92-101361CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO./ BLD92-2096
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/31/92
Federal Way, WA 98003 BY: AJ
661-4000
SITE ADDRESS: 32833 39TH AVE SW
PARCEL NO.: 873213-1240
PROJECT DESCRIPTION: MECHANICAL --WATER HEATER
OWNER CONTRACTOR LENDER
ROBERT CHAPMAN NORTHWEST WATER HEATER
32833 39TH AVE. SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
874-5605 984-6404
NORTHWH103R2
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 HP......: 0
MEC PRMT ISSUANCE... E 20.00
FURN<100K..:
0
DUCT WORK.....:
0
3-15 HP.....: 0
MEC APPLIANCE FEES.* S 6.50
GAS HWT.... :
1
WOOD STOVES...:
0
15-30 HP....: 0
CONV 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
TOTAL FEES $ 26.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
GAS PIPING OK
Date By
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
bld_mech 07/01/92
DATE l
Per 't #
CITY OF FEDERAL WAY
AUG 2 1992 -BUILDING PERMIT APPLICATION
— Please Print —
., d
BO
OWNER ` v� L �.4 SITE LOCATIQN
OWNER'S ADDRESS 33 � `��" Cl PHONE' -1 q
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED� PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME- 3C�02✓A 0�,Q9-. ti CONTRACTOR'S REG.
Caarrdd MUST be presented
CONTRACTOR'S ADDRESSt�'Yu ` S CITY L% ��� PHONE
EXPIRATION DATE G
—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 A PHONEc"tS_" - ( Lt U
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST A t U L EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER Z-12;-2 3 1 �l
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
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 LC-� b36 L,_,
$
NO. 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
9
ANP -008 3/90
CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 32833 39TH AVE SW
PARCEL NO.: 873213-1240
PROJECT DESCRIPTION: MECHANICAL --WATER HEATER
OWNER
ROBERT CHAPMAN
32833 39TH AVE. SW
FEDERAL WAY WA 98023
0- 5605
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HWT.... : 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
FANS..........: 0
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
OAS PIPING
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
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 %/'s -4z By N,�/✓
LENDER
PERMIT NO.: BLD92-2096
ISSUED: 08/31/92
BY: AJ
FEES:
MEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* $ 6.50
TOTAL FEES S 26.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT(:_� DATE
btd mech 07/01/92
0
SET BACKS AND FOOTINGS
DATE _........-___.......-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 - -, - --.,...--BY
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