92-101238 CITY OF FEDERAL WAY BUILDING PERM 'T 9),/10I d3
PERMIT NO.: BLD92-2
037
3:.530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/14/92
Federal Way, WA 98003 BY: AJ
661-4000
SITE ADDRESS: 636 SW 323RD ST
PARCEL NO.: 926492-0050
PROJECT DESCRIPTION: MECHANICAL ® GAS HOT WATER HEATER
OWNERF--
,r— CONTRACTOR LENDER
MICHAEL DENNETT i ENVIRONMENTAL DESIGN, INC.
636 SW 323RD ST. 25328 SE 200TH ST.
FEDERAL WAY WA 98023 MAPLE VALLEY WA 98038
874-2260 432-4247
ENVIRDIO98K1
BLS: MEC?:X PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •' FEES:
TYPE OF WORK:? USE:? 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' . MEC PRMT ISSUANCE... S 20.00
CENSUS CATEGORY •7 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •? MEC APPLIANCE FEES.* $ 8.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 0 SIDE • 0.00 ft WATER SERVICE..:?
:? :7 :? :? DECK: 0: 0:sf REAR........... 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:08/11/92
0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 28.50
GAS PIPING.: 99 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ALL TERMITS EXPIRE .0 DAYS AFTER ISSUANCE IF NO WORK IS START 9. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT TH, INFORM' ION FURNISHED BY ME IS TRS' AND •-RECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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OWNER OR AGE 0� �� � ��_��� DATE !J <-.41111111r402 �
bld_prmt 07/31/92
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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE _ BY __ __ DATE __ ____ _eY DATE BY
PLUMBING ROUGH IN WATER LINE O.K MECHANICAL INSPECTION
DATEGASBY ^Sp|p|wGOm. __ -- __ DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE ____-__�aY DATE BY __'_____-____ DATE BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE -4-3- BY1°?
_
• •iermit # cl - 7
RECEIVED BY
coMM�"''IEN DEVELOPMENT DEPARTMENT CITY OF FEDERAL WAY
AUG 1 0 1992BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER 1 1 / - , / ITE LOCATION _i _ r _I -
OWNER'S ADDRESS �� " CITY — PHONE - _ Z )
DESCRIBE JOB /i{)577}CC_ G S
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ✓ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME P/V LI, ,92 7% i 4- iA.?X CONTRACTOR'S REG. #ZWL-I//c7-6/
_ /� Card MUST be presented
CONTRACTOR'S ADDRESS y .51-3.2, � �,� -� CITY MIVX 1�Y29'PHONE 1/32 z/2 V 7
EXPIRATION DATE 4 // 9
— 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"C C`1.../1 PHONE /7
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER '-i 2 - 6i4-/ 92.. c -O
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 ( ` 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 $
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 INV . • ION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAIN HE CIT OF FEDERAL WAY, BUT ONLY VIHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND " PLOYE , UPON THE ACCUR,i OF . INFORMATION IED TO THE CITY AS A PART OF THIS APPLICATION.
41116
OWNER/AGE : - /h DATE: 0
ANP-008 3/90