93-101942 CITY OF FEDERAL WAY M E C H A N I CA L P E R M I T' PERMIT 0� BI�b 93 y 855
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/03/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 32533 i3T�I AVE SW
PARCEL NO.: 926494�0540
PROJECT DESCRIPTION: HVAC
OWNER CONTRACTOR LENDER
TIMOTHY LOREN2 NORTHWEST WATER HEATER
32533 13TH AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, 41A WA 98499
66�-0552 984-6404
NORTHLJH 103122
FUEL TYPES.:GAS ? FANS.......e..: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCEe.a E 20.00
FURN<100K..: 0 DUCT WORK...,.: 0 3-15 HP.....: 0 MEC APPLYANCE FEES."� S be50
GAS HWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0
BBa........: 0 MISC....,...a.: 0 5+ HP.......: 0
GAS DRYER..: 0 AdR HANDLING UNITS FUEL TANKS---------
' RANGE......: 0 <=10,000 CfM: 0 ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES S 26.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notese
PIPING OK Date By
�-�-�. '*�°
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ALL PEFiMITS EXPIRE 180 DAYS AFTER ISSUAIVCE IF NO WORK IS STARTED.
i CERTIFY THAT THE INFORMATION FUR SHED BY ME TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMEN WI�L�EI�AE�
; !'�``�.� t"*+���,�_ '�—
V -. . .
OWNER OR AGENl" G' � DATE � �.���� �
bld mech 07/01/92 —�
SET BACKS AND FOOTINGS �...TO PQUR FOUNDATION WALLS PL_...BING GROUNDWORK
DATE ..__ —__..--.BY _..__--.._._—_ DATE _.— ___----. BY _._.__—._ DATE _ BY _
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTIdN
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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P� it #
, CITY OF FEDERAL WAY p
BUILDING PERMIT APPLICATION
D �:
—Please Print— - "
BOX 1 TENANT NAME:
OWNER - "1 � f - SITE LOCATION � ` �'"�� �` `�' ` �-'
OWNER'S ADDRESS ' `�� � ( '� i. J i,�; ,CITY �- >��.� - PHON ��"'� `'SS.
DESCRIBE JOB l� ;� ` � - " '� �; �� ; � �", �V ' _
THE PROPERTY IS OWNED BY: SI GLE/MARf#1ED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME QlU) l ]�C���I�. �Q�P�� CONTRACTOR'S REG. # �RT�I,�-�F� In3R�
Card MUST be presented
CONTRACTOR'S ADDRESS �c�O� Q��,RO,iYIC�C'��SL�CITY ��--��Q PHONE ���'L��-IO��
EXPIRATION DATE 1� ��� �
— 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 . ` PHONE — LP
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST � `-���C`� EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER ��(f'�J�I LI � <.�`���(��
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 /T GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
N0. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS N0. FURNACE, ELEC. GAS $
SHOWERS 6AS 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 COMMERCI LHOOD - $
SUMPS, SPRINKLER VACUUM BREAKERS �_OTHER , �I ����,�C,t.��(� �.��)�.�.C�`1--{ $
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 OFTHE 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 AG�INST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUOING ITS
OFFiCERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
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OWNER/AGENT: � � � ��� �-���� DATE: , _� C\ �
ANP-008 3/90