92-102107CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 31222 STH AVE S
PARCEL NO.: 858800-0130
PROJECT DESCRIPTION: INSTALL GAS WATER HEATER
OWNER CONTRACTOR
LENDER
JAMES LOMBARDO FUTURE II NATURAL GAS
31222 -8TH AVE S 9505 120TH ST E
FEDERAL WAY WA 98003 PUALLUP WA 98373
927-6876 770-2785
FUTURIN099QM
A
FUEL TYPES.:GAS ?
GAS PIPING.: 15 ft
FURN<100K..: 0
GAS HWT.... : 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
FANS........... 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K...... 0
MISC........... 0
AIR HANDLING UNITS
—10,000 CFM: 0
> 10,000 CFM: 0
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP...... 0
15-30 HP..... 0
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
Water Line OKi Mechanical Inspection Notes:
AS PIPING OK I Z I1 C Date By
9)- /o ? / 07
PERMIT NO.: BLD92-2483
ISSUED: 12/02/92
BY: JJ
FEES:
MEC PRMT ISSUANCE... E 20.00
MEC APPLIANCE FEES.* $ 8.50
TOTAL FEES S 28.50
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 , iC1 h ( .Ly DATE j H�
bld mech 07/01/92
0
E
SET BACKS AND FOOTINGS
DATE_ -___-BY
OX TO POUR FOUNDATION WALLS
DATE BY
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE ._........--.....BY - . . . .... ... . ... ..
WATER LINE O.K.
GAS PIPING . . ......
MECHANICAL INSPECTION
DATE BY9f
O.K. TO ENCLOSE FRAMING
DATE -_ BY
INSULATION
DATE -------
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE_ .BY
DCD
PSD
I'D
omit# J03
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME
OWNER -,JGLYlit' /
OWNER'S ADDRESS
DESCRIBE JOB t 6 S- A
THE PROPERTY IS OWNED BY
Loy) d.►. C7
LE/MARRIED
SITE LOCATION 3 j Z ZZ Y /-ky
CITY FEIa W Aq PHON
PARTNERSHIP
CORPORATION
to
BOX 2 CONTRACTOR'S NAME Fug 'LC _U: A n,+U ro_L &Q 5 CONTRACTOR'S REG. # p, LTLkjE i 0C7g46,i►j
nCard MUST be presented
CONTRACTOR'S ADDRESS Ste. E: CITY PWALU PHONE 1110 - Z--1
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 Scutt /* . i4y m eh r-P.t PHONE 1-10 -Z77
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 'R5?3 _ Q 3 0
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
M
PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
_LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET 15
$
N0. FURNACE, ELEC. GAS
$
1 GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
OTHER
$
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 WKOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: Q {�Q ���pl.c,,,f' DATE: Z,3 you, R2
ANP -008 3/90