92-101384 CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2112
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/10/92
Federal Way, WA 98003 BY: MH
661-4000
SITE ADDRESS: 2815 SW 350TH PL
PARCEL NO.: 351800-0140
PROJECT DESCRIPTION:
OWNER — CONTRACTOR — LENDER
DOUGLAS WESTY ABC GAS INSTALLATIONS
2815 SW 350 PL 9923 64TH CT E
FEDERAL WAY WA 98003 PUYALLUP WA 98373
540 845-7482
ABCGAI113N3
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 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.* S 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
ter Line OK Mechanical Inspection Notes:
S PIPING OK Date By 11
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ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STAR • 104
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FED QUIREMENTS WILL BE MET.
. IV
OWNER OR AGENT "------,� v DATE 9-^ re-D-- 3,2
bld mach 07/01/92
s •
BUILDING DEPARTMENT
CITY OF FEDERAL WAY
• • •
Correction Notice
Job Located at D3I5 z5 ) 350
I have this day inspected this structure and these premises
and have found the following violations of City and/or State
laws governing same:
rL,a4'iL-` F11c* P4c/2/V — To �L l bN /4i VI
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TEmp. l'r 5,7611E zee (/14LUE TO Te-zkyttivorE
4uTs7ci& 3u, c p /Ak
You are hereby notified that no more work shall be approved
upon these premises until the above violations are corrected.
When corrections have been made, call for inspection.
Date /0- 9-- 2 111b42/c /1/66 50
Inspector for Building Dept.
DO NOT REMOVE THIS TAG
A91P-007 3/05/90
fECEIVED Permit # &-D 9.? - o2/42
AUG 2 8 1992 CITY OF FEDERAL WAY
ar'""EDERALvii a' BUILDING PERMIT APPLICATION
mom owl*
—Please Print—
BOX 1 TENANT NAME: ti) , / aj , /
OWNER I. TE LOCATION
OWNER'S ADDRESS c-N / ,5. .'6 r4 CIT tCVat®1E fg-? " 35'510DESCRIBE JOB c.crc. '' =
THE PROPERTY IS OWE Y: SINGLE/MA'RRIED P RTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Zi7G -42oe-d -+1-K-s CONTRACTOR'S REG. #V5C-a- rjeI/,3/,,1 c
Card MUST be presented
CONTRACTOR'S ADDRESS 99:23 a` 6 CITY gr-Z447PHONE_elicf-2`/8�
EXPIRATION DATE Q- 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 °--i�.-e- PHONE 'FS"71(6
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 3578 6'0 B /'y cs
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 I
3RD FLOOR / BASEMENT / DECK_____/ GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL 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 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 THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: 14G`-�"--` DATE: AIIV;
a ' 9Th_
ANP-008 3/90