93-100321CITY OF FEDERAL WAY
11 MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 30011 23RD AVE SW
PARCEL NO.: 012103-9101
PROJECT DESCRIPTION: INSTALL GAS PIPING, FURNACE, & HOT WATER HEATER
OWNER
PATRICK O'BRIEN
30011 23RD AVE SW
FEDERAL WAY WA 98023
05054
FUEL TYPES.:GAS
GAS PIPING.: 50
FURN<100K..: 1
GAS HWT....: 1
CONV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
FANS..........: 0
ft 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
IRS PIPING OK ti '
CONTRACTOR
WOLF'S INDEPENDENT HEATING INC
3010 S. MULLIN
TACOMA WA 98409
564-7787
WOLFSIH101CK
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 Z`Z'i By
Notes:
LENDER
PERMIT NO.: BLD93-0130
ISSUED: 02/10/93
BY: PC
FEES:
MEC PRMT ISSUANCE... S 20.00
NEC APPLIANCE FEES.* S 19.50
TOTAL FEES $ 39.50
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 EG�k
W�
y�ry
VED BY
COMMUNITY Q EL'®j 3
OPMENT D PARTh11ENT It # f� Z 9� - l
FEB 4 1993 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER ` -f' d ' SITE LOCATION
OWNER'S ADDRESS -13000 23 AAJ &W CITY �l-`�A�.t PHONE
DESCRIBEJOB -51
THE PROPERTY IS OWNED BY: SINGLE/MARRIED 'je PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME LQ.MLf `5 1tJWEWRPAT i*knOk CONTRACTOR'S REG. # t2ldT-6111 laldK—,l
Card MUST be presented
CONTRACTOR'S ADDRESS PLL L; -A A) CITY PHONE
EXPIRATION DATE 16-226 - 43
—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 LEM 0614: PHON 1
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
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 /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 V) SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRU6TURE
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET <z)
$
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 OFTHE ABOVE PREMISESTO 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 EMPLQ,_E�S, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
ANP -M 3/90
CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 30011 23RD AVE SW
PARCEL NO.: 012103-9101
PROJECT DESCRIPTION: INSTALL GAS PIPING, FURNACE, G HOT WATER HEATER
OWNER
PATRICK O'BRIEN
30011 23RD AVE SW
FEDERAL WAY WA 98023
838-5054
FUEL TYPES.:GAS
GAS PIPING.: 50 ft
FURN<100K..: 1
GAS HWT.... : 1
CONV BURNER: 0
BBQ........ : 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
Water Line OK
GAS PIPING OK
CONTRACTOR
WOLF'S INDEPENDENT HEATING INC
3010 S. MULLIN
TACOMA WA 98409
564-7787
WOLFSIH101CK
LENDER
PERMIT NO.: BLD93-0130
ISSUED: 02/10/93
BY: FC
FANS..........:
0
BOILERS/COMPRESSORS
FEES -
HOOD..........:
0
0-3 HP......: 0
NEC PRMT ISSUANCE... S 20-00
DUCT WORK.....:
0
3-15 HP.....: 0
NEC APPLIANCE FEES.* $ 19.50
WOW STOVES...:
0
15-30 HP....: 0
FURN>10OK ..... :
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
TOTAL FEES 39.50
INSPECTION RECORD
Mechanical Inspection Notes:
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 DATE u
bLd—mech 07/01/92��