
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 ,S 38.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes: iitillo /
OAS PIPING OK /- `% -`1.'2 .1-/,‘,/ Date By
-54
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ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO •RK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND TH€. 'PLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENTS 1, • ♦ 4 + DATE / ./.J / /9
bld_mech 07/01/92 / /
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
....._
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
--Plage Pr nt-
BOX 1 TENANT NAME:
OWNER 64t,t-t- LrIrieS,L0;,./_._ SITE LOCATION __ -
OWNERS ADDRESS/c.• 3 `.;57:- CITY_FP{C.4. r i 1 _PHONE _. r4/ 7-`iZ-
DESCRIBE JOB C-Q11,L4 tcD2THE PROPERTY IS OWNED BY: SINGLE(MARR1EG__.��f� _PARTNERSHIPS CORPORATION
BOX 2 CONTRACTOR'S NAME '�� 'Gti — CONTRACTOR'S REG.
GG #a ¢caro en01 De premted
CONTRACTOR'S ADDRESS 0 = z'"Z /310,1a CITY K I ?J PHONE ~'y6/ r(
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 Cf/A-1-41-
PHONE
BOX 4 SEWER DISTRICT ..- WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION •
BOX G PROPERTY TAX ACCOUNT NUMBER_ C,4 %`�
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 I_ BASEMENT I DEC1C._.w __ GARAGE
GARAGE /
BOA 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION — —
( ) MULTIFAMILY(NO. OF UNITS = . .) ( EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SG FT
BOX 9 PLUMBING FIXTURES(including rouge-ins) MECHANI AL APPLIANCES - BASIC FEE$ _
NOV —WATERCLOSETS GAS PIPING, FEET ! -- S
BATHTUBS NO, 1 FURNACE, ELEC. GAS S t Ll•°'
SHOWERS I CAS HOT WATER HEATER S _ ~t%
—LAVATORIES CONVERSION BURNER S ___--
----__SINKS _ BOILER, SIZE BTU S
DISHWASHERS AIR HANDLING UNITS S
_ELECTRIC HOT WATER HEATER — HEAT PUMPS SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS .S
-_ _IURINALS AIR COOLING UNITS. SIZE S __
--_DRINKING FOUNTAINS _ COMMERCIAL HOOD S _--
SUMPS, SPRINKLER VACUUM BREAKERS — OTHER
DRAINS _ S
_..OTHER
—TOTAL FIXTURES
TOTAL MECHANICAL FEE C
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED SY ME 5 TRUE AND CORRECTTO THE BEST OF M Y KNOWLEDGE
AND FURTHER THAT IAM AUT-OR';'EC BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK,FOR.WNICH 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 OP THE CI TY,INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION_
s_
OWNER/AGENT: . VA, p BATE. /,' //cif?
TOTAL P.0.3