00-101140City of Federal Way Mechanical Permit #: 00 -101140 - 00 - ME
Conmmnity Development Services
33530 1st Way S Inspection request line: 253.661.4140
Fedeml Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 (3:30pm cut-off for next day inspections)
Project Name: VOXLAND
Project Address: 32923 39TH SW
U-- ..4 T T ♦ n 71..a....A - —4r n+n.. 16..+—
Parcel Number: 8732131280
Owner
Applicant
Contractor
David C & Norma J Voxland
NONE
1
FAST WATER HEATER
32923 39TH AVE SW
FEDERAL WAY WA
12601 132ND AVE NE
98023-2620
NONE
I KIRKLAND WA 98034
Mechanical Valuation..........................................599 Over the Counter Permit ..................................... Yes
PERMIT EXPIRES September 25, 2000, IF NO WORK IS STARTED.
Permit issued on March 29, 2000
I hereby certify that the above information is correct and that the construction on the above described propert;
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washingb
the City of Federal Way.
Owner or agent:7 Date: 3,12`
3/
Mechanical rough -in: Date:
Gas pipe: Date:
l
FINAL MECHANICAL: Date:
MY OF G
WW� EIZAL
PLEASE PR/NT
vv?, 8 W)q
►`,DATION FOR BUILDING PERMIT
BUELDING DIVISION
33530 First Way South
Federal Way, WA 98003
(206) 6614000
Fax (206) 6614129c
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Address
Tenant (if known)
Allk
Lot #
Assessor's Tax #
Building Owner's Name'VCS LC��6 d�'/'f"(Jlb
Address
3
Ci , C.t;,J /4- State A
zip Phone
Nature of Work /% 6,'fa,0
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Name (F,M,L) 6 ,., O1 ® �D
Address
City IA6agelState
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Contact Person AL/4n
Day Phone cq / p r7
Other Phone
Fax
Company Name
Address
City
State
Zi
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
Name
Address
City
State
Zi
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please Comp/ete Reverse Sime
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Address
Existing Use
9
State Zi
Proposed Use
Contact � � �
Permit includes:
Fax
❑ Building
❑ Plumbing
Mechanical
❑ Other
Type of Work:
Residential
❑ Commercial
❑ New
❑ Addition
❑ Remodel
❑ Garage
❑ Number of Units _
❑ Shed
❑ Deck
❑ Other
Enter 1st Floor
Area Basement
sq ft
sq ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
sq ft Garage sq ft
Existing Floor Area
Proposed Total Area
sq ft
s ft
Water Availability
❑ Sewer Availabilit
❑ On -Site Septic System Availability ❑
Pro'ect Valuation
$
Zoning
Duct Work
Lot Size
Underground
Existing Bldg Valuation
S
Name
Address
Cit
State Zi
Contractor Name /icY/��,— //L//�, �� A/�J
���-7 W (�
Address
Cit JC
State 1-i�}
zip
Contact � � �
Phoneo%_�/, �
�fctiQ 7'
Fax
License #�/% ���5
Expiration Date
Verified ❑ Yes ❑ No
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains Total Fixture.Count
DISCLAIMER: 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 oµner 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
attomeys' 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/Agent
Bwt0,�. Aw
Bt.6[o 12111/b8
Date:
MECHANICAL EVALUATION ONLY $
Fuel Type (electric/other)
Gas Dryer
Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping
Range
Air Handling > = 10,000 CFM
30-50 Tons
Furn <100K BTUs
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
Total Unit Count
DISCLAIMER: 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 oµner 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
attomeys' 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/Agent
Bwt0,�. Aw
Bt.6[o 12111/b8
Date: