92-101643CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 32314 10TH PL S
PARCEL NO.: 150240-0100
PROJECT DESCRIPTION: MECHANICAL
11—
GEORGE KIMBALL
32314 10TH PL S
FEDERAL WAY WA
839-5087
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 1
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
Water Line OK
&S PIPING OK
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
FANS..........:
0
BOILERS/COMPRESSORS
HOOD...........
0
0-3 HP....... 0
DUCT WORK.....:
0
3-15 HP.....: 0
WOOD STOVES...:
0
15-30 HP....: 0
FURN>100K.....:
0
30-50 HP....: 0
MISC...........
0
5+ HP........ 0
AIR HANDLING UNITS
FUEL TANKS ---------
<=10,000 CFM:
0
ABOVE GROUND: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
INSPECTION RECORD
Mechanical Inspection Notes:
Date By
LENDER
9�-/0/G Y3
PERMIT NO.: BLD92-2235
ISSUED: 10/05/92
BY: MH
FEES:
MEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* $ 10.00
TOTAL FEES $ 30.00
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.
�1
OWNER OR AGENT DATE i v C, ^L
bld mech 07/01/92
0
�rmit # 16t1_2 92..
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
0 zCDc'"RAyL — Please Print -
---z t."MACVii:
BOX 1 TENANT NAME:
OWNER ,f_ -A o , SITE LOCATIO _ L s
OWNER'S ADDRESS '-tet-r CITY a L� PHONE '33`1 `J
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S
CONTRACTOR'S REG. #
1 Card MUST be present1ed
CONTRACTOR'S ADDRESS ���r_DG�'l\ `� CITY�%C..ti > ��' PHONE`
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 ct'y"- -'A k-' PHONE `� i - Q-'-PS-J
BOX 4 SEWER DISTRICT '' WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST lo`_: EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER I' U2- 40 - LI Cx
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 -------J— GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( )
COMM ERCIAVINDUSTRIAL 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
MECHANIC L APPLIAN
GAS PIPING, FEET; (.� ' . ` �)`
NO.- FURNACE, ELEC.--+- I
GAS HOT WATER HEATER
CONVERSION BURNER
BOILER, SIZE B
AIR HANDLING UNITS
HEAT PUMPS, SIZE
UNIT HEATERS
AIR COOLING UNITS, SIZE
COMMERCIAL HOOD
OTHER
CES — BASIC FEE $
GAS $
$
TU $
$
$
$
$
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
�
OWNER/AGENT: ( [--V\ V4 Gi/W2iV -,;1 DATE:
ANP -008 3/90
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92®2235
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/05/92
Federal Way, WA 98003 BY: MH
661-4000
SITE ADDRESS: 32314 10TH PL S
PARCEL NO.: 1502400100
PROJECT DESCRIPTION: MECHANICAL
OWNER
GEORGE KIMBALL
32314 10TH PL S
FEDERAL WAY WA
0 5087
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 1
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
44ater Line OK
G%S PIPING OK
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
LENDER
FANS..........: 0
BOILERS/COMPRESSORS
FEES:
HOOD..........: 0
0-3 HP......: 0
MEC PRMT ISSUANCE... S 20.00
DUCT WORK.....: 0
3-15 HP.....: 0
MEC APPLIANCE FEES.* S 10.00
WOOD STOVES...: 0
15-30 HP....: 0
FURN>100K.....: 0
30-50 HP....: 0
MISC........... 0
5¢ HP........ 0
AIR HANDLING UNITS
FUEL TANKS ---------
<=10,000 CFM: 0
ABOVE GROUND: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES S 30.00
INSPECTION RECORD
Mechanical Inspection Notes:
Date Z, By zff/_
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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
bld_mech 07/01/92
DATE i (z) 1 1 0, Z—