92-101786 CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92 -2307
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/19/92
Federal Way, WA 98003 BY: ELF
661-4000
SITE ADDRESS: 32239 8TH AVE SW
PARCEL NO.: 926492=0580
PROJECT DESCRIPTION: HVAC
r- OWNER a- CONTRACTOR — LENDER
MICHAEL DOUGHERTY NORTHWEST WATER HEATER
32239 8TH AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
•5938 984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 5 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 HUT • 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
•ter Line OK Mechanical Inspection Notes: _
GAS PIPING OK4eef, /✓M9/U (• Date-5 7.- -5'3 By /1-;74/
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.
CVOWNER OR AGENT ),....JAA 26 ) ( a ( 9 ?DATE
bld_mech 07/01/92 _J
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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 —_ BY
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Perm*
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER-- - _ SITE LOCATIO C �J
OWNER'S ADDRESS a- . 7 - CITY.2 PHONE 35S- 5-`7
DESCRIBE JOBb1_Lk,
THE PROPERTY IS OWNED BY: SINGLE/MARRIED Ir) PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME` ` \r-3.r-11-'- W--' -kit-- -- CONTRACTOR'S REG. #NA2.\t-\U lL 32
�, Card MUST be presented
���
CONTRACTOR'S ADDRESS ( A-N otA^ J� ,cam CITY C` ��-, PHONE `1 1I- 40-A
EXPIRATION DATE P--1 a '`
— 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 Clw„,--t PHONE4-1F -I 0L('
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST '4 '_t EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 6,W.0 LG(,,} -
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
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET S $
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: 0Ok S I
ANP-008 3/90