92-101961CITY' OF FEDERAL WAY MECHANICAL P
33530 Firs; Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 30650 1ST PL S
PARCEL NO.: 339210-0130
PROJECT DESCRIPTION: HVAC - INSTALL GAS HOT WATER HEATER
OWNER CONTRACTOR LENDER
GERRIE SJORK NORTHWEST WATER HEATER
30650 1ST PL S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
984-6404
NORTHWH103R2
PERMIT NO.: BLD92-2403 '
ISSUED: 11/09/92
BY: FLF
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 1 ft
HOOD..........:
0
0-3 HP......:
0
MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....:
0
MEC APPLIANCE FEES.* $ 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 $ 28.50
INSPECTION RECORD
Water Line OK
Mechanical
Inspection Notes:
ItS PIPING OK
Date
By re
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. —1 /
1 CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND TH gLICAB�E CIT1`'l,6'F FEDERAL -WAY REQUDAXIREMENTS WILL BE MET.
OWNER OR AGENT ` DATE�-
bld mech 07/01/92
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-
DCD
PSD
I
FID
ot
0 0 w
CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 30650 1ST PL S
PARCEL NO.: 339210-0130
PROJECT DESCRIPTION: HVAC - INSTALL GAS HOT WATER HEATER
OWNER
GERRIE SJORK
a0 1ST PL S
RAL WAY WA 98003
FUEL TYPES.:GAS
FANS..........: 0
GAS PIPING.:
1 ft
HOOD........... 0
FURN<100K..:
0
DUCT WORK.....: 0
GAS HWT.... :
1
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
tater Line OK
0S PIPING OK
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 By
LENDER
PERMIT NO.: BLD92-2405
ISSUED: 11/09/92
BY: FLF
FEES:
MEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* $ 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.
OWNER OR AGENT DATE k
bld mech 07/01/92
BUILDING DEPARTMENT
CITY OF FEDERAL WAY
Correction Notice
Job Located at
I have this day inspected this structure and these premises
and have found the following violations of City and/or State
law.q nnvPrninn ramp-
2
You are hereby notified that no more work shall be approved
upon these premises until the above violations are corrected.
When corrections have been made, call for inspection.
Date Gid% *,(a 20-1-1Z
Inspector for Building Dept.
DO NOT REMOVE THIS TAG
AMP -007 7/03/90
BUILDING DEPARTMENT
CITY OF FEDERAL WAY
Correction Notice
Job Located at '�
���� f �j /)l `v
I have this day inspected this structure and these premises
and have found the following violations of City and/or State
laws gverning same:
I 41141-16'e � all
FS
You are hereby notified that no more work shall be approved
upon these premises until the above violations are corrected.
When correction have been made, call or inspection.
Date 1;�
Inst
ns ector for Building Dept.
DO NOT REMOVE THIS TAG
ANP407 3/03/30
Permit #_
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
30X 1 TENANT NAME:
OWNER SITE LOCATION!c
OVA NER'S ADDRESS OL CITY PHONE
DESCRIBE JOB ck Lk
THE PROPERTY IS OWNED BY: SINGLE/MARRIED _ V__2 PARTNERSHIP ORPORIATION
3OX 2 CONTRACTOR'S NAME Northwest watA,- uo ter CONTRACTOR'S REG. # NORTHwHI 0 R
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Durangn 4t Sw CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92
—OR—
I HAVE READ CHAPTER 18.27.010 REL4TiNG TO DEFINITION'S Or" GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS 1'.'ITHOUT PROOF OF REGISTRATION.
30X 3 CONTACT PERSON Angel Foster
PHONE9R4-6.404
3OX 4 SE`''ER DISTRICT WATER DISTRICT
30X S ESTIMATED PROJECT COST I `� EXISTING BUILDING VALUATION
30X 6 PROPERTY TAX ACCOUNT NUMBER P 10 -.. 13�
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording
SOX 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) !ST* FLOOR / 2ND FLOOR / -
SRD- FLOOR / BASEMENT /PECK / GARAGE /
2X 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) { ) EXISTING STRUCTURE
( ) COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY SQ
Fi
'OX 9
PLUMBING FIXTURES (including rough -ins)
WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECH NICAL APPLIANCES —BASIC FEES -----
GAS PIPING, FEET
- - _ S
N0. FURNACE, ELEC. GAS ___7777
S
TGAS HOT WATER HEATER
-
CONVERS`tON BURNER
_ BOILER, SIZE BTU
S
AIR HANDLING UNITS
- S ---
- HEAT PUMPS, SIZE-
_- UNIT HEATERS
-
S
AIR COOLING UNITS, SIZE
S — -
- - COMMERCIAL HOOD
S
- - OTHER
S
TOTAL MECHANICAL FEE
$
;ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BES11
T OF MY KNOWLEDGE
`:D FURTHER THAT 1 AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
ADE. I FURTHER,4GREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
:ES INCURRED IN 1"NVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
',D FILED AGAINST THE CITY OF FEDERAL VVAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
FICERS ArdD Er.?PLO1'EES, UPON THE ACCURACY 0 THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
;NERC , -.GENT DATE:
0 0