93-102017� A
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
ADDRESS:32172 33RD AVE SW
NO.: 873190-0960
PROJECT DESCRIPTION:
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vvn u—
PIRGITTE SARAVANJA
32172 33RD AVE SW
EDERAL WAY WA 98023
838-0504
93-/Od-0/7",
MIT NO: BLD
MECHANICAL P PERISSUED: 08/12/9387
Building Inspection Requests 661-4140 BY: FLF
EXPIRES: 02/08/94
CONTRACTOR —
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 HP......:
0
FURN<100K..:
1
DUCT WORK.....:
0
3-15 HP.....:
0
GAS HWT....:
0
WOOD STOVES...:
0
15-30 HP....:
0
CONY 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
Inspection Record Water Line OK __________ Mechanical Inspection Notes:
GAS PIPING OK Date By
LENDER
FEES:
MEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.; $ 10.00
TOTAL FEES $ 30.00
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 FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE
FILE COPY
• Pelt # i
CITY OF FEDERAL WAY -3
BUILDING PERMIT APPLICATION U
— Please Print —
BOX 1 TENANT NAME:
OWNER r L � SITE LOCATION
OWNER'S ADORE `� ��� �r T f� �; � CITY d. �.1 �� i PHONE 4 -
DESCRIBE JOB l(�`
THE PROPERTY IS WNED BY: SINGL /MARRIED �x PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME N11) ( 1)Q��A ULQ;±QA� CONTRACTOR'S REG. # MORTI+i, q I03kc
Card MUST be presented
CONTRACTOR'S ADDRESS '6c)i I Q Luf, iY1an �SL%-)_ CITY �O-CCTEY�\Q PHONE q?q –L qo Ll
EXPIRATION DATE lalo 03
—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 PHONE 959Cp
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COSTS .> 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 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9
PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES
— BASIC FEE $
GAS PIPING, FEET�X r �fi� vim!'
IGAS
$
NO. FURNACE, ELEC.
$
GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
OTHER
$
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 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 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
ANP -008 3/90
CITY OF FEDERAL WAY PERMIT NO: BLD3-08
33530 First Way South M ECHANICAL P ERMIT ISSUED: 08/192/9387
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 02/08/94
ADDRESS:32172 33RD AVE SW
NOv: 873190-0960
PROJECT DESCRIPTION:
OWNER
PIRGITTE SARAVA94A
32172 33RD AVE SO
LJEDERAL WAY WA 98023
-0504
CONTRACTOR
NORTHWEST WATER NEATER
8201 DURANGO ST SO
TACOMA, VA WA 18439
984-6404
FUEL TYPES.:GAS
?
FANS......!
r ERS COO - 5
8(� PRE
GAS PIPING
GAS PIPING.:
0 ft
HOOD...... .. 01
FURNOOOK..:
I
DUCT It-
3- 4
GAS HIT....:
0
Won S 'IF"
"Im
COAV BURNER:
0
880.........
0
GAS DRYER,.:
0
A I R
TANS ---
RANGE ......
0
<=111-k CFO:
POL11",
GAS LOGS...:
0
> I f" 0
010t-JROUCI
inspection Record Water Line
OK
Mechanical Inspection Notes:
GAS PIPING
OK
Date
- LENDER
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF 00 WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAI THE INFORMATION FURNIS[D BY Mf IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAI WAY REQUIREMENTS VIIL 01 NET.
OWNER OR AGENT DATE
FIELD COPY
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SETBACKS & FOO'T'INGS
-_3 UT 2rq
Date By
7FOUNDATION,
WALLS
Date By
_.........
................
PLUMBING GROUNDWORK
.......... .. ...........................
Date By
.................. .
.....................
UNDERFLOOR FRAMING
Date By
.SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date By
7M,ECHANICAL
ROUGH-IN
Date By
MECHANICAL (OTHER) ;I
Date By
..........
FRAMING
Date By
INSULATION
Date By
..........................
.............................
............................ .
................................ .
GWB - 1 ST .LAYER .... .:. '>
.................................
.....................................
................................... .
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
7PLANNING
FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
7
BUILDING FINAL
Date By
OTHER
Date By
77THER
Date By
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