92-102186CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 33829 35TH PL SW
PARCEL NO.: 921150-0110
PROJECT DESCRIPTION: HVAC
OWNER
OBERT RANDALL
35TH PL SW
EDERAL WA WA 98023
838-3991
FUEL TYPES.:GAS ?
GAS PIPING.: 5 ft
FURN<100K..: 1
GAS HWT.... : 0
CONV BURNER: 0
BBC. .. .. 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
FANS..........: 0
HOOD..........: 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>10OK.....: 0
MISC..........: 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
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
0' INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
I CERTIFY THAT
OWNER OR i
bld mech 07
TION
LENDER
PERMIT NO.: BLD92-2524
ISSUED: 12/11/92
BY: FLF
FEES:
NEC PRMT ISSUANCE... $ 20.00
NEC APPLIANCE FEES.* S 12.00
TOTAL FEES $ 32.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
HED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE
Permit�L�
CITAF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER lA
O WNER'S ADDRESS
DESCRIBEJOB
THE PROPERTY IS OWNED BY: SINGL
SITE LOCA
Cil
-In a
ED PARTNERSHIP
PHONE _Ss 1�� 1
CORPORATION
BOX 2 CONTRACTOR'S NAME Northwest wat-ar coater CONTRACTOR'S REG. 4 NORTHWHI 0382
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Dtrangn .-qt- SW CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92
—OR—
I HAVE READ CHAPTER 18.27.Q 10 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 Angel Foster
PHONEQ84_640.4
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
30X 5 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION -
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording T
30X 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST' FLOOR / 2ND FLOOR / -
39D • FLOOR / BASEfviENT / - - DECK ! GARAGE _____/
3OX 8 ( } SINGLE FAMILY ( } NEW CONSTRUCTION
( } MULTIFAMILY (NO. OF UNITS = } ( } EXISTING STRUCTURE _
( } COMM ERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT�
>OX 9
PLUMBINGFIXTURES (including rough -ins)
N0. .. WA T ERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
_ URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
_ DRAINS
OTHER
- TOTAL FIXTURES
MECHA�I UCAL APPLIANCES — BASIC FEE S ---- '
��
GAS PIPING, FEET-
EET _
S• -._
NO.
NO. FURNACE, ELEC. GAS.)_ g
GAS HOT WATER HEATER'
CONVERSION BURNER
-
BOILER, SIZE BTU
- "- -AIR
$
HANDLING UNITS
- HEAT PUMPS, SIZE
- - UNIT HEATERS
$
L:1113
AIR COOLING UNITS, SIZE
- ' S- — -
- - . COMMERCIAL HOOD
S
....-.OTHER
S
TOTAL MECHANICAL FEE
$
CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
ND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
'ADE. I FURTHER AGREE TO SAVE HARt.ILESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
SES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
',D FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
FACERS AND EMPLOYEES, UPON THE ACCURACY Of THE INFORMATION SUPPLIED TO THE CITY -A5 A PART OF THIS APPLICATION.
ER/AGENT
LATE:
....Coe 3•w
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 33829 35TH PL 8W
PARCEL NO.: 921150®0110
PROJECT DESCRIPTION: HVAC
OWNER
ROBERT RANDALL
33829 35TH PL SW
FEDERAL WA WA 98023
838-3991
FUEL TYPES.:GAS Z
FANS..........: 0
GAS PIPING.:
5 ft
HOOD..........: 0
FURN<100K..:
1
DUCT WORK.....: 0
GAS HWT....:
0
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K.....: 0
BBQ........:
0
MISC..........: 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<=10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
Water Line OK
MECHANICALPERMIT PERMIT NO.: BLD92®2524
BUILDING INSPECTION - 661-4140 ISSUED: 12/11/92
BY: FLF
CONTRACTOR
NORTHWEST NATER 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
wPIPING OK thA/ Date By /m 4/
Notes:
LENDER
FEES:
MEC PRMT ISSUANCE... $ 20.00
NEC APPLIANCE FEES.* $ 12.00
TOTAL FEES S 32.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
1 CERTIFY THATE ON FURNISHED BY ME LS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPUCABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGE DATEI I
bld meth 07/01/92
�4
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 �� �� Z BY�
DCD
PSD
FD
0 0