92-101807 9a -)Of D7 ,
CITY OF FEDERAL WAY IVI EC HAN I CAL PERMIT PERMIT NO.: BLD92-2323
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/26/92
Federal Way, WA 98003 BY: FLF
66'1-4000
SITE ADDRESS: 31227 9TH AVE S
PARCEL NO.: 858220-0100
PROJECT DESCRIPTION: HVAC - INSTALL FURNACE &N HOT WATER HEATER.
OWNER r- CONTRACTOR - LENDER
MARILYN GETZLAFF NORTHWEST WATER HEATER
31227 9TH AVE S 8201 DURANGO ST SW
FEDERAL WAY WA TACOMA, WA WA 98499
839-7886 984-6404
NORTHWH103R2
—111
•
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 16.50
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 $ 36.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
lbS PIPING OK Date By
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.
4
^WNER OR AGEN ' DATE CQ \ Z Gil l�
LIU mech 07/01/92
;33a s $79/
• Permi -'3�D12 — Z323
• • 41.
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER--A '<1( Cr 2 SITE LOCATION1��r� `'r -
OWNER'S ADDRESS •,-)-51X31 old` ' �d e CITY- C3.s�°vc..L i tt PHONE 5s'2 - /
DESCRIBE JOB _ - R ` c
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME---1( )&.Q cit--- CONTRACTOR'S REG. # \2\kl)-'\,\ '�-r�
Card MUST be presented
CONTRACTOR'S ADDRESS C� � ��v�`,mac • CITY YVI_�, PHONE
EXPIRATION DATE P--1 ;j,)-f� :� J
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON Ck'V--"- — PHONE `
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST O k.C) EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER S S 5S ? C‘CkTh
LEGAL DESCRIPTION
•
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT I DECK / GARAGE I
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET y i 5\h
BATHTUBS NO. I FURNACE, ELEC. ki GAS $
SHOWERS I 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: _ �L ` :)` DATE: r\-- { I l 1
ANP.004 35,0
9,., dol g07
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2323
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/26/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 31227 9TH AVE S
PARCEL NO.: 858220-0100
PROJECT DESCRIPTION: HVAC - INSTALL FURNACE &N HOT WATER HEATER.
r- OWNER -- CONTRACTOR — LENDER
MARILYN GETZLAFF NORTHWEST WATER HEATER
31227 9TH AVE S 8201 DURANGO ST SW
FEDERAL WAY WA TACOMA, WA WA 98499
839-7886 984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 16.50
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 $ 36.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
OS PIPING OK;-`c 'u,., , Date i/-,)5-9,2 By ' -
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THA ' ':MATION 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 AGEN '� DATE 1----
bld mech 07/01/92 Niqk
.A
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE_..._-_._..-.._ BY DATE _ BY ..... DATE _-_ - _- BY
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE_ -......BY _._-__... GAS PIPING O.K.__....... DATE ___ BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE -_...- BY ._ __.._. DATE - ........BY ...-_..... DATE -._._..BY -
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE/"-)S.... BY
• 0