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93-1020203 CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 661-4000 ADDRESS:33233 39TH AVE SW NO.: 109961-0220 PROJECT DESCRIPTION : HVAC nuwurn vnnLn ALICE KALITIMOKU 33233 39TH AVE SW EDERAL WAY WA 98003 661-6404 9 � . /0 d -O JLO MIT NO: BLD MECHANICAL P PERISSUED: 08/12/9386 Building Inspection Requests 661-4140 BY: FLF EXPIRES: 02/08/94 CONTRACTOR NORTHWEST WATER HEATER 6201 DURANGO ST SW TACOMA, WA WA 98499 984-6404 NORTHWH103R2 FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS GAS PIPING.: 1 ft HOOD..........: 0 0-3 HP......: 0 FURN<100K..: 0 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 RISC........... 0 5+ HP........ 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS --------- RANGE ...... ; 0 <=10,000 CFM: 0 ABOVE GROUND: 0 GAS LOGS...: 1 > 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.$ $ 9.50 TOTAL FEES $ 29.50 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 URNISED Y ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITYOFFERERAL WAY REQUIREMENTS WILL BE MET, OWNER OR AGENT -------- -- -f2------- ----------------------------- DATE --- L�--!_ FILE COPY 0 Pert # CITY OF FEDERAL WAY o BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: (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_____J_ GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT :l • 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 $ N0. FURNACE, ELEC. GAS $ GAS HOT WATER HEATER $ CONVERSION BURNER $ BOILER, SIZE BTU $ AIR HANDLING UNITS $ HEAT PUMPS, SIZE $ UNIT HEATERS $ AIR COOLING UNITS, SIZE $ COMMERCIAL HOOD $ 4-- OTHER rire.lc�L�_.��` $ 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 OWNER C -k 11 CC SITE LOCATION _)_�)d ' ' ca Le_ - OWNER'S ADDRESS CITY `fi(i_ - -3�L ONE I , Lo , Lo DESCRIBE JOB -fit+' — THE PROPERTY IS OWNE BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME NifI l I)a:;U � {�� CONTRACTOR'S REG. # ►ORT4W, In3M� Card MUST be presented CONTRACTOR'S ADDRESS Sc-�O1 cLunft nac S+SLjCITY _ (6tCCT)ry_\Q PHONEg?g-LOL[o EXPIRATION DATE 19(l 0 193 —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 9N — CP BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST '. C:'i EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER j C77 I I — ET 5,� 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_____J_ GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT :l • 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 $ N0. FURNACE, ELEC. GAS $ GAS HOT WATER HEATER $ CONVERSION BURNER $ BOILER, SIZE BTU $ AIR HANDLING UNITS $ HEAT PUMPS, SIZE $ UNIT HEATERS $ AIR COOLING UNITS, SIZE $ COMMERCIAL HOOD $ 4-- OTHER rire.lc�L�_.��` $ 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 CITY3353 OF FEDERAL �" MECHANICAL P PERISSUED: 33530 First Way 08/12/9386 Federal Way, W� Building Inspection Requests 661--4140 BY: FLF 661-4000 EXPIRES: 02/08/94 ADDRESS:33233 39TH AVE SW NO% : 109961-0220 PROJECT DESCRIPTION:HYAC Inspection Record water Line OK 4ech1ni-11 inn Notes: GAS PIPING 0( 111)q/136 r:` 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 URNISED,_11 ME IS TRUE AND CORRECT TO TNF REST of MY KNOWLFDGf AND THE APPLICABLE CITY Of FERERAL NAY RtOUIREMENTS WILL 8E MET. OWHER OR 4GENi ui v FIELD COPY CDO193 SETBACKS'& FOOTINGS Date By 7 FOUNDATION WALLS Date By PLUMBING GROUNDWORK Date By .__ ._ _ _.......... ... ............. ..... UNDERFLOOR FRAMING Date By 7 SHEARWALLS . ........... Date By PLUMBING ROUGH -IN Date By GAS PIPING Date By 7 MECHANICAL ROUGH -IN Date By MECHANICAL (OTHER) Date By FRAMING Date By INSULATION Date By 7 ..................... . GWB - 1 ST':LAYfR'' .................. ................... ................... Date By GWB - 2ND LAYER Date By SUSPENDED CEILING Date By PLANNING FINAL Date By ENGINEERING FINAL Date By 7 FIRE FINAL Date By BUILDING FINAL Date By OTHER Date By OTHER Date By CDO193