92-101322CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 32011 42ND PL SW
PARCEL NO.: 873196-0640
PROJECT DESCRIPTION: NECK
–..1—
E MACOUBRIE
32011 42ND PL SW
FEDERAL WAY WA 98023
838-8773
FUEL TYPES.:GAS ?
GAS PIPING.: 3 ft
FURN<10OK..: 0
GAS HWT....: 1
CONY 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
NISC..........
0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
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
Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
LENDER
PERMIT NO.: BLD92-2089
ISSUED: 08/27/5
BY: MR
9 a -10/ 3da
FEES:
NEC PRMT ISSUANCE... S 20.00
NEC APPLIANCE FEES.* S 8.50
TOTAL FEES $ 28.50
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.
n
OWNER OR AGENT --- T it DATE 65
bld mech 07/01/92
ACJ i 19 1992
•
Per* # 4 L P � z-® ft
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER
SITE LOCATION '' 12/1
4f a
OWNER'S ADDRESS o i / ,. =? _'i
w ., C -��'
ONE �.� 773
DESCRIBE JOB '-
--�
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP
dORPORATION
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S REG.
Card MUST be presented
CONTRACTOR'S ADDRESS l�"1 7 G �>- CITY -�L _
PHONE 8 12
EXPIRATION DATE - 3
—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 �� c
PHONE
BOX 4 SEWER DISTRICT
WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 97 / �1
" G y0
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___J_ 2ND
FLOOR /
3RD FLOOR / BASEMENT / DECK /
GARAGE /
BOX 8 ( ) SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRUCTURE
( ) COMM ERCIAUINDUSTRIAL
TOTAL AREA OF PROPERTY
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET �S
$
BATHTUBS
N0. FURNACE, ELEC.
GAS $
SHOWERS
AS HOT WATER HEATER
$
LAVATORIES
CONVERSION BURNER
$
SINKS
BOILER, SIZE BTU $
DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
$
OTHER
$
TOTAL FIXTURES
$
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 ASTO 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: �U�-�,�`{ �`�' z�```_�
DATE:
ANP4= 3/90
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 32011 42ND PL SW
PARCEL NO.: 873196-0640
PROJECT DESCRIPTION: MECH
OWNER
E MACOJBRIE
32011 42ND PL SW
FEDERAL WAY WA 98023
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
LENDER
PERMIT NO.: BLD92-2080
ISSUED: 08/27/92
BY: MH
FUEL TYPES.:GAS 7
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 3 ft
HOOD..........:
0
0-3 HP......:
0
NEC PRMT ISSUANCE... S 20.00
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....:
0
NEC APPLIANCE FEES.* S 8.50
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 S 28.50
INSPECTION RECORD
Water Line OK
Mechanical
Inspection Notes:
OS PIPING OK
Date
By
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WOR
1 CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND TH
OWNER OR AGENT DATE
bld mech 07/01/92
ICA I EDERA�;AWQWftNIENTS WILL BE MET.
F -j
LJ
SET BACKS AND FOOTINGS
DATE BY
O.K 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 BY
DCD
PSD
FD
Va