92-102238CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2562
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/21/92
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 28805 11TH AVE S
PARCEL NO.: 720580-0010
PROJECT DESCRIPTION: INSTALL GAS FURNACE
OWNER
RANDALL OYSTER
28805 11TH AVE S
FEDERAL WAY WA 98003
04638
FUEL TYPES.:GAS
GAS PIPING.: 0 ft
FURN<100K..: 1
GAS HWT.... : 0
CONV BURNER: 0
BBO........ . 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
0ter Line OK
6S PIPING OK
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
mnRTWUN10AR2
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
9;.10x238
LENDER
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.
OWNER OR AGENT /J DATE
bld mech 07/01/92
vermt 4 0/11LI. 4-, v
• •
OAY
OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
EOX 1 TENANT NAME:
O'ti'/NER 1' SITE LOCATION
OWNER'S ADDRESS �- `J .� S CITY 4- rr�_k ck PHONE `iLl(.p � X1(,2
` DESCRIBE JOB�-
THE PROPERTY IS OV,'NED BY: SINGLE/Y,_Rh D PARTNERSHIP CORPORATION
OX 2 CON TRACTOR'S NAME Northwest Water Heater CONTRACTOR'S REG. � NORTHWH103R2
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 DLrancrnSt SW CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92
—OR—
I HAVE READ CHAPTER 18.27.0 i 0 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS V,'ITHOUT PROOF OF REGISTRATION.
OX 3 COINTACT PERSON Angel Foster PHONE g8A-6404
OX 4 SEWER DISTRICT WATER DISTRICT
OX 5 ESTIMATED PROJECT COST ':51' EXISTING BUILDING VALUATION
OX 6 PROPERTY TAX ACCOUNT NUMSER
LEGAL DESCRIPTION
(If necessary, please subnit a separate page with the legal description.)
K.C. Plat Recording y
OX 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST- FLOOR / 2ND FLOOR / -
3RD - FLOOR / EASEfY1ENT ! DECK / GARAGE /
OX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( } EXISTING STRUCTURE - -
I
( } COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY SQFI
OX 9 PLUMBING FIXTURES (including rough-ins) MECHAjr'IC L APPLIANCES — BASIC FEES-----
EESNO.
NO.—WATERCLOSETS GAS PIPING, FEET '.l S
BATHTUBS NO.—FURNACE, ELEC. GAS_ S
SHOWERS _ - GAS HOT WATER HEATER -
LAVATORIES CONVERStON BURNER - -- - - -- S - -
SINKS BOILER, SIZE BTU S
_ _
DISHWASHERS AIR HANDLING UNITS
ELECTRIC HOT WATER HEATER _ - HEAT PUMPS, SIZE - — S--
LAUNDRY WASHER OUTLET UNIT HEATERS
_
URINALS AIR COOLING UNITS, SIZE
DRINKING FOUNTAINS - - COMMERCIAL HOOD S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS-
- OTHER S
-- TOTAL FIXTURES
TOTAL MECHANICAL FEE. S
CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
ND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
ADE. I FURTHER AGREE TO SAVE HARI.SLESS THE CITY OF FEDERALWAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIMI), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
<D FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
FFICERS ACID EtY PLOYEES, UPON THE ACCURACY F THE INFORMATION SUPPLIED TO THE CII AS A FART OF THIS APPLICATION.
�%NER/A.GENT: CRATE:
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICALPERMIT PERMITNO.: BLD92-2562
BUILDING INSPECTION - 661-4140 ISSUED: 12/21/92
BY: JJ
SITE ADDRESS: 28805 11TH AVE S
PARCEL NO.: 720580-0010
PROJECT DESCRIPTION: INSTALL GAS FURNACE
OWNER
RANDALL OYSTER
28805 11TH AVE S
FEDERAL WAY WA 98003
4638
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
FANS..........: 0
HOOD..........: 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC..........
0
AIR HANDLING UNITS
—10,000 CFM: 0
> 10,000 CFM: 0
Water Line OK
S PIPING OK
1GS 5 TN'fL1 b
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
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
INSPECTION RECORD
Mechanical Inspection Notes:
Date,/ -,:25-S'3 By
LENDER
FEES:
MEC PRMT ISSUANCE... S 20.00
MEC APPLIANCE FEES.* $ 10.00
TOTAL FEES S 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.
OWNER OR AGENT
bld mech 07/01/92
DATE
SET BACKS AND FOOTINGS OX TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
|
DATE | DATE | DATE
PLUMBING ROUGH IN WATER LINE OX . . ... .... -__ . .... . MECHANICAL INSPECTION
O.K� TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
FINAL O.K. TO OCCUPY
PSD
RE