92-101708CITY OF FEDERAL WAY
335?0 First Way South
Federal `vVay, WA 98003
661-4000
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
SITE ADDRESS: 32510 23RD AVE SW
PARCEL NO.: 638670-0180
PROJECT DESCRIPTION: HVAC - INSTALL LOGS & PIPING
OWNER
MCCLURE
32510 23RD AV SW
FEDERAL WAY WA
874-5877
FUEL TYPES.:GAS
FANS..........: 0
GAS PIPING.:
20 ft
HOOD..........: 0
FURN<100K..:
0
DUCT WORK.....: 0
GAS HWT....:
0
WOOD STAVES...: 0
CONV BURNER:
0
FURN>100K..... : 0
BBQ........:
0
MISC..........: 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<a10,000 CFM: 0
GAS LOGS...:
1
> 10,000 CFM: 0
Water Line OK
S PIPING OK 16 Cr
CONTRACTOR
AMERICAN HEATING SERVICE, INC.
7517 PORTLAND AVE.
TACOMA WA 98404
847-8399
AMERIHS083M5
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
Date/f �5- 2- By *, /
Notes:
LENDER
49-
PERMITNO.: BLD92-2262
ISSUED: 10/12/92
BY: FLF
FEES:
MEC PRMT ISSUANCE... S 20.00
MEC APPLIANCE FEES.* S 8.50
TOTAL FEES $ 28.50
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 DATE
bld_mech 07/01/92
2
SET BACKS AND FOOTINGS
o*re av
_
PLUMBING ROUGH |N
DATE BY
0.K.T0ENCLOSE FRAMING
DATE Bv.... __......... __.......
___
FINAL O.K.TOOCCUPY
oATE/�BY __......
__
{\xTOPOUR FOUNDATION WALLS
DATE 8Y
WATER LINE Ox.
GAS p|P|wG OX.__ ...... —_.... __-
INSULATION
DATE .... __..... ....
_—___--8Y
PLUMBING GROUNDWORK
DATE
MECHANICAL INSPECTION
DATE BY
WALL BOARD AND FIRE WALL
to 0
FD
RECEIVED BY ermit #
A
COMMUNITY DEVELOPMENT DEPARTA 46
CITY OF FEDERAL WAY
OCT 6 199&UILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME'
OWNER r - SITE LOCATION dvz''A_&7'�
OWNER'S ADDRESS I i - '' li CITY'"�?��� -� PHONEI�%
DESCRIBE JOB T r"
THE PROPERTY IS OWNED BY: SINGLENARRIb PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 0,16C(61 6,;,4_,, � C'rll Yr:�?-�( 'C -c (7. CONTRACTOR'S REG. #fid 1 ' Z �f"� �� ��` `
f Card MUST be presented
CONTRACTOR'S ADDRESS �5U3 f2)(__j-bt IJ , 1' ,1Y, CITY / /1 di,1 �4' PHONES �s '71- CSL o
EXPIRATION DATE _ _ _ -7- 2� 5-- "i 3
—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 PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 62 31 / 2L) 0 ( SO
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 I
3RD FLOOR / BASEMENT_____J_ DECK______J_ GARAGE /
BOX 8 (4SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL. AREA OF PROPERTY SO FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
NO. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
N0. 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 6G( ,
$
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/AG
DATE: -IL'
ANP -006 7/90
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICALPERMIT PERMIT NO.: BLD92-2262
BUILDING INSPECTION - 661-4140 ISSUED: 10/12/92
BY: FLF
SITE ADDRESS: 32510 23RD AVE SW
PARCEL NO.: 638670-0180
PROJECT DESCRIPTION: HVAC - INSTALL LOGS & PIPING
OWNER
CONTRACTOR
MCCLURE
AMERICAN HEATING SERVICE, INC.
32510 23RD AV SW
7517 PORTLAND AVE.
FEDERAL WAY WA
TACOMA WA 98404
874-5877
847-8399
WOOD STOVES...: 0
AMERIHSO83M5
FUEL TYPES.:GAS
FANS..........: 0
GAS PIPING.:
20 ft
HOOD..........: 0
FURN<100K..:
0
DUCT WORK.....: 0
GAS HWT....:
0
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K..... : 0
BBQ........:
0
MISC..........: 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
-10,000 CFM: 0
GAS LOGS...:
1
> 10,000 CFM: 0
Water Line OK
PIPING OK
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
FEES:
NEC PRMT ISSUANCE... E 20.00
NEC APPLIANCE FEES.* S 8.50
TOTAL FEES S 28.50
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�.
DATE �
bld_mech 07/01/92 %