92-102067CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
SITE ADDRESS: 32211 16TH AVE SW
PARCEL NO.: 010450-0270
PROJECT DESCRIPTION: INSTALL GAS HOT WATER HEATER
OWNER CONTRACTOR
CAROL BARNETT AMERICAN HEATING SERVICES INC.
32211 - 16TH AVE SW 7503 PORTLAND AVE STE.#B
FEDERAL WAY WA 98023 TACOMA WA 98404
6 9128 539-1702
AMERIHS083M5
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN<100K..: 0
GAS HWT.... : 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
FANS........... 0
ft HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K...... 0
MISC........... 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
Water Line OK
IRS PIPING OK
I CERTIFY THAT THE INFORMATION
OWNER OR AGENT
bld_mech 07/01/92
t
I
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP...... 0
15-30 HP..... 0
30-50 HP..... 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
Mechanical Inspection Notes:
Date By
LENDER
91-/021)67
PERMIT NO.: BLD92-2459
ISSUED: 11/23/92
BY: FLF
FEES:
MEC PRMT ISSUANCE... S 20.00
MEC APPLIANCE FEES.* $ 6.50
TOTAL FEES E 26.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
HED BY ME IS TRUE ANI? CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE�CITY FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE
RECEIVED 8Y Permit ## r-'
COMMUNITY DEVELOPMENT DEPARTMENT •
NOV 1 1�g2 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: A
BASIC FEE $
OWNER1I SITE LOCATION
$
OWNER'S ADDRESS I �- CITY V1 tLiLlPHONE
—
7 61Y Z
DESCRIBE JOB �' ( a C
$
THE PROPERTY IS OWNED BY: SINGLE/MARRIEDPARTNERSHIP
CORPORATION
BOX 2 CONTRACTOR'S NAME (/%)eje C'/�N F4�w-;lo6 CONTRACTOR'S REG. # Amc`<-f- RCCZC`
J�
CONTRACTOR'S ADDRESS A& sk, g CITY {'Y L
Card MUST be presented
PHONE
EXPIRATION DATE
HEAT PUMPS, SIZE
—OR—
UNIT HEATERS
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
BOX 4 SEWER DISTRICT WATER DISTRICT
$
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER C% I C q'5 O 7h
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 1
3RD FLOOR / BASEMENT / DECK______j_
GARAGE /
BOX 8 SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAVINOUSTRIAL TOTAL AREA OF PROPERTY
SO FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
NO. - 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
$
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 EMPJ OYEES, UPON THE A"URACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:'414/140j) P yi& DATE: U7.
ANP -(*b ]/DO
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICALPERMIT PERMIT NO.: BLD92-2459
BUILDING INSPECTION - 661-4140 ISSUED: 11/23/92
BY: FLF
SITE ADDRESS: 32211 16TH AVE SW
PARCEL NO.: 010450-0270
PROJECT DESCRIPTION: INSTALL GAS HOT WATER HEATER
OWNER CONTRACTOR
CAROL BARNETT AMERICAN HEATING SERVICES INC.
32211 - 16TH AVE SW 7503 PORTLAND AVE STE.#B
FEDERAL WAY WA 98023 TACOMA WA 98404
874-9128 539-1702
AMERIHS083M5
FUEL TYPES.:GAS
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HNT....: 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
Water Line OK
LENDER
FANS..........: 0
BOILERS/COMPRESSORS
FEES:
HOOD..........: 0
0-3 HP......: 0
MEC PRMT ISSUANCE... S 20.00
DUCT WORK.....: 0
3-15 HP.....: 0
MEC APPLIANCE FEES.* S 6.50
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 $ 26.50
INSPECTION RECORD
Mechanical Inspection Notes:
PIPING OKL�>s i//hkJ e-/,' Date /Z) S-'�z By 14-7/z/
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMAT ON FIJR SHED BY ME IS T E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE ITY O FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE J f
bld mech 07/01/92 %
FYI
u 7 4 Q
Y , ft%r%L �tlJ V P ?�•
r
I BACKS AND FOOTINGS
ATE _.......BY -___
OX TO POUR FOUNDATION WALLS
DATE ....._____. ....BY ....._ ---...
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE _ .__ _.... .... BY _
WATER LINE O.K. __..._......-_..._... ...
GAS PIPING O.K. -..._.-....- ...... _.._
MECHANICAL INSPECTION
DATE _ - _-_ .
O.K. TO ENCLOSE FRAMING
DATE _ ...-_.....___--_.BY
INSULATION
DATE ........BY - ......_--......_
WALL BOARD AND FIRE WALL
DATE - _.-._.... BY -
FINAL O.K. TO OCCUPY
DATE--
DCD
PSD
FD
•