92-102229CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
SITE ADDRESS: 32905 42ND PL SW
PARCEL NO.: 873204-0470
PROJECT DESCRIPTION: INSTALL GAS PIPING, GAS FURNACE, & HOT WATER HEATER
R CONTRACTOR
HAWTHORNE CITY SHEET METAL
3 5 42ND PL SW 4202 AUBURN WAY N #8
FEDERAL WAY WA 98023 AUBURN WA 98002
838-0166 852-2174
CITYSM*173JA
FUEL TYPES.:GAS
GAS PIPING.: 40 ft
FURN<1001(..: 1
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
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
9 INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
I CERTIFY THAT THE
OWNER OR AGENT
bld meth 07/01/92
6
LENDER
ga. 9
PERMIT NO.: BLD92-2553
ISSUED: 12/17/92
BY: JJ
FEES:
NEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* $ 18.50
TOTAL FEES $ 38.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE ) % / 7APZ
IVSD Permit
DEC 151992 CITY OF FEDERAL WAY
cm
eggrmvm BUILDING PERMIT APPLICATION
ow — Please Print —
BOX 1 TENANT NAME:
OWNER SITE LOCATION _ 2--0i C) S �Z v1 6 _V'a
OWNER'S ADDRESS ZZ� o � Z.-� t StJ _CITY_t- PHONE Q3-6 -o t G r,
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SING L /MAR ED V, PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME SIA4 0i10 Q CONTRACTOR'S REG. #-0-IT�4 Iq
..�Card MUST be presented
CONTRACTOR'S ADDRESS 42-S22 f�e� e, n g V j CT Y 6�c.c fQ �A nn� PHONE_ �S ? - Zt 1
EXPIRATION DATE l- 1 --9,j
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
BOX 4 SEWER DISTRICT
WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 3006!0 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUM
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE F,
3RD FLOOR /
'roposed) 1ST FLOOR ooa
NT -----J- DECK-----/.
BOX 8 (V.-) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS = )
( ) COMMERCIAUINDUSTRIAL
PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS /
BATHTUBS
SHOWERS N0
LAVATORIES �
DIS SHERS
ELECTR HOT WATER HEATER
LAUNDRY HER OUTLET
URINALS
DRINKING FOUNTAII'
SUMPS, SPRINKLER
DRAINS
OTHER
TOTAL FIXTURES
M BREAKERS
( ) NEW CONSTRUCTION
EXISTING STRUCTURE
TOTAL AREA OF PROPERTY
2ND FLOOR tc) oa /
— GARAGE /_
2r --c. o _ SO FT
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET 40 ' $
NO. I 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 AG CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS A EMPLOYE UP,! THE ACCURAC� OF THE INFORMATION SUPPLIED TO THE CITY ASA PART OF THIS APPLICATION.
OWNER[
DATE:. _ 12-// S_/7 Z
ANP -009 3.90
CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 32905 42ND PL SW
PARCEL NO.: 873204®0470
PROJECT DESCRIPTION: INSTALL GAS PIPING,, GAS BIIRNACE,, is HOT WATER HEATER
OWNER
STEVE HAWTHORNE
32905 42ND PL SW
FEDERAL WAY WA 98023
FUEL TYPES.:GAS
GAS PIPING.: 40 ft
FURN<100K..: 1
GAS HWT.... : 1
CONV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
FANS..........: 0
HOOD. ..... 0
DUCT WORK.....: 0
WOW STOVES...: 0
FURN>100K.....: 0
MISC..........: 0
AIR HANDLING UNITS
4=10,000 CFM: 0
> 10,000 CFM: 0
CONTRACTOR
CITY SHEET METAL
4202 AUBURN WAY N #8
AUBURN WA 98002
852-2174
CITYS14*173JA
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.: O
INSPECTION RECORD
Water Line OIC Mechanical Inspection Notes
O PIPING OVJA-1a.-I-X mjAl Date By
ALL PERMITS EXPIRE ISO DAYS AFTER 1 E IF NO
I CERTIFY THAT THE FORMATION FINISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY K OWLEDGE A
OWNER OR AGENT
bld meth 07/01/92
LENDER
PERMIT NO.: BLD92®2553
ISSUED: 12/17/92
BY: JJ
FEES:
NEC PRMT ISSUANCE... S 20.00
NEC APPLIANCE FEES.* S 18.50
$ 38.50
S STARTED.
APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE 12 Z1, ? 1-2-2--
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 BY
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