93-100532CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 34731 21ST AVE SW
PARCEL NO.: 242103®9079
PROJECT DESCRIPTION: HVAC FURNACE
OWNER
NURIA ADEM
34731 21ST AVE SW
FEDERAL WAY WA 98032
x2511
BUILDING PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
LENDER
4 � 00
5/�?-
PERMIT NO.: BLD93®0242
ISSUED: 03/04/93
BY: FLF
BLD?: MEC?:X
PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN.........:?
FEES:
TYPE OF WORK:?
USE:?
1ST.: 0:
O:sf
STORIES........: 0
REQUIRED PARKING..:
0
SPRINKLERS?......:?
MEC PRMT ISSUANCE... $
20.00
CENSUS CATEGORY.....:?
2ND.: 0:
O:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
MEC APPLIANCE FEES.* $
10.00
OCCUPANCY GROUP ----------
3RD.: 0:
O:Sf
VALUATION ----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
:? :? :?
:?
OTHR: 0:
O:sf
EXIST..$: 0
FRONT..........
0.00 ft
TYPE OF CONSTRUCTION——
BSMT: 0:
O:Sf
PROP ... $: 0
SIDE..........:
0.00 ft
WATER SERVICE..:?
:? :? :?
:?
DECK: 0:
O:sf
REAR...........
O.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:03/04/93
0: 0:
0: 0:
TOTL: 0:
O:Sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
TOTAL FEES $
30.00
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 URINALS........: 0
GAS PIPING.: 0
ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........:
0
DRINKING FOUNT.:
0
FURN<100K... 1
DUCT WORK......
0
3-15 HP...... 0
SHOWERS .............
0
SUMPS...........
0
GAS HWT.... : 0
WOOD STOVES...:
0
15-30 HP....: 0
LAVATORIES.........:
0
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K......
0
30-50 HP..... 0
SINKS ...............
0
DRAINS..........
0
BBQ........: 0
MISC..........:
0
5+ HP.......: 0
DISH WASHERS.......:
0
LAWN SPRINKLERS:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
0
RANGE......: 0
<e10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS...:
0
COGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
1
1
Ad
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
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_prmt 10/23/92
r- I
As
SET BACKS AND FOOTINGS 'T.K
DATE
TO POUR FOUNDATION WALLS
DATE . ..... . ...... .. BY ___ . ... ... .
PMMIC BING GROUNDWORK
DATE
PLUMBING ROUGH IN
DATE . . .. .... BY
... . .. ... ...
WATER LINE O.K. __ . ...... . ... .... .
GAS PIPING O.K........
MECHANICAL INSPECTION
--,;z 5-
DATE -3 =
O.K. TO ENCLOSE FRAMING
DATE _..-___.-.._..._-....BY .. ... . . . . ... ....
INSULATION
DATE BY .... . . ..... . . ..... ... . . . ....
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DAT ;3_,!:;,�� Y
_ AW(*�
DCD PSD
4 0
FD
V- Y-3 /f,/-
cce-,_S AA _Y.lSi__. 1pl.4,1 C261"Z41)
0
0
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 34731 21ST AVE SW
PARCEL NO.: 242103-9079
PROJECT DESCRIPTION: HVAC FURNACE
OWNER
NURIA ADEM
34731 21ST AVE SW
FEDERAL WAY WA 98032
661-2511
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
110.S PIPING
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
MECHANICALPERMIT PERMIT NO.: BLD93®0242
BUILDING INSPECTION - 661-4140 ISSUED: 03/04/93
BY: JJ
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:
est, -
Date By
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.
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 METo
1) ,
OWNER OR AGENT
bld mech 07/01/92
DATE _
f —. , ,— a n'
CW OFLFFDERAL WAY /S�r7 v2 (� 2 -
BUILDING PERMIT APPLICATION
— Please Print —
1 TENANT NAI ,E:
0' NER ? y Y -v, SITE LOCATION
OWNER -S ADDRESS
` DESCRIBE JOB , _ r CITY' c PHONE l -:l;
THE PROPERTY IS 0vrNEO B SINGLE/MARRIED PARTNERSHIP CORPORATION
—
:2 CONTRACTOR'S NAME Northwest wat-P,- uA�3tPr CONTRACTOR'S REG
CONTRACTOR'S ADDRESS 8201 DilrancTin qWJ ' CITY Tacoma
EXPIRATION DATE 12-22-92
-_NORTHWH103R2
Card MUST De presented
PHONE 984-6404
—OR—
I H'!,rE READ CHAPTER 18.27.010 REL.ATI,:G TO DEFINITIONS OF GENERAL CONTRACTORS AN'D SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS %,'ITHOUT PROOF OF REGISTRATION.
3 CONTACT PERSON Angel Foster
4 SEVt'ER DISTRICT
WATER DISTRICT
S ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
6 PROPERTY TAX ACCOUNT NUMBER C`1 c� "I
LEGAL DESCRIPTION
(If necessary, please sub it a separate page with the legal description.)
K.C. Plat Recording u _
PHONE4R4-640'4
7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST- FLOOR / 2ND FLOOR / -
-RD FLOOR /BASErYiENT / CECK / GARAGE !
:8 ( ) SINGLE FAMILY ( ) NE4"! CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( }EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF P^^0PER TY SO FT
9 PLUMBING FIXTURES (including rough -ins)
- - - MECHANICAL APPLIANCES—
BASIC FEE S -_--- -
N'0. WA'ITERCLOSETS
GAS PIPING, FEET
S. .
BATHTUBS
NO. I FURNACE, ELEC. GAS
4/ S
SHOGNERS
- - GAS HOT WATER HEATER...
_ .. _— S - - -
LAVATORIES
CONVERSION BURNER - --
_ _--- $- -
SIN,; S
BOILER, SIZE BTU
$
DISH\N1ASHERS
- - -AIR HANDLING UNITS
- S ----
ELECTRIC HOT WATER HEATER ...
-. HEAT PUMPS, SIZE
_ - LAUNDRY WASHER OUTLET
UNIT HEAT ERS
S
URINALS -
-- '"- AIR COOLING UNITS, SIZE
-It >y
DRINKING FOUNTAINS
- - COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
S
DRAINSS
-- - - -
- _ - ..
-- - -- -- - -
OTHER
-- -
$
TOTAL FIXTURES
_ - -
_ . _ S.--,
TOTAL MECHANICAL FEE_
S
iTIFY UN OER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KN0WLEDGE
FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
IE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
3 INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE Ur:DERSIGNED,
FILED AGAINST THE CITY OF FEDERAL WAY. BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
CERS ArdD EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLED TO THE CITY AS A PAST OF THIS APPLICATION.
.ER/AGENT: �,L�.�' �AC��
DATE k -1I
. .0 . ,•b
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 34731 21ST AVE SW
PARCEL NO.: 242103-9079
PROJECT DESCRIPTION: HVAC FURNACE
OWNER
NURIA ADEM
34731 21ST AVE SW
FEDERAL WAY WA 98032
0-2511
MECHANICALPERMIT PERMIT NO.: BLD93-0242
BUILDING INSPECTION - 661-4140 ISSUED: 03/04/93
BY: JJ
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
LENDER
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 HP......: 0
MEC PRMT ISSUANCE... $ 20.00
FURN<100K..:
1
DUCT WORK.....:
0
3-15 HP.....: 0
MEC APPLIANCE FEES.* $ 10.00
GAS HWT.... :
0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER:
0
FURN>100K.....:
0
30-50 HP....: 0
BBQ.........
0
MISC...........
0
5+ HP........ 0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... :
0
<=10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES $ 30.00
drter Line OK
GAS PIPING OK
INSPECTION RECORD
Mechanical Inspection Notes:
Date By
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
1 CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE D CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT G ,4 L DATE J
bld meth 07/01/92