92-102080 q /b bgO
CITY OF FEDERAL WAY l\Il EC HAN I CAL PERMIT PERMIT NO.: BLD92-2466
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/01/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 32404 29TH AVE SW
PARCEL NO.: 873190-1400
PROJECT DESCRIPTION: INSTALL GAS PIPING AND GAS RANGE
OWNER — CONTRACTOR — LENDER
L.D. MADDUX PUYALLUP GAS APPLIANCE INC.
32404 - 29TH AVE SW
rEDERAL WAY WA 98023 PUYALLUP WA
-4379 848-1549
PUYALGA285R1
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 10 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... S 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 • 1 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES S 28.50
---------]
INSPECTION RECORD , 111
Water Line OK Mechanical Inspection Notes:
SS PIPING OK Date By J i, I
DATE
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------ _.4 7J / ,i
.�'�:o- ..- ., ) DATE .,--
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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1 2 -J/-- .'2 - c 0-Ai c d t i-/z a /Y //j¼r AI"2:: laiL 7. yeltAsciv-(
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MRCEIVED BY 110
r 5„it #.1I7 2-2466 .
COMMUNITY QgVEIAPMEN1 OIPARTMENT
CITY OF FEDERAL WAY
NOV 1 9 1992 BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME: pi A PD t`(X
OWNER MF DDUX SITE LOCATION
OWNER'S ADDRESS_3Z1-1-U'+ '1 Pt\lt SW CITY EL D&RWL kA.MY PHONE 2'14 - 13'79
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION ~fit
BOX 2 CONTRACTOR'S NAME PUYRLLOP CSS FkPPLI (}IJ( ILI. CONTRACTOR'S REG. #_1ary4IGHt �
nn Card MUST be presented
CONTRACTOR'S ADDRESS t' • ,Ox 95 CITY PLIYt4LLLJtD PHONE ?' l 44-
EXPIRATION DATE ?,y qj
— 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 D''.' S PHONE ."(1/O -> 4"(
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 submit a eparate page with the legal description.)
K.C. Plat Recording # 2_ 16100 — it-1e°
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 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 1 OTHER C,e $
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 ONIy WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EM 0 S, UPON THE ACCURACY OF E INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: v�T `-'' DATE: // _//
ANP-008 3/90