92-102261 9.1-/6.1 .6,/
CITY OF FEDERAL WAY lvi EC HAN I CAL PERMIT PERMIT NO.: BLD92-2569
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/18/92
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 3944 SW 336TH PL
PARCEL NO.: 921151-0460
PROJECT DESCRIPTION: INSTALL GAS FURNACE, HOT WATER HEATER, & GAS PIPING
- OWNER CONTRACTOR - LENDER
DAVID EDVALDS I SUNLOK INC.
3944 - 336TH PL 11630 SLATER NE
FEDERAL WAY WA 98003 KIRKLAND WA 98034
4103-0303 2068234454 874-2570
SUNL01*107J6
1
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 fr 38.50
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INSPECTION RECORD
Wa:e; :::
OK Mechanical Inspection Notes:
41 OK 27-.2- 23Asnr,,> Date By A ,,
QN. - \ * P
1440
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 TPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
<---..-Th C.
OWNER OR AGENT \` I/ / - DATE A-. /7 �/ C?q
bld_mech 07/01/92 �1 ((
APR-23-1900 11 37 FROM TO 12066614129 P.02
Peri11P ,1)a[7 Z 5 VI
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
--Please Print---
OWNER . V .' 517E LOCATION
�- JI)
OWNER'S ADDRESSy� CITY :����,� �� PHONE ,
DESCRIBE JOB t++.'^ Ltf
;i S� !re rdptc y THE PROPERTY IS OWNED BY: SINGLE/MARRIED _ .,...PARTNERSHIP CORPORATION -"-
BOX 2 CONTRACTOR'S NAME ;: s�Nt�04 CONTRACTOR'S REG. CIA f 01 4' !0?5 G
Card MUST be presented
CONTRACTOR'S.ADDRESS 1 ja•30 :L� F� CITY K; /4N.O PHONE a3'(14/54'
EXPIRATION DATE -
-OR-
I HAVE READ CHAPTER 1 F?27.010 RELATING TO DEFHNiTIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 15.27.110 WHICH PROHIBITS ISSUING PERMITS WITMOUT PROOF OF REGISTRATION. -
BOX 3 CONTACT PERSON C41-•q-y J i4 _— PHONE. e23-c/;7
BOX 4 SEWER DISTRICT _- _ WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX F PROPERTY TAX ACCOUNT NUMBER.,. 3;0(' "/- 6 D �^ _
LEGAL DESCRIPTION
(It necessary, please sudrlt a separate page with the Legal description.)
K.C. Plat Recording#
SOX 7 BUILDING SQUARE FOOTAGE: (Existing/Pmosed) 1ST FLDOR_.—_I _ 2ND FLOOR
3RD FLOOR J _ BASEMENT_ I GECM; I- __ GARAGE. _J
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS ) ( ) EXITING STRUCTURE
( ) COMMERCIALl'INDUSTRIAL. TOTAL AREA OF PROPERTY __.__SQ FT
SOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES -- R.ASir, FEE$
_WATERC1 OSETS GAS PIPING. FEET -I D $ 123'Cti3_
—__--BATHTUB; NO. I FURNACE, ELEC. GAS_ $
SHOWERS HOT WATER HEATER S t xs•6C3_
--LAVATORIES CONVERSION BURNER $
SINKS ._�._ -BOILER, SIZE BTU c
__DISHWASHERS AIR HANDLING UNITS S -
ELECTRIC HOT WATER HEATER -HEAT PUMPS.SIZE 5
_LAUNDRY WASHER OUTLET _ UNIT HEATERS
URINALS AIR COOLING UNITS, SIZE S
DRINKING FOUNTAINS _ COMMERCIAL HOOD
SUMPS,SPRINKLER VACUUM BREAKERS __-OTHER _ S
DRAINS S
OTHER
TOTAL FIXTURES
TOTAL MECHANICAL FEE $ '_"?
I CERTIFY UNDER PENALTY SOF PERJURY THAT THE IM ORMATION 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 I,,
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 8Y ANY PERSON,INCLUDING THE UNDERSIGNED.
AND H LED 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.
jpf/'�6,
OWNER/AGENT' C 'V J'i^ n�'.w6 " DATE. __.__itt �..�-