92-101214 CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO /BLD 2,2 031
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/13/92
Federal Way, WA 98003 BY: AJ
661-4000
SITE ADDRESS: 827 8 296TH PL
PARCEL NO.: 5151600235
PROJECT DESCRIPTION: MECHANICAL — INSTALL FURNACE
OWNER — CONTRACTOR -- LENDER
VICTOR WEBER NORTHWEST WATER HEATER
827 S. 296TH PL 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
941-1714 984-6404
NORTHWH103R2
A •7 BL . MEC?:X PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN
FEES:
TYPE OF WORK:? USE:? 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS? •7 MEC PRMT ISSUANCE... $ 20.00
CENSUS CATEGORY •' 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS...:? MEC APPLIANCE FEES.* $ 10.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP. .S: 0 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:08/10/92
0: 0: 0: 0: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 30.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ALL,MITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
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 AGENTkz zliP DATE j)./....; ' �
bld_prmt 07/31/92 /97,
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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.K2ES7H&N _6 DATE 9'1- Z___ 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 _`L.'�2BY /11_94/ ___-
' M • "permit # 641-1.2- Xj3I
CITY OF FEDERAL WAY
13 1992 BUILDING PERMIT APPLICATION
.- f" �" ' - JAY -Please Print—
m"
BOX 1 TENANT NAME:
OWNER \J t *r v l SITE LOCATION
OWNER'S ADDRESS al S _Al l.e.`� t.. . CITY PHONE i 4 t -
DESCRIBE JOB akzA
THE PROPERTY IS OWNED BY: SINGLE/SARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAM A • CONTRACTOR'S REG. # KBO -CNI R
Card MUST be p esented
CONTRACTOR'S ADDRESS( DO\ `-p .v-T S.J3 CITY % 4yy 1O\ PHONE 61 I-(PLO
EXPIRATION DATE I.,)1 a a I G
— 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_ PHONE 8k-4-(a `4 O'J
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST I i I CY3 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER SIS 1620 - ( 3S
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording it
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) MECHANIC L APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET 5 $
BATHTUBS NO. 4 FURNACE, ELEC. GAS t $
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 OFT HE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: -4. `�yL -4101114 DATE:
ANP-008 3/90
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THISLINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT.
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
Si2' PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
, L
RECFVED BY DATE ACCEPTED FOR FILING