92-101561CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 30414 1ST PL S
PARCEL NO.: 339190®0260
PROJECT DESCRIPTION:
OWNER
CAROLL ANGVALL
30414 1ST PL S
FEDERAL WAY WA
839-7213
FL1!'C TYPES. :GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 1
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
Water Line OK
16S PIPING OK
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
LENDER
q�;— 101 s(o I
PERMIT NO.: BLD92-2195
ISSUED: 09/22/92
BY: MH
FANS..........: 0
BOILERS/COMPRESSORS
FEES:
HOOD..........: 0
0-3 HP......: 0
MEC PRMT ISSUANCE... S 20.00
DUCT WORK.....: 0
3-15 HP.....: 0
MEC APPLIANCE FEES.* S 10.00
WOOD STOVES...: 0
15-30 HP....: 0
FURN>100K.....: 0
30-50 HP....: 0
MISC........... 0
5+ HP........ 0
AIR HANDLING UNITS
FUEL TANKS ---------
<=10,000 CFM: 0
ABOVE GROUND: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES $ 30.00
INSPECTION RECORD
Mechanical Inspection
Date /a BY :5
Notes:
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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
J
SET BACKS AND FOOTINGS
DATE -....BY
PLUMBING ROUGH IN
DATE __ --.,.BY
O.K. TO ENCLOSE FRAMING
DATE _____BY
FINAL O.K. TO OCCUPY
DATE ��L_ BYS9/
OX TO POUR FOUNDATION WALLS
DATE .._.__..__...._...... BY
WATER LINE O.K.
GAS PIPING O.K.___..___ . . .... .
INSULATION
DATE _.. _._ _-.... BY ... ......
DCD
PSD
PLUMBING GROUNDWORK
DATE __ ._____BY
MECHANICAL INSPECTION
DATE BY
WALL BOARD AND FIRE WALL
DATE --....... ____ -.... BY _
/A /Z / z 17/oT /7_2:s' s.A,-i Rhe 7_ AV -2-W5
9 0
ME
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 30414 1ST PL S
PARCEL NO.: 339190-0260
PROJECT DESCRIPTION:
CAROLL ANGVALL
30414 1ST PL S
FEDERAL WAY WA
839-7213
tL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 1
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
Water Line OK
PIPING OK
MECHANICALPERMIT PERMIT NO.: BLD92-2198
BUILDING INSPECTION - 661-4140 ISSUED: 09/22/92
BY: MH
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
FANS ..........
0
BOILERS/COMPRESSORS
HOOD...........
0
0-3 HP....... 0
DUCT WORK......
0
3-15 HP...... 0
WOOD STOVES...:
0
15-30 HP....: 0
FURN>100K......
0
30-50 HP..... 0
MISC...........
0
5+ HP........ 0
AIR HANDLING UNITS
FUEL TANKS ---------
<=10,000 CFM:
0
ABOVE GROUND: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
INSPECTION RECORD
Mechanical Inspection Notes:
Date By
LENDER
FEES:
MEC PRMT ISSUANCE... S 20.00
MEC APPLIANCE FEES.* S 10.00
TOTAL FEES $ 30.00
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_`��
bld me' -h 07/01/92
C iveo
SEF 21 1992
�rmit ## i- 2L�L2 22- 2i 9.'
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
OWNER v� _ _ (L(*k_ u_ - SITE LOCATION L 1 111-4 (
OWNER'S ADDRESS ClTY__ -ls G._iz; PHONEL2`j - 1,:)-13
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLEWARRIED x PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAM
CONTRACTOR'S AI
EXPIRATION DATE
PHONE
—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� c;�4<��. PHONE i A- I Le
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST IL9t-I `� EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(--z - 0
(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 / 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)
NO. - 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 ; ;._ . \ $
NO.- Il _FURNACE, ELEC. GAS — $
GAS HOT WATER HEA R $
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:aii1 vr' DATE:
ANP -009 3/90