93-101274CITY oFFEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 34004 22ND PL SW
PARCEL NO.: 330630-0220
PROJECT DESCRIPTION: HVAC - INSTALL GAS FURNACE
OWNER
ROBERT DE LA VERGNE
34004 - 22ND PL SW
FEDERAL WAY WA 98023
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
LENDER
4"b�oDI -q�
PERMIT NO.: BLD93-0554
ISSUED: 05/27/93
BY: FC
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.:
0 4t
HOOD..........:
0
0-3 HP......:
0
MEC PRMT ISSUANCE... $ 20.00
FURN<1001(..:
1
DUCT WORK.....:
0
3-15 HP.....:
0
MEC APPLIANCE FEES.* $ 10.00
GAS HWT....:
0
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 $ 30.00
INSPECTION RECORD
Water Line OK Mechanical Inspec ion Notes:
0S PIPING OK Date�QN-42 v I
By
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 ND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGEN DATE
bld mech 07/01/92 r•
CITY &FFEDERAL. WAY
BUILDING MRMIT APPLICATIOIN
Please Print — 5 W� 3 C)
.N,!.NT NAME: L,
SITE, LOCATION
-11NEPI's AbWkEcss CITYIV=-a PXONE__S1 _q –al/gx
SCRISE JOB LAr nrAC e
NJ
PROPERTY is 0 sy: Sii'i-GL:Ei%, -Rm Eb PARTNERSHIP CORPOR.4710114
.NT.RACTOR,*SNA,'',E Northwest Waf--?- lwaatez- CONTRACTOR'S REG.# NORTHWHIO 3R7
Card MUST be presented�
IVT .' 'S ADDRESS 8201 On-rArlan qf- z CITY Tacoma PHONE 984-6404
�: CTOR
PIRA"TON DATE 12-22-97
—OR—
AVE REA
RAVEREAD CHAP TER 18.27.0 i 4SEL4ril". G TO OEFI N I TI 0 NS OF GEN EA AL CONTRACTORS "NO SPECIALTY CONTR.1%CTOr%S AND
:ANTER 18.27.110 WHICH. PROHIBITS ISSUING PERMITS WITFOLIT PROOF OF REGISTRATION.
4111 TA C T PERSON Angel Foster PHONE,98A_64aq
FUER DISTRICT VVAT ER DISTRICT
:TiM,;TED PROJECT COST EXISTING BUILDING VALUATION
�OPERT Y TAX ACCOUNT NUMISER ZZ:>r_A_Q'-_Nn— C)Dk)
CAL DESCRIPTION
ntcassa:y, plaase submilt a separate page with the legal descripticti.)
F!;:t Recording
11LOING SQUARE FOOTAGE:. (Ex-Ving/Propased) IST* FLOOR 2ND FLOOR
A
0 - FLOOR GARAGE
SUNG LE FAM I LY NE%,11 CONSTRUCTION
MUM FAMILY (NO. OFF UNITS EXISTING STRUCTURE
AREA
COMME-RCIALJINOUST;IAL TOTAL '_.A OF PROPERTY SQ FT
A
UNISINKi FIXTURES (including rough -ins) VIECFANIIAL APPLIANCE
S a Asic FEES
FEE
'e I C� no
r.:_:L_tA'ATERCLOSETS GAS PIPING, FEET �k " .- . S..
_8A71ufTU3S N0. FURNACE, ELEC. GAS �4' S
GAS HOT WATER HSAt EA 7 S
LAVA T 0 R I Ic S CONVERIION BURNER S_..
SINKSBOILER, SIZE —BTU
OISHMASHERS
ASH;: S AIR HANOCING UNITS
ELECTRIC HOT WATER HEATER ... ..... —. HEAT PUMPS, SIZE
—LAUNDRY WASHER OUTLET UNIT HEATERS S
'-:::—URINr,'%LS IR COOLING UNITS, SIZE S
DRINKING FOUNTAINS COMMERCIAL HOOD S
SUMPS, SPRINKLER VACUUM SPE.AKERSS
-DRAINS
_LL__OTHER
TOTIALFIXTURES S
TOTAL MECHANICAL FEE S
UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
THAT I AM AUTHORIZED BY THE OWNER OF: THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION I$
THE CITY OFFEOERALVIAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
J.-RAEO IN INVESTIGATION AND DEFENSE OF SUCH CLAIM.), WHICH MAY BE N".AOE BY ANY PERSON. INCLUDING THE UNDERSIGNED,
)AGAINST THE CITY OF FEDERAL WAY. BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
At -IO E14PLOYEES. UPOkI XPEC ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS,A PART OF THIS APPLICATION.
GENT
GATE:
-Q" 1-6
CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 34004 22ND PL SW
PARCEL NO.: 330630-0220
PROJECT DESCRIPTION: HVAC - INSTALL GAS FURNACE
OWNER
ROBERT DE LA VERGNE
34004 - 22ND PL SW
FEDERAL WAY WA 98023
FUEL TYPES.:GAS
GAS PIPING.: 0
FURN<100K..: 1
GAS HWT....: 0
CONV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
FANS..........: 0
ft HOOD..........: 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K..... : 0
MISC..........: 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
Water Line OK
WS PIPING OK
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
PERMIT NO.: BLD93-0554
ISSUED: 05/27/93
BY: FC
FEES:
MEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* $ 10.00
TOTAL FEES $ 30.00
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.
OWNER OR AGENT DATEal�z
bld mech 07/01/92