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92-102234CITY OF FEDERAL WAY MECHANICAL PERMIT 33530 First Way South BUILDING INSPECTION - 661-4140 Federal Way, WA 98003 661-4000 SITE ADDRESS: 31504 27TH AVE SW PARCEL NO.: 150310-0460 PROJECT DESCRIPTION: INSTALL GAS NOT WATER HEATER 6 GAS PIPING OWNER CLINTON PROFFITT 31504 27TH AVE SW FEDERAL WAY WA 98023 0804 CONTRACTOR NORTHWEST WATER HEATER 5201 DURANGO ST SW TACOMA, WA WA 98499 984-6404 NORTHWH103R2 LENDER 49- 1 b/ -m PERMIT NO.: BLD92-2559 ISSUED: 12/21/92 BY: JJ FUEL TYPES.:GAS FANS..........: 0 BOILERS/COMPRESSORS FEES: GAS PIPING.: 4 ft NOW..........: 0 0-3 HP......: 0 NEC PRMT ISSUANCE... S 20.00 FURN<100K..: 0 DUCT WORK.....: 0 3-15 HP.....: 0 NEC APPLIANCE FEES.* S 8.50 GAS HWT.... : 1 MOOD STOVES...: 0 15-30 HP....: 0 CONV BURNER: 0 FURN>100K..... : 0 30-50 HP....: 0 BBQ........: O RISC..........: 0 5+ HP.......: 0 :_.. GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS --------- RANGE ...... : 0 X10,000 CFM: 0 ABOVE GROUND: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL F S 28.50 Water Line OK qkS PIPING OK I CERTIFY THAT THE INFORMA' RECORD Mechanical Inspection Notes: Date By ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK 18 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THEJ OWNER OR AGENT 1 ,b£�--1��N� DATE bid -meth 07/01/92 CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. Permit # 0CD CITY R FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print -- :OX 1 TENANT NAME: OWNER SITE LOCATION c 1 OWNER'S ADDRESS C CITY HONE DESCRIBE JOB ti THE PROPERTY IS 0WNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION 3OX Z CONTRACTOR'S NAME Northwest Wat-pr neater CONTRACTOR'S REG. # N0RTHWH103R2 Card MUST be presented CONTRACTOR'S ADDRESS 8201 Dnrangn St --SW CITY Tacoma PHONE 984-6404 EXPIRATION DATE 12-22-92 —OR— I HAVE READ CHAPTER 18.27.0 10 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS RACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. 30X 3 CONTACT PERSON Angel Foster PHONE BA -6A,.0.4, - - 3OX 4 SEWER DISTRICT WATER DISTRICT 3OX 5 ESTIMATED PROJECT COST jap EXISTING BUILDING VALUATION 3OX 6 PROPERTY TAX ACCOUNT NUMBER 1 � b:3 ( I[I t4cp LEGAL DESCRIPTION (If necessary, please subt-tit a separate page with the legal description.) K.C. Plat Recording 30X 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST' FLOOR / 2ND FLOOR - 3RD . FLOOR I BAS9yiENT ! DECK ! GARAGE / 30X 8 { } SINGLE FAMILY { } NEW CONSTRUCTION { ) MULTIFAMILY (NO. OF UNITS = ) { } EXISTING STRUCTURE _.. _.. _ .._. ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT �OX 9 PLUMBING FIXTURES (including rough -ins) - - " ' ' MECHATCAL APPLIANCES — BASIC FEE $ ---- - N0. V,'ATERCLOSETS GAS PIPING, FEET. 5.... . BATHTUBS NO. FURNACE, ELEC. GAS $ _ . SHOWERS - _ - I - GAS HOT WATER HEATER... _ ..77 - 7 -LAVATORIES LAVATORIES CONVERSfON BURNER SINKS BOILER, SIZE BTU $ DISHWASHERS - -•-'-- AIR HANDI'ING UNITS - - 5----_. 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 > $ 'ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE NO FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS ADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS' .ES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, �,D FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS "FICERS AND EMPLOYEES. UPON THE ACCURACY OF THEONFORMATION SUPPLIED TO THE CI, Y.AS A PART OF THIS APPLICATION. CITY FEDERAL WAY MECHANICAL PERMIT 33530 First Way South BUILDING INSPECTION - 661-4140 Federal Way, WA 98003 661-4000 SITE ADDRESS: 31504 27TH AVE SW PARCEL NO.: 150310-0460 PROJECT DESCRIPTION: INSTALL GAS HOT WATER HEATER 6 GAS PIPING f0ER 4 TON PROFFITT 27TH AVE SW FEDERAL WAY WA 98023 838-0804 FUEL TYPES.:GAS FANS..........: 0 GAS PIPING.: 4 ft HOOD..........: 0 FURN<100K..: 0 DUCT WORK.....: 0 GAS HWT....: 1 WOOD STOVES...: 0 CONV BURNER: 0 FURN>10OK..... : 0 BBQ........: 0 MISC..........: 0 nAS DRYER..: 0 AIR HANDLING UNITS RANGE......: 0 <=10,000 CFM: 0 GAS LOGS...: 0 > 10,000 CFM: 0 0 Water Line 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: GAS PIPING OK Date By LENDER PERMIT NO.: BLD92-2559 ISSUED: 12/21/92 BY: JJ FEES: NEC PRMT ISSUANCE... $ 20.00 NEC APPLIANCE FEES.* S 8.50 TOTAL FEES $ 28.50 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. 1 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 �{ ��j�1/,ljk'LcU,�/� DATE cif bld meth 07/01/92 �'^