93-102300 I 7
9 1u13 0 o
CITY OF FEDERAL WAY MECHANICAL P ERM I T PERMSIT NO:SUED: 09/13/9384
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/12/94
ADDRESS: 33004 29TH AVE SW
NO. : 894520-0860
PROJECT DESCRIPTION:HVAC - INSTALL GAS HO! WATER HEATER.
= OWNER CONTRACTOR — LENDER
THERESA GREENWALD NORTHWEST WATER HEATER
iii/004 - 29TH AVE SW 8201 DURANGO ST SW
REAL WAI WA 98023 TACOMA, WA WA 98499
661-2269 984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRKT ISSUANCE... $ 20.00
FURN<100I..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 6.50
GAS HW! • 1 WOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN>100I • 0 30-50 HP • 0 ,� ;;
BBQ • 0 KISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANIS
RANGE • 0 <=10,000 CPM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 26.50
110
Inspection Record Water Line 01 • Mechanical Inspection Notes: _
GAS PIPING 01 _ Date By
PERMITS EMPIRE 180 DAIS AFTER ISSUANCE IF 10 WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EIPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BI ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AAD THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE KET.
OWNER OR AGENT DATE __j -L 4__?
FILE COPY
pITY
F
ERAL WAY
IT NO: BLD93
335300 First Way Way South MEC�[ATI .t�L L.1,��.JLV11 1 FR ISSUED: 9/13/9384
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/12/94
ADDRESS: 33004 29TH AVE SW
NO. : 894520-0860
PROJECT DESCRIPTION:HVAC - INSTALL GAS HOT WATER HEATER.
OWNER ------------------ ------------------ - CONTRACTO1 -- _.__------------------
THERESA GREENWALD 1 NORTHWEST WATER HEATER
33004 - 29T8 AVE SW 8201 DURANGO ST SW
•DERAL WAY WA 98023 TACOMA, WA WA 98499
661-2269 984-6404
IFITDWHtOTIT
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FUEL TYPES.:GAS FANS .: 0� SOI RS/, FEES.
GAS PIPING.: 0 ft ROOD 0 ` 0 3 BF. 0 ��� � � r,� � i r i „ MEG PINT ISSUANCE... $ 10.00
FORNt1001... 0 00CT WORK.,,..: 0 3=15 0'.....: 0 �.� , �, w NECam! FEES. $ 6,50
GAS NWT • 1 WOOD STOVES...: G 3-30 HP....: 0
CONY BURNER: 0 FORI>100K... 0 31:50 IP
^# �.�
BBQ • 0 MISC.... ... 0 5+ '...•...., &:
GAS DRYER..: 0 Ali 11141,36 Bins FUEL TIES--------- " ' •
RANGE • 0 t=10,000 CPC: 0 ABOVE GROUND: 0
GAS LOGS. ..: 0 > 10,000 CIM: 0 ERGRQOI(D.: 0
TOTAL FEES $ 26.50
- _ ---_ ---. .. _.__._. ___..-.__...... - - - .._ ._.-__ �. ---_.:-- _- _ _____.....___-_. . ___.-
Inspection Record Water Line 01 _.-____ __ Mechanical Inspection Notes: _,_
GAS PIPING 01/057;044' Date _-_-._-- By ____-- ---------__..___--
�. y��v����T —�
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORT IS STARTED. RESIDENTIAb AID GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. 410
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MT KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ,.. 1 ::::;4' _-- DATE __y .7//.., 1_?.
G5:----- \\,
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FIELD COPY
•
SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
rillimPLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
[ SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By (�
OTHER .i ?Y �� �t?
qq
Date/ /l�`/S BY�6 •
OTHER
Date By
CD01 93
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CITY OF FEDERAL WAY A
BUILDING PERMIT APPLICATION --�
— Please Print—
BOX 1 TENANT NAME:
OWNER A I I t o a SITE LOCATION
OWNER'S ADDRESS A• MlJ C CITY PHONE (QC.0 pct
DESCRIBE JOB i+ I • LAXI
THE PROPERTY IS OWNED BY: SIN E/MARRIED )/ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME WI LUat1T' 1-1.0 0P1L CONTRACTOR'S REG. # NOR.TI+ ,011- i0RQ
Card MUST be presented
CONTRACTOR'S ADDRESS SRO t _Ula_a'Y1C\C S+SULCITY (0-C \Q PHONE qL-f L40
EXPIRATION DATE 19,10a q3
— 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 Lsk._ ---IZAAJ PHONE_gSLI CPLIOY
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 1 X30 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER `'I.`� - CS1120
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 / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET V $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS 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 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: DATE: r /3 I C L_J
ANP-008 3/90