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93-101939CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 661-4000 SITE ADDRESS: 28945 11TH AVE S PARCEL NO.: 720570-0050 PROJECT DESCRIPTION: HVAC OWNER DON KNIGHT 28945 11TH PL S FEDERAL WAY WA 98003 -U2-4107 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 10 -IS PIPING OK FANS........... 0 HOOD........... 0 DUCT WORK.....: 0 WOOD STOVES...: 0 FURN>10OK...... 0 MISC........... 0 AIR HANDLING UNITS <=10,000 CFM: 0 > 10,000 CFM: 0 MECHANICAL PERMIT BUILDING INSPECTION - 661-4140 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 By LENDER g3_/al93g PERMIT NO.: BLD93-0857 ISSUED: 08/03/93 BY: JJ FEES: MEC PRMT ISSUANCE... S 20.00 MEC APPLIANCE FEES.* S 10.00 TOTAL FEES $ 30.00 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. 1 CERTIFY THAT THE INFORMATION FUR0 I6HED BY ME1SBTRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT DATE r �� bld mech 07/01/92 A1T— 2-93 MON 15:59 NW WATER ER HEATER TACOMA FAX NO, 206 588 0353 P.06 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION Please Print — BOX I TENANT NAME: ONNERi M, 10"ifG Q+ Silt LOCATION �&Y_fqr- 1!Jnr pt r - C� S. _ y DNNER'S AUCHESS �)� I I 1 411 FL CITY r -.LA_). _PHON� DESCRIBE JOB 11-? Si a I Q1 c) uPLA')(.v. _0 THE PROP19TY IS OWNED SY- PARTNERSHIP CORPORATION BOX 2 cONTRACTOR'S NAME CONTRACTOF1*3 REG. CONTRACTOR'S ADDRESS QA_A CAR n_QQ&S'-%T _fCkC13y"(\q EXPIRATION DATE oil — PHOP I HAVE READ CHAPTER 18.27.01 B RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27,110 WHIC14 PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION, BOX 3 CONTACT PERSON PHONF___C BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROjECT COST EXISTING BUILDING VALUATION BCX 6 PROPERTY TAX ACCOUNT NUIA9E_ LEGAL DESCRIPTION (11 necessary, Please submit a separate page with the legal description,) KC. Plat Rewrding # WX 7 BUILDING SaUARE FOOTAGE: (Existing/Proposed} IST FLOOD j_2ND FLOOR 390 FLOOR-/-- BASEMENT_._.._ _j_ DECK ------J- GARAGEj_ BOX 8 SINGLE FAMILY NEW CONSTRUCTION MULTIFAMILY (NO. OF UNITS - EXISTING STRUCTURE COMM ERCIAL/INDUSTRIAL TOTAL ALGA OF PROPERTY -SO FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — WIG FEE NII. 4ATERCLOSETS GAS PIPING, FEET -UY- - -BATHTUBS NO.___L_FuRNACE, ELEG, GAS, I$ -SHOWERS —GAS HOT WATER HEATER $ -LAVATORIES —CONVERSION BURNER $ -SINKS -BOILER, .51ZE _ BTU _DISHWASHERS __AIR HANDLING UNITS -ELECTRIC HOT WATER HEATER —HEAT PUMPS, SIZE -LAUNDRY WASHER OUTLET -UNIT HEATERS $ -URINALS --AIR COOLING UNITS, SIZE ,-DRINKING FOUNTAINS __________rOMMERCIAL HOOD -SUMPS, SPRINKLER VACUUM BREAKERS -OTHER -DRAINS S -OTHER $ --TOTAL FIXTURES TOTAL MECHANICAL FEE $ 1 CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND rUIRTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISESTCIPERFORM THE WORK FOR WHICH PERMIT APPLICATION IS "ADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, ANCA 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 EMPLOYEEq, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION, AW -M 34P 0 CITY OF FEDERAL WAY Pegif # BUILDING PERMIT APPLICATIO�E�, — Please Print — BOX 1 TENANT NAME: (If necessary, please submit a separate page with the legal description.) OWNER l SITE LOCATION +'" rL -J , OWNER'S ADDRESS Y6qq 5 CITY ELL-) . PHONE - L lC DESCRIBE JOB 1 AC FLOOR / THE PROPERTY IS OWNED BY: SIN LE/MAR ED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME hi11111 ) 0 UQ_0t±P A- CONTRACTOR'S REG. # NDRTf�U) I -_3 ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE Card MUST be presented ( ) COMM ERCIAL/INDUSTRIAL CONTRACTOR'S ADDRESS 56c� I ft IYIQQ aS`jCITY _ (QT Y\a PHONE 234-(040V BOX 9 PLUMBING FIXTURES (including rough -ins) EXPIRATION DATE 1ajo ct3 N0. WATERCLOSETS GAS PIPING, FEET aiiC$ —OR— NO.—_FURNACE, ELEC. I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND SHOWERS CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON —PHONE—- CO BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST IC`5C+ EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER UJ q O — ()C •5c $ LEGAL DESCRIPTION UNIT HEATERS (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 / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMM ERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ N0. WATERCLOSETS GAS PIPING, FEET aiiC$ BATHTUBS NO.—_FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ 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 $ 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: ` a DATE: ANP -008 3/90 CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 561-4000 SITE ADDRESS: 28945 11TH AVE S PARCEL NO.: 720570-0050 PROJECT DESCRIPTION: HVAC OWNER DON KNIGHT 28945 11TH PL S FEDERAL WAY WA 98003 834-4107 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 I CERTIFY THAT THE 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 MECHANICAL PERMIT BUILDING INSPECTION - 661-4140 CONTRACTOR LENDER NORTHWEST WATER HEATER 8201 DURANGO ST SW TACOMA, WA WA 98499 984-6404 NORTHWH103112 PERMIT NO.: BLD93-0857 ISSUED: 08/03/93 BY: JJ BOILERS/COMPRESSORS FEES: 0-3 HP......: 0 MEC PRMT ISSUANCE... $ 20.00 3-15 HP.....: 0 MEC APPLIANCE FEES.* $ 10.00 15-30 HP....: 0 30-50 HP....: 0 5+ HP........ 0 FUEL TANKS --------- ABOVE GROUND: 0 UNDERGROUND.: 0 TOTAL FEES $ 30.00 INSPECTION RECORD Mechanical Inspection Date By 6F7--� Notes: ALL ERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. ME IS T AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. e OWNER OR AGENT DATE bld mech 07/01/92 SET BACKS AND FOOTINGS DATE. ..... .. . . .... ... . . .... .. -BY TK TO POUR FOUNDATION WALLS DATE...... . . .... . .... . BY ..... . ... . ..... . . ... . . .... PLUMBING GROUNDWORK DATE ... . . ... .... . . .. ...... --_--BY PLUMBING ROUGH IN DATE ,__--..._._-.......BY . ......... WATER LINE O.K. . ....... . . . .... .. . __ GAS PIPING O.K._-...._......- . ..... . MECHANICAL INSPECTION DATE . .. .... .. . . ...... .. __ ___ --BY . . .... .. ... ..... O.K. TO ENCLOSE FRAMING DATE - . . .... _.....___..BY INSULATION DATE . . .......... . .....__-_BY .... . .... .. . ...... . WALL BOARD AND FIRE WALL DATE __-_-..__BY FINAL O.K. TO OCCUPY DATE... . . . .. .... -., _BY . . . ... ..... . . .... .... DCD PSD I'D Y- Z12Z-r 06-