93-102807OWNER
KENNETH SHERWOOD
32205 - 10TH AVE S
EDERAL WAY WA 98003
839-1161
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404 588-0393
NORTHWH103R2
LENDER
FUEL TYPES.:GAS
FANS..........:
0
CITY 0DEWRAL WAYay
MECHANICAL
FEES:
P
GAS PIPING.: 0 ft
MIT NO:
PERISSUED:
0
33530First South
MEC PRMT ISSUANCE...
$ 20.00
FURN<IOOK..: 1
DUCT WORK.....:
111/02/9380
Federal Way, WA 98003
Building Inspection Requests 661-4140
BY:
FLF
661-4000
WOOD STOVES...:
EXPIRES:
05/01/94
ADDRESS:32205 10TH AVE S
CONV BURNER: 0
NO.: 609390-0160
0
30-50 HP....: 0
PROJECT DESCRIPTION: HVAC - INSTALL
GAS FURNACE
BBQ......... 0
MISC...........
OWNER
KENNETH SHERWOOD
32205 - 10TH AVE S
EDERAL WAY WA 98003
839-1161
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404 588-0393
NORTHWH103R2
LENDER
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 HP......: 0
MEC PRMT ISSUANCE...
$ 20.00
FURN<IOOK..: 1
DUCT WORK.....:
0
3-15 HP.....: 0
MEC APPLIANCE FEES.$
$ 10.00
GAS HWT....: 0
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
$ 30.00
oes the water supply
system contain a
Pressure
Reduction Device or Check valve?
() Yes () No (If 'Yes' then water expansion tank is required
on Hot Water Tank)
Inspection Record
Water Line OK
Mechanical Inspection Notes:
GAS PIPING OK _
Date _ By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
FILE COPY
DATE_ --
NhIr-
0
a ebb uj!D6 r Uz
Peet ## �)EP03 1 Vo
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— ple9se Prim
BOX 1 TENANT NAME: In
LWNi RLy . r-
,, SITE LOCATION � �� U
OWNER'S ADunESS r- �: CITY FTS'— - ___ PHor F
IDESCrRISEJOS 0: i
THE PROPERTY IS OWNED BY; S11. LFMA,AR. IED PARTNZRSHI P --- __ CDRRO?4TION�
GX 2 CONT RACTOR'S NAME - hiI t y_a( 1 r1 — CONTRACTOR'S REG, # 4
CONTRACTOR'S ADORESS �u 1 i ar be presented+
EXPIRATION DATE VA
� ��� I � � PHdN
— OR
I HAVE READ CHAPTER 18.27-010 RELATING TO DEFINITIONS OF aENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18 27,110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF F.ECISTRATION,
BOX 3 CONTACT PERSON _,_11�t. —`' . DT ..77_ ,
3OX a SEWER 01,57ICT � � WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST r EXISTING BUILDING VALUATIDN
BOX 8 Pn;PERTY TAiC ACCQUNT NUMBER ( 0 c)
LEGAL DESCRIPTION
(If necessary, p';eas$ SuOmit a, separate page with the Iegal description,)
K.C. Piat Pecording #
3GX 7 SUILDIIVG SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOD-- - — 2ND FLOCK
3RD FLOOR -----j__ SASEMEFJT/ GARAGE��1
Rox a ( ) SINGLE FAMILY ( )NEW CONSTRUCTION
€ )
MULTI FAMjLY (NO. OF UNITS = _) ( ) EXISTING STRUCTURE
__( ) C;?h,IMERC,AL/iN USTRIAL TOTAL AREA OF PROPERTY CIO FT
30X g PLWMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES ,— BASIC FEE $
NO.— WATERCLOSFTS GAS PIPING, FEET $
- _�BAThTUSS NO.__ —FURNACE ELEC. _ GAS "- $
—SHOWERS GAS HOT WATER HEATER
—LAVATORIES ..—CONVERSION BURNER
�aSINKs ..—CONVERSION� „_80ELEla, SIZE __._� 6T;,"
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT" WATER HEATER —AIR
—HEAT PUMPS, SIZE
-- LAUNDRV'NASIiER OUTLET ��LINIT HEATERS
DRINKKINING FOUNTAINS— - �IN�aIR COOLING UNITS. SIZE $
.RCC��iMERv^^IAL H0p0 $
SUMPS, SPRINKLER VACUUMVACUUMBREAKERS —OTHER $
- ,DRAINRAINS
.OTHER -- . _ S —�--
-TOTAL FIXTURES i $-
$
TOTAL MECHANICAL FEE
CERTIFY UNDER PENALTY OF PCRJURY THAT THE INFORMATION FURNISHEDBY Mee IS TRUE AND CORRECT TO THE BEST OFMY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED ByTHE OWNER OFTHEABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MACE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND AT
TpRNEYS'
'EES INCUPRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
SND Fi LED AGAINST THE CITY OF FEDERAL WAY, 6L'T ONLY WHERE SUCH CWLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
)FFI ;ERS AND EMPLOYEES, U hf THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CIT Y AS A PART OF THIS APPLICATION.
OWNER/AGENT: '
�—� ..� ;�J r iL LIkTE; _Ll L[c
ANF -d a $m
CITY OF FEDERAL
WAY
MECHANICAL33530
r3E R M! T
First Way
South
Federal Way. WA
98003
Building Inspection Requests i61-4140
t•e
ADDRESS:32205 10TH AVE S
NO.: 609390-0160
PROJECT DESCRIPTION : HVAC - INSTALL GAS FURNACE
L3OVAER
KENNETH SHERWOOD
2245 - 10TH AVE S
EDERAL MAY WA 98003
839-1161
FUEL TYPES.:GAS
GAS PIPING.: 0 ft
FURN<100K..: i
GAS NMT..... 0
CONY BURNER: 0
BOO......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS... 0
7�
CONTRACTOR —
NORTHWEST WATER NEATER
8201 DURANGO ST SW
TACOMA, WA NA 98499
984-6484 588-0393
LENDER
PERMIT NO: BLD93-1180
ISSUED: 11/02/93
BY: FLF
EXPIRES: 05/01/94
TOTAL FEES $ 30.00
oes the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No ill "Yes' then water expansion tank is required on Not Mater Tank)
Inspection Record Mater Line OK _-------, Mechanical Inspection Notes:._-_--
GAS PIPING OK Date 00
PERMITS EXPIRE 180 DAYS. AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISEO BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET,
OWNER OR AGENT __.. ___.______ _.______._.____ DATE
FIELD COPY