93-102083 CI fY OF FEDERAL WAY MECHANICAL PERMITPERMIT NO.: BLD93-0903
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/17/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 33126 30TH AVE SW
PARCEL NO.: 954280®1900
PROJECT DESCRIPTION: HVAC FURNACE & HW HTR
OWNER CONTRACTOR LENDER
CAROLYN PIELICK NORTHWEST WATER HEATER
33126 30TH AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
ill,
4-4852 984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 60 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.* $ 19.50
GAS NWT • 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 $ 39.50
I
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes
411
1 S PIPING OK ? -i 3 i//I% Date By
e
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.
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OWNER OR AGENT DATE ` --, , C
bLLd_mech 07/01/92
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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLU BING GROUNDWORK
DATE BY-._. DATE ....._ --... BY DATE ._.-.. BY _.
PLUMBING ROUGH IN WATER LINE O.K. _._ MECHANICAL INSPECTION
DATE _. BY .. GAS PIPING O.K. -_... DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY DATE __- _ BY _-_.. DATE BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE_......... BY
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CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93-0903
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/17/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 33126 30TH AVE SW
PARCEL NO.: 954280-1900
PROJECT DESCRIPTION: HVAC FURNACE & HW HTR
a OWNER - CONTRACTOR LENDER
CAROLYN PIELICK I NORTHWEST WATER HEATER
33126 30TH AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
410-4852 984-6404
1 NORTHWH103R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 60 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.* $ 19.50
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 $ 39.50
1 INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
411iS PIPING OK Date By
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 ��� \- r____._. __ DATE — \�
bld_mech 07/01/92
•
March 17, 1995
Re: BLD93-0903, 33126 30th Ave SW
Dear Carolyn Pielick:
A recent survey of our records shows that permit number BLD93-0903 for gas furnace and
water heater has been issued but has had no final inspection or approval by the Federal Way
Building Division.
To assure fire, health, and life/safety, the permit should be finalized by inspection to bring
closure to the case. It is the owner's responsibility to comply with the applicable codes, of which
the inspection process is a part.
This permit is technically expired, but the Building Division would like to extend to you the
opportunity to schedule a final "as built" inspection.
These inspections will be offered on Tuesdays and Thursdays only, between 9:00 am and 4:00
pm unless otherwise arranged per item 7 of the next paragraph (ie: specific time appointments,
pre-arranged, or other weekdays am or pm, no appointments).
If you wish to schedule an inspection, or if you have special needs regarding timing, call (206)
661-4114 and leave the following information at the voice mail prompt:
1) Your name
2) Your address
3) Your telephone number(s)
4) THE PERMIT NUMBER mentioned above
5) The day and date requested
6) Your preference of am or pm inspection
7) Special needs if any
A copy of this letter will be placed in our files for this address. Again, you are encouraged to
bring closure to this case.
Sincerely,
Richard R. Mumma, CBO
Building Official
AUG-16-9310N i 1 :28 NW WATER HEATER TACOMA FAX NO, 206 588 0353 P. 02
• .
Perm r��`�.� �Kc);
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—aleaae Pri,{—
—.o
BOX 1 TENANT NAME,
OWNER C Q, ("k __ a. kC _SITE LOCATION " Mi
OWNER'S ADDRESS _,1, ^) + Li. CITY -4.0• ' 1 PHONE r -- g‘qe,
DESCRIBE JOB s(r-. .'l 1 a z. . . P )( 1 --,1 LX.1 fl r. _ . 1 _
THE PROPERTY IS OWNED BY: SI i LE/MA''''IED PARTNERSHIP ._ CORPORATION —
BOX 2 CONTRACTOR'S NAME _111.1111 , ) - _ I P • 4 _ f ._. CONTRACTOR'S REG. # R,
Card MUST be pre enttd
CONTRACTOR'S ADDRESS 1.3_3,____,.0 l ., -S CITY_. '' PHONE qV-1-(oV`{O _
EXPIRATION DATE a 3 -
—OR
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF G ENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18,27,110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON ' rr i_ PHONE OS •
BOX 4 SEWER DISTRICT — _. . _ WATER DISTRICT .
BOX 5 ESTIMATED PROJECT COS _______ EXISTING BUILDING VALUATION _
BOX B PROPERTY TAX ACCOUNT NUMBER_ "D_' r- -ia. —
LEGAL DESCRIPTION _
(It necessary, please submit a separate page with the legal description,)
K.G. Plat Recording 11
BOX 7 BUILDING SQUARE FOOTAGE: ;Existing/Propcsad) 1ST FLOOR_ l2ND FLOOR I
3RD FLOOR. ___J BASEMENT_ _.! DECK / GARAGE I
BOX $ ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION —
( ) MULTIFAMILY(NO. OF UNITS ; .. ) ( ) EXISTING STRUCTURE
( ) COMM ERCIAL/INCU£TRIAL TOTAL AREA OF PROPERTY S0 FT
BOX 9 PLUMBING FIXTURES(including r3ugh-res) MECHANICAL APPLIANCES— BASIC FEE$
NO.—.____WATERCLCSETS CAS PIPING. FEET ems) ` $ ..
—, __.BATHTUBS NO. 1 FURNACE, ELEC.�GAS X $
_SHOWERS ___L___GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $ —
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS S
_._.._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 B _
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 OWNEROF THE ABOVE PREMISESTO 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 T'tE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE or 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 2_r __ , _DATE: r ' if J 1
ANP-00 3/50