93-101620CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICALPERMIT PERMIT NO.: BLD93-0708
BUILDING INSPECTION - 661-4140 ISSUED: 06/29/93
BY: JJ
9 3' /0) ('aD
SITE ADDRESS: 31339 11TH PL S
PARCEL NO.: 787540-0200
PROJECT DESCRIPTION: HVAC - INSTALL GAS FURNACE, HOT WATER HEATER, & PIPING.
OWNER CONTRACTOR LENDER
ORVILLE KJELGAARD NORTHWEST WATER HEATER
31339 - 11TH PL S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
1063 984-6404
NORTHWH103R2
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.* $ 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
INSPECTION RECORD
ter Line OK Mechanical Inspection Notes:
GAS 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 l�`� �C�(„�/�-1� DATE
bld_mech 07/01/92
.,-I1,� rn I Ur,c� (tnCIUdtng rou:f-Ins)
._ V,ATERCLOSETS
SATHTU3S
... SHOG:'ERS
-
—LAVATORIES
- - Siiv18
DIS; ;',";ASH=ZS
ELECTRIC HOT WATER HEATER
LAUNDRY WAS1ER OUTLET
.._ URINALS
•. DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
GRAINS
- - - OTHER
TOTAL FIXTURES
frlCl.1ANICAL AP0LIANCES — cA�IC Fc_ S
GAS PIPING, Fcl�=� _ 5....
CITY QF FEOERAL WAY
BUILDING
F6RVL.,TAPPLICATION
CONVERS,'ON BURNER • -
1
NT NA".;E:
S
ER V\
SiT_ LOCATIO�Y 3 .3 '"- P�-
ER'S A00=,ESS
�- CITY r PHO"gE kllo
UNIT HEATERS
S
Ty IS OPV?.EO 3Y: SING-LEii'.ARRIEO PAR T fNERSHIP CORPORATION
,.ACTOR'S fdAl, E No rtncrest
W-3t"=>;e��-or CONT;-•c,;C70R'S REG. = N0RTF,Wk1 03RD
S
Card MUST be presented
IF.'IC 70 R'S AGO;RESS 820?
Dt,r=nr+n ct c;�j CITY Tacoma PHONE 984-6404
F,ATIO",' OATE I2-22-92
S
—OR—
E READ CHAPTER 18.27.010 RELATI:•:G TO OEFINITiONS OF GENERAL CONTRACTORS ANO SPECIALTY CONTRACTORS ANN
TER 18.27.110 W. -.;CH PROH131TS ISSUING PEntvtlTS V,'IT;;OUT PROOF OF REGiSTIATION.
IACTPERSON Angel Foster PHONEgAd_��n
��OISIr1iCI
`'v'AIEROISIRICI
M TE0 PROJECT COST
EXISTING BUILDING VALUAT ION
=;TY TAX ACCOUNT t:Ul acR
`l `5� 9-i1� - C>
L DESCRIPTION
�-e_sa:y. please submmit a se?arat= para with the iagal descripticn.)
Plat :=+ac�rdinq �
_
GING SQUARE FOOTAGE:.
(C x!sti,-,clFropcsad) 1ST' FLOuR / 2NO FLOOR /
FLOOR______J_
SASEM,ENT / G_OX / GA=AG_ /
SINGLE '-,A ,[LY
( ) N -FIV COfNSTRUCTION
MULTIF.AM1LY (N0. CF UNITS =
) ( } c ISTING STRUCTURE _. _. _....
CO�.',1ERCIAUINDUSTRIAL
TOTAL AREA OF PROPER SQ
.,-I1,� rn I Ur,c� (tnCIUdtng rou:f-Ins)
._ V,ATERCLOSETS
SATHTU3S
... SHOG:'ERS
-
—LAVATORIES
- - Siiv18
DIS; ;',";ASH=ZS
ELECTRIC HOT WATER HEATER
LAUNDRY WAS1ER OUTLET
.._ URINALS
•. DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
GRAINS
- - - OTHER
TOTAL FIXTURES
frlCl.1ANICAL AP0LIANCES — cA�IC Fc_ S
GAS PIPING, Fcl�=� _ 5....
.
NO. I FURNACE, ELIC. GAS K S
- _ r GAS HOT WATER HEATER-..
_ ..._— S _.._..__.
CONVERS,'ON BURNER • -
- -•-- S- -
BOILER, SIZE BTU
S
- -- - AIR HANOCING UNITS
_ - S ----
- • -• HEAT PUMPS, SIZE
-- S -
UNIT HEATERS
S
AIR COOLING UNITS, SIZE
- '�=y S. —.. _
-• - . COMMERCIAL HOOD
S
OTHER
S
S
TOTAL MECHANICAL FEE
;0E- PEt:ALT~i OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE ANO CORRECT TO THE 8ES 1;OF NiY KNOWLEDGE
:R THAT I AMAUTHORIZED 8Y THE 0�ti`NER OF THE ABOVE PRE&"..ISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
THEA AGREE TO SAME H„Rp; LESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
-EO 114 IA;VESTIGATI0'l A:tiO OEFE':SE OP SUCH CLAII �), WHICH �:AY SE ti' ICE BY ANY PERSON. INCLUDING THE Ur;OERSIGNED,
G•�It;ST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CL, .I?A .ARISES OUT OF THE RELIANCE OF THE Cl TY, INCLUDING ITS
.1't0 E`� PLOYEES, UPON T,�j`t ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A SART OF THIS APPLICATION.
NT
CATE:
..•.ce. f•.o
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICALPERMIT PERMIT NO.: BLD93-0708
BUILDING INSPECTION - 661-4140 ISSUED: 06/29/93
BY: JJ
SITE ADDRESS: 31339 11TH PL S
PARCEL NO.: 787540-0200
PROJECT DESCRIPTION: HVAC - INSTALL GAS FURNACE, HOT WATER HEATER, & PIPING.
OWNERCONTRACTOR
ORVILLE KJELGAARD NORTHWEST WATER HEATER
31339 - 11TH PL S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
1063
984-6404
NORTHWH103R2
LENDER
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.* $ 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 II TOTAL FEES $ 39.50
INSPECTION RECORD
titer Line
OAC
Mechanical
Inspection Notes.
GAS PIPING
OK
�- � 3 A�,l
Date r 3
By
ALL PERMITS EXPIRE 160 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
i AJ o
DATE /lam' ..-?/ '-