93-101935 9v-J0) 93 5
CITY OF FEDERAL WAY MECHAN I CA L PERM I T PERMIT NO:
08/12/9346
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FLF
661 -4000 EXPIRES: 02/08/94
ADDRESS: 3204 SW 323RD ST
NO, : 873190-1190
PROJECT DESCRIPTION:HVAC - INSTALL GAS OSBURN, HOT WATER HEATER, 6 PIPING.
= OWNER .. . CONTRACTOR I LENDER
DENA GORHAM NORTHWEST WATER HEATER
3204 SW 323RD ST 8201 DURANGO ST SW 1
11111EDERAL WAY WA 98023 TACOMA, WA WA 98499 1
925-1184 984-6404
NORTHWH1O3R2
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.* $ 16.00
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K 0 30-50 HP • 0
BBQ • 0 MISC • 1 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 $ 36.00
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS 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 FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF WY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE •-� ' �3
FILE COPY
9. - 01
CITY OF FEDERAL WAY M ECHAN I C A L P ERIvi I T PERMIT NO:
08/12/9346
33530 First Way South
Federal Way , WA 98003 Building Inspection Requests 661 -4140 BY: FLF
661 -4000 EXPIRES: 02/08/94
ADDRESS: 3204 SW 323RD ST
NO. : 873190-1190
PROJECT DESCRIPTION:HVAC - INSTALL GAS OSBURN, HOT MATER HEATER, & PIPING.
OWCONTRACTOR — LENDER
DEfiANERGORHAM NORTHWEST MATER HEATER
3204 SW 323RD ST 8201 DURANGO ST SM
EDERAL MAY %A 98023 TACOMA, WA WA 98499
925-1184 -f.ir
. .................%
FUEL TYPES.:GAS FANS .: ‘ Br:IL.F� '1° z�.:,vkt- A g FEES:
GAS PIPING.: 5 ft HOOD O : 4 MEC PRMT ISSUANCE... f 20.00
FURN<1001(..: 0 DUCT MORY.. ,.: 18:: 3-:5HP.. 4'0°'
. ' x ',., '. d 'r.;' i it!A'" E FEES.* i 16.00
GAS HMT ' I M44 1; 0 15- � .... 0
CONY BURNER: 0 FURN>1 ..444:,-.�a,. t 30-1450.r. : 0 d� s� �a� ��.
880 • 0 M�.. ., i 1•-'1-- ' *,+ p .. . ��
GAS DRYER..: 0 AIR D K *is i' K
RANGE • 0 <:1O, O _ � �,
GAS LOGS...: 0 > 10,0 CFI , ,'lERGINNO.: 0
TOTAL FEES 3 36,00
Inspection Record Water Line 01( __________ 1decnanical Inspection Notes:
GAS PIPING OK6-/6'S3 Dat et /6838; i'_/7 A/ -_- --- -
PERMITS 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 FURNISED BY ME IS TRUE AND CORRECT TO TOE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS WILL BE MET.
OWNER OF AGENT _ _ ____ 4`I LJ,Q_OlSDATE , i' 1• ••9„._
'
FIELD COPY r •,U vrr4
•
t' CITY fir FEDERAL— WAY 0 0000 - O(�t46 .
BUILDING PERMIT APPLICATION l�U
— Pltasa Print —
iN l NAME:
ER . .xr SITE LOCA;ION DM&_ -
ER'S AOO,SESS 3717 51c_.) ,n• F----
CITY PHONE qD,S-- 1\IN
IS_JOE IRS a\1 ahlth dr u%AcjAikz
PROPERTY IS OWNED EY: SiNGLEi:`.ARRIEO x PARTNERSHIP CORPORATION
'FACTOR'S NAME Northwest- W.=t_••=7- Fo..+-a,- CONTRACTOR'S RE' # NORTEWH1032,
Card ML'S I bt petsenteQ
,ACTOR'S ADDRESS 8207 Du-3r,Jn gr- c;.7 ' ' CITY Tacoma PONE 984-6404
RATION QATE I2-22-9'7
— OR —
E READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
'TER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
'ACT PERSON Angel Foster . PHONE98a-a^-C-^ ' •
ER DISTRICT WATER DISTRICT' -
MATEO PROJECT COST A 1 102-1K EXISTING BUILDING VALUATION
'ERTf TAX ACCOUNT NUMSER $'131°10 -- 1Ic10 .
,L DESCRIPTION - •
'
cassary, please submit a separate pace with the Iega1 description.) '
Fiat Recording L -
DING SQUARE FOOTAGE:. (Existinc/Propcsed) 15T' FLOOR • / 2ND FLOOR • / --- -
• FLOOR / EASEMENT / • - • DECK • / GARAGE______L_/ •
SINGLE FAMILY ( ) NEW CONSTRUCTION •
MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE -. - _- -
COMMERCIALANDUSTRIAL TOTAL AREA OF PROPERTY •
SQ
ISING FIXTURES (including rough-ins) - - MECHAN AL APPLIANCES — BASIC FEE S------
W'ATE:RCLOS ETS GAS PIPING, FEET . . 5.... .
BATHTUBS • NO. FURNACE, ELEEC. GAS S .
SHOWERS - - - --r-- - GAS HOT WATER HEATER... - - • ---- S--•-•----
LAVATORIES - . . . . . CONVERS`tON BURNER . - -. - _--- S- - •
SINKS BOILER, SIZE BTU S
DIS; WASH_RS . . - ----- AIR HANOCING UNITS - - S ---.
ELECTRIC HOT WATER HEATER _.. _.... HEAT PUMPS, SIZE
- LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS - - -- ....- AIR COOLING UNITS, SIZE
ORINKING FOUNTAINS ..- -•.• - - COMMERCIAL H000 . . - S
SUMPS, SPRINKLER VACUUM BREAKERS I • OTHER DaiOlirrl S
DRAINS . . _._ ._ . .... . . . . -- S - - -- -
OTHER
TOTAL FIXTURES _ _ g ------
TOTAL MECHANICAL FEE *I. S
:DER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED SY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE -
:R THAT i AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
riER AGREE TO SAAB HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
REQ IN INVESTIG.ATIO..I AND DEFENSE OF SUCH CLAIM), WHICH MAY SE MADE SY ANY PERSON. INCLUDING THE UNDERSIGNED,
,GAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
'.IQ EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
NT: a . 49,ç • DATE: nZ q