92-101507CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 2811 SW 332ND PL
PARCEL NO.: 894430-0180
PROJECT DESCRIPTION:
OWNER
SCOTT ESTES
2811 SW 332ND PL
FEDERAL WAY WA
874-8799
FUEL TYPES.:GAS ?
FANS..........: 0
GAS PIPING.:
0 `t
HOOD........... 0
FURN<100K..:
0
DUCT WORK.....: 0
GAS HWT.... :
0
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K.....: 0
BBQ.........
0
MISC........... 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<=10,000 CFM: 0
GAS LOGS...:
1
> 10,000 CFM: 0
Water Line OK
OAS PIPING OK
I CERTIFY THAT THE INFORMATION
OWNER OR AGENT
bld mech 07/01/92
JrtNISHED BY
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
AMERICAN HEATING SERVICE, INC.
7517 PORTLAND AVE.
TACOMA WA 98404
847-8399
AMERIHS083145
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
INSPEC'T'ION RECORD
Mechanical Inspection
Date BY6
Notes:
LENDER
q�- la/ Sol
PERMIT NO.: ELD92-2155
ISSUED: 09/16/92
BY: JJ
FEES:
MEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* $ 6.50
TOTAL FEES $ 26.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE �N
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 O.K.___.__
MECHANICAL INSPECTION
DATE --BY
O.K. TO ENCLOSE FRAMING
DATE_.._- - ____BY
INSULATION
DATE ...... ... .._-......--.......BY ... . . . ... ...
WALL BOARD AND FIRE WALL
DATE __,BY
FINAL O.K. TO OCCUPY
DATE . ..... ... . ........ ... .BY
DCD
PSD
I'D
RECEIVED BY
COMMUNITY DEVELOPMENT DEPARTMENT
Peeit # 9,_2/l -
SEP i 8 19BCITY OF FEDERAL WAY
UILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER SITE LOCATION _
OWNER'S ADDRESS- ti CITY PHONEi/1' 7 j
DESCRIBE JOB
THE PROPERTY IS CAYNED BY: SINGLE/MARRIED is PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S
CONTRACTOR'S REG. #.
CONTRACTOR'S ADDRESS 7S J-7 �06XHdk�- /W CITY -7—A Ly,,21A PHONEyS��I
EXPIRATION DATE —7`
I HAVE READ CHAPTLR 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 kYHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON PHONE
BOX 4 SEWER DISTRICT __ WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 01 L) -
LEGAL DESCRIPTiOid
(It necessary, plcasc submit a separate page with the legal description.)
K.C. Plat Recording
BOX 7 BUILDING SQUAIRE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR _J BASEMENT / DECK_____J_ GARAGE /
BOX 8 (') SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (t110. OF UNITS = ) ( ) EXISTING STRUCTURE
( )
COMM ERCIAL/i'0IDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
:M •
PLUMBING FIXTURE -r' (including rough -ins)
N0. WATEi;CLOSETS
BATHTUBS
SI,OWLRS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URIt�;1l_S
DHINI�Ii G FOUNTAINS
SUW,PG, SPRINKLER VACUUM BREAKERS
DRAM'S
OTHLZ
TOTAL FIXTURES
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET $
N0. FURNACE, ELEC. GAS $
GAS HOT WATER HEATER $
CONVERSION BURNER $
BOILER, SIZE BTU $
AIR HANDLING UNITS $
HEAT PUMPS, SIZE $
UNIT HEATERS $
AIR COOLING UNITS, SIZE $
COMMERCIAL H 00$
OTHER W�-—A%— , $
$
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 ASTO 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) � �'/J
ANP -MI 31 0