93-102420CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:32825 42ND AVE SW
NO.: 873203-0220
PROJECT DESCRIPTION: HVAC - INSTALL GAS FURNACE
ONNER
JUAN DEL CARMEN
32825 - 42ND AVE SN
iEDERAL NAY NA 98023
838-6233
CONTRACTOR
NORTHNEST MATER HEATER
8201 DURANGO ST SN
TACOMA, NA NA 98499
984-6404
NORTHNH103R2
LENDER
9 3. 10-2 Yd. o
PERMIT NO: BLD93-1018
ISSUED: 09/21/93
BY: FC
EXPIRES: 03/20/94
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 HP......; 0
NEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1
DUCT NORK..... :
0
3-15 HP.....: 0
NEC APPLIANCE FEES.* $ 10.00
GAS HMT....: 0
NOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER: 0
FURN>100K..... :
0
30-50 HP....: 0
w`
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
Mater Line OK
Mechanical Inspection Notes:
GAS PIPING OK
Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY MEIS_T!E� AND CORRECT TO THE BEST OF MY KNONLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT C ��� '=l DATE Ile
FILE
FILE COPY
• Periv #.
CITY OF FEDERAL WAY
-
BUILDING PERMIT APPLICATION � � Z
— Please Print — D
BOX 1 TENANT NAME:
OWNERCIOYTY- SITE LOCATIO LQ HL)'s
OWNER'S ADDRESS 1 CITY 4, UJ . —PHONE
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SMI IED �Z PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME kt11) l ] )Ll-tO A qL(a:,U A CONTRACTOR'S REG. #
_ Card MUST be presented
CONTRACTOR'S ADDRESS S+SL CITY �Q PHONE
EXPIRATION DATE 1aToa ct3
-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 nJ I CL PHONE - E
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST lb50 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 1
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
( )
COMMERCIAL/INDUSTRIAL 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 I D -K $
NO._FURNACE, ELEC. GAS K $
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
THE CITY AS A PART OF THIS APPLICATION.
_LlOWNER/AGENT: `�/ •L�_ DATE: -I /z_0 I Q 3
ANP -008 3/90
CITY OF DE WAY
MECHANICAL PERMIT
PERIMIT NO:
33530 First Way
South
GAS PIPING.:
SSUED:
09/21/9318
Federal Way, WA 98003
Building Inspection Requests 661-4140
BY:
FC
661-4000
DUCT MORes. - 9
EXPIRES:
03/20/94
ADDRESS:32825 42ND AVE 1W
NO.: 87320-1-0220
PROJECT DESCRI PT ION: HVAL - INSTALL CAS FURNACL
t111NER -. CONTRACTOR _ _.__ _.._ . LEADER
JUAN DEL CARMEN NORTHMEST MATER HEATER
3825 - 42ND AVE aM 8241 DURANGO ST SM
LI99
DERAL MAY NA 48023 TACOMA, NA NA 484
838-6233 964-6404
sUEL TYPES.:GAS
FANS..........
`` F�-C
FEES:
GAS PIPING.:
0 ,ft
HOOD..........
0 _r -
;EC PRRT ISSUANCE... 1 20.00
fURRct00[..:
1
DUCT MORes. - 9
�T. 4 0
otf, 40 FEES. x 3 10,00
GAS 01....:
0
NOOO ST ta...
CONY BURNER:
0
FUR01011F
i
Y
y
BBQ.........
0
RISC
GAS DRYER..:
0
AI;i ilk '101;
f9i. Th4F;
RANGE......:
0
<.=10,os. tli
0 A41 A' Tt a6UNIV,
6A5 LOGS...:
0
> 10, '00 rA-
tVAT. )0* 0
TOTAL FEES 1 30.00
Inspection Record Mater line 01
Mechanical Inspection Motes: /154�F 3 �
GAS PIPING 011 .___ Oate Ny
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MOLT TS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE. YEAR AFTER DATE OF ISSUANCi.
I CERTIFY THAT THE INFORMATION FURNISED BY HE IS 10t AND CORRECT TO THE BEST OF NY RNOMLEOGE AND THE APPLICABLE CITY Of FERERAL NAY REQUIREMENTS MILL BE MET.
OI4NEP. OR AGENT-- --- 1! �_�u_' ________----- -- UTE
FIELD COPY
Y,r� V