93-100864CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: /BLD 3/ 0381
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 04/07/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 28804 11TH AVE S
PARCEL NO.: 720580-0070
PROJECT DESCRIPTION: HVAC
— nuucD
HELEN PATTERSON
28804 11TH AVE S
FEDERAL WAY WA 98003
839-8599
FUEL TYPES.:GAS ?
GAS PIPING.: 55 ft
FURN<100K..: 1
GAS HWT.... . 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
gANGE....... 0
CAS LOGS...: 0
0
Water Line OK
OS PIPING OK
FANS........... 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>10OK.....: 0
MISC........... 0
AIR HANDLING UNITS
—10,000 CFM: 0
> 10,000 CFM: 0
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP...... 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
Mechanical Inspection Notes:
Date By
LENDER
FEES:
MEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* S 19.50
TOTAL FEES $ 39.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND�,90RRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT —z�- DATE
bld_mech 07/01/92
C ITA OF FED Eh --WAY ON � 093 - C
BUILDINIMPERMIT APPLICATI
— Please Print —
TENANT N A M, E:
SITE LOCATION
b`,'NE;'S AOOPESS C! iY PHONE
DcSCRIsE JOB
i HE PROPE°,iY IS Orrr;E0 3Y: SINGLE tARRIEO PARTNERSHIP CORPORATION
O.NTR.,CTOR'SNorthwest- Water uAa•1-or CONTR�,CTQR'SREG. 1NORTHWHI03R2
Card MUST be presented
ONT=_4CTOR'S ADORESS 8201 Dtirangn St SW CITY Tacoma PHONE 984-6404
XPIRAIIO": DATE 12-22-92
-O,R-
'r,=lrE RE=.D CHAP I ER 18.27.010 RELATING TO DEFINITIONS QF GENEPALCONTRACTORS ANO SPECIALTY CON T RACTORS ANO
HAPTER 18.27.110 WH,CH PROHIBITS ISSUING PERtJITS %,'ITi;CU T PROOF OF REGISTR'TION.
jgn-64�
0";TACT PERSON Angel Foster PHONEQ�
EVYER DISTRICT NATER DISTRICT
ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
PROPERTY TAX ACCOUNT NUt„3ER IQVDSZ4- - (4: 1b
LEGAL DESCRIPTION
_ .. ,.
r necessary, please sub it a separate page with the legal description.)
K.C. Pia; Racarding =` -
U1L DING SQUARE FOOTAGE:. (Existing./Proposal) 13T FLOOR / 2ND FLOOR
.AD - FLOOR 1 BASEt,4ENT / C_CiC / GA^AGE /
SINGLE FAMILY ( ) N=,AI CONSTRUCTION
MULTIFAMILY (NO. OF UNITS = ) ( } cXiSTING STRUCTURE _.. - .. _...-.
COM1tERCIALANOUSTRIAL TOTAL ARE OF PROPERTY SQ F T
PLUMSIt;G FIXTURES (including rough -ins) _. _ .. _.... t�;ECHANICAL A2PLIANCES - n^SIC FEE S ---- -
`0 WTERCLOSETS GAS PIPING, F;—c.
GAS 5
BATHTUBS NO. FURNACE, ELEC.
AIC^
S;;Q4,",S " GAS HOT WATER HEATER S- -
LAVATORIES CONVERS`tON BURNER -- - -•-- S- -
SINKS BOILER, SIZE BTU 5
01S . ASHERS - - - AIR HANOCING UNITS ----
-
ELECTRIC HOT WATER HEATER - - HEAT PUMPS, SIZE—.-•— S --
L4UNORY WASHER OUTLET UNIT HEATERS S
LAUNDRY
_
_ - URINALS - - -- - - AIR COOLING UNITS, SIZE ->y S
DRINKING FOUNTAINS - - COtAMERCIAL H00D S
SUMPS, SPRINKLER VACUUM BREAKERS 0T'r=,ER S ..
DRAINS.. .. _._ ._ ..... .. -- S - •- --
-
OTHERS...
-- - TOTAL FIXTURES • - - . ... _... _ . _ _ . _ ... S . -__---
TOTAL MECHANICAL FEE q S
UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
THEA THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE VVIORK FOR WHICH PERMIT APPLICATION IS
FURTHER AGREE TO SAVE H,;Rt, LESS THE C17Y OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
CURRED iN INVESTIGATION AND DEFENSE OF SUCH CLAIM.), WHICH MAY SE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
ED AGAINST THE CITY OF FEDERAL V:AY, BUT ONLY wHERE SUCH CL4UA ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
S ArdD E': PLOYEES, UPOt! T .E ACCURACY OF THE INFORMATION SUPPLIED TO TH C►TY S A PART OF THIS APPLICATION.
AGENT: CATE:
3j�/
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93-0381
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 04/07/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 28804 11TH AVE S
PARCEL NO.: 720580®0070
PROJECT DESCRIPTION: HVAC
OWNER
HELEN PATTERSON
28804 11TH AVE S
FEDERAL WAY WA 98003
839-8599
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
LENDER
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.:
55 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." $ 19.50
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 $ 39.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:,
O,S PIPING OK Date By
I M
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS ST!&1 10
1 CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDER *U -1A E#TSWILL BE MET.
OWNER OR AGENT DAWN
bld mech 07/01/92