93-100352CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
SITE ADDRESS: 32225 23RD AVE SW
PARCEL NO.: 873180-0100
PROJECT DESCRIPTION: INSTALL GAS FURNACE
OWNER
WILLIAM JACOBSON
32225 23RD AVE SW
FEDERAL WAY WA 98023
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN<100K..: 1
GAS HWT....: 0
CONV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
FANS..........: 0
ftHOOD..........: 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>10OK.....: 0
MISC..........: 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
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
Water Line OK Mechanical Inspection
IDS PIPING OK Date }�y2 p3 By
Notes:
LENDER
('�-�rb tF3a-
PERMIT NO.: BLD93-0152
ISSUED: 02/10/93
BY: FLF
FEES:
NEC PRMT ISSUANCE... S 20.00
NEC APPLIANCE FEES.* $ 10.00
TOTAL FEES $ 30.00
A PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMAT FU SH Y E IS TR E AND C RECT THE BEST OF MY KNOWLEDGE AND THE APPLICABL ITY OF EDERAL WAY REQUIREMENTS WILL
OWNER OR AGENT DATE
bld_mech 07/01/92 vn V
MET.
Ir-ul//o^ rt
W YOF FEDERAL WAY
BUILDING PERMIT APPLICATION - �--
^
�
-
p/*asepnnt-
�
)X I TENANT
OWNER'S ADDRKS Cl PHONE
)%3 CONTRACTOR'SNAMIE CONTRACTOR'S REG.
Card MUST be presented
CON -TRACTOR'S ADDTa-PHONE 984-6e04
EXPIRATION DATE
| HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 1G.27.11UWHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OFREGISTRATION.
)X 3 CONTACT PERSON Angel Foster PHONEQ84-640-4
)X 4 SEWER DISTRICT
WATER DISTRICT
PROPERTY TAX ACCOUNT NUM
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C'Plat Recording
�
1vA7 BUILDING SQUARE FOOTAGE:.
2ND
FLOOR
33D' FLOOR BASE1-AO
GARA G
MU0 FAMILY (NO. OF UNITS
EXISTING STRUCTURE
COMMERCIALANDUSTRIAL
TOTAL AREA OF PROPERTY
FT
XB PLUMBING FIXTURES (including rough-ino)
�-----'-
'MECONICAL APPLIANCES BASIG.FEE
N - E3CLOSET5'GAS
PIPING,
6ATHTUBS
ND.___-�__________
FURN��E.ELE�'GAS_�'
$
SHOWERS
---' ��SHOTVY����HE�TER''�
' -�-�-_--_`-_�
LAVATORIES '
' ' -:_�CONYE8�0N BURNER
' S\NKS
______.BD|LER,SIZE ____-_'BTU
-DISHWASHERS
'._-_-`A|RRANO\�NGUN|T�
� S*-__--._
ELECTRIC HOT WATER HEATEB--`-�HEATPUWPS.S|ZE
S-=�-* _----
l�`UNDRYVA\3HER�UTLET
_____-__UN|THE��ER8
� ___-___.
UR|NALS
AIR COOLING UNITS, SIZE __-__-_
' - DR|NK|NGR]UNTA|N3
COMMERCIAL HOOD
-______SUMPS.SPRINKLER VACUUM BREAKERS
_____._OTHER$
DRA}NS `
--S-'-_-'--
__OTREH
��__-----~
--:-TOTAL FIXTURES
'TOTAL MECHANICAL FEE
-_STFYUNDERPENA[T/0FPERJURYTHATTHE|NFORMAT0NFURN\SHED8YME|STRUEANDCORRECTTOTHEGESTDFMYKNDYYLED8E
0 FURTHERTHAT I AMAUTHORIZED BY THE OWNER OF THE ABOVE PREMISESTO PERFORM THEWORKFORWHICH PERMIT APPLICATION IS
DE. I FURTHER AGREE TO SAVE HARIALESS THE CITYOF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, ANDATTORNEYS'
.S|HCURREO|NINVESTIGATION AND DEFENSE OFSUCH CL4|?�).YYH<CHMAY GEMADE (YA��YPERSON, INCLUDING THE UNDERSIGNED,
0FILED 4QA|NSTTH iTYOFFEDER�LVYAY,GUTOA[YYYHERESUCHCLA|NAR|3ESOUTOFTHEREL|ANCEOFTHEC|TY,|NCLUD|NG|TS
*ICERS ANID EMPL0AES, UPO,`1 ThE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
'NE R/r"'SENT
DATE:
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICALPERMIT PERMIT NO.: BLD93-0152
BUILDING INSPECTION - 661-4140 ISSUED: 02/10/93
BY: FLF
SITE ADDRESS: 32225 23RD AVE SW
PARCEL NO.: 873180-0100
PROJECT DESCRIPTION: INSTALL GAS FURNACE
OWNER
WILLIAM JACOBSON
32225 23RD AVE SW
FEDERAL WAY WA 98023
927-9155
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
CONTRACTOR LENDER
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
HOOD..........:
0
0-3 HP......: 0
NEC PRMT ISSUANCE... $ 20.00
DUCT WORK.....:
0
3-15 HP.....: 0
NEC 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
A80VE GROUND: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES S 30.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
GAS PIPING OK
Date By
ALL PERM TS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORM T ON RNIS B ME IS TR E AN CORRE TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY LL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE 1�
bld mech 07/01/92
10