92-101825CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
SITE ADDRESS: 31633 PACIFIC HW S
PARCEL NO.: 082104-9237
PROJECT DESCRIPTION: HVAC — INSTALL HOT WATER HEATER
OWNER CONTRACTOR
SIZZLERS RESTAURANT NORTHWEST WATER HEATER
31633 PACIFIC HWY S 8201 DURANGO ST SW
FEDERAL WAY WA TACOMA, WA WA 98499
941-2666 984-6404
NORTHWH103R2
LENDER
PERMIT NO.: BLD92-2325
ISSUED: 10/26/92
BY: FLF
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
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
GAS PIPING OK
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 AG T DATE
bld mech 07/01/92
0
►� Permit 2 �S
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
TENANT NAME:
OWNE Z "2�- _>
OWNER'S A DRESS3t(r 3
DESCRIBE JOB k Q
THE PROPERTY IS OWNED BY
�(c_SITE LOCATI
CITY
SINGLEIMARRIED
rAh FNERSHIP
CORPORATION
CONTRACTOR'S NAM&4a.zjfLL\u - A-� CONTRACTOR'S REG. # 14)L" 1, WL'3►2a
Card MUST be (pr ,o,,,__
CONTRACTOR'S ADDRESS _ CITY. .i( 4 j 4 6_ PHONE
EXPIRATION DATE
—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.
( 3 CONTACT PERSON
( 4 SEWER DISTRICT �A WATER DISTRICT
( 5 ESTIMATED PROJECT COST„ ;LCO EXISTING BUILDING VALUATION
PROPERTY TAX ACCOUNT NUM
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
K 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR 1
3RD FLOOR / BASEMENT_______J_ DECK -------J— GARAGE /
X8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAVINDUSTRIAt TOTAL AREA OF PROPERTY - SQ FT
X 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET (r V\ G'
$
BATHTUBS
N0. FURNACE, ELEC. a GAS.
$
SHOWERS
_jGAS 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
$
ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE Btu i'OF MY KNOWLEDGE
ID FURTHERTHAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
4DE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
ES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
JD FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
:FICERS AND EMPLOYEES, UPON THE ACCURACY Of THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
/NER/AGENTD
DATE: v
♦wr.W8 3190
C'TYOFFEDERAL WAY MECHANICAL PERMIT
13530 First Way South BUILDING INSPECTION - 661-4140
jderal Way, WA 98003
01-4000
SITE ADDRESS: 31633 PACIFIC HW S
PARCEL NO.: 082104-9237
PROJECT DESCRIPTION: HVAC - INSTALL HOT WATER HEATER
OWNER CONTRACTOR LENDER
SIZZLERS RESTAURANT NORTHWEST WATER HEATER
31633 PACIFIC HWY S 8201 DURANGO ST SW
FEDERAL WAY WA TACOMA, WA WA 98499
941-2666 984-6404
NORTHWH103R2
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
0S PIPING OK
PERMIT NO.: BLD92-2325
ISSUED: 10/26/92
BY: FLF
FANS..........: 0 BOILERS/COMPRESSORS FEES:
HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... $ 20.00
DUCT WORK.....: 0 3-15 HP.....: 0 MEC APPLIANCE FEES.* $ 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 ABOVE GROUND: 0
> 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 30.00
INSPECTION RECORD
Mechanical Inspection Notes:
Date--OC-57 By
1;::�-L
cre"
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 MET.
L
OV OER OR AGENT
bld mech 07/01/92
DATE ) V ( Z C, i C, 2—