93-100914CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 33405 26TH PL SW
PARCEL NO.: 010060-0390
PROJECT DESCRIPTION: HVAC — INSTALL GAS FURNACE
OWNER
MARIA DAVIS
33405 - 26TH PL SW
FEDERAL WAY WA 98023
0364
FUEL TYPES.:GAS
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<100K..:
1
DUCT WORK.....: 0
GAS HWT....:
0
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K..... : 0
BBQ........:
0
MISC..........: 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
«10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
titer Line OK
GILS PIPING OK
1 CERTIFY THAT THE INFORMATION
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
Date !E- ,93 By M
Notes:
LENDER
q-bv 4 toq q
PERMIT NO.: BLD93-0406
ISSUED: 04/14/93
BY: FC
FEES:
NEC PRMT ISSUANCE... S 20.00
NEC APPLIANCE FEES.* $ 10.00
TOTAL FEES $ 30.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
6RUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT / DATE
bld mech 07/01/92
. C!&Y OF FEDERAL WAY
BUILDINWPERMIT APPLICATIqN
ptease Print —
A
rEN.NT N Al"IE
e� wa/13_ oq�e6" I
D v,N ER Q --v NI A 61 AA cp- L& JI I a LUUA I WA "-7f_ 0 1 k
3WNER'S AODAESS 4-%41'— CITYPI.ONE-
)CSCRISE JOB
rhc. PROPERTY is o`;N_Eo BY: PARTNERSHIP CORPORATION
'ONTRACTOR'SNA1'-,',E Northwest!. W;qf-,Zr u CONTRACTOR'S REG. #_N0RTHWH103]g7
Card MUST be presented
CITY Tacoma 984-6404
,01�TRRACTOR'SADDRESS 8201 pt=mm=a st sw - - PHONE
:XPi RAT ION DATE 12
— OR —
HAVEREA0 CHAPTER 1$.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS.-kNO SPECIALTY CON TF:L-",CTOr%S AND
,Hr-'%PTER 18.27.110 WHICH PROHI BITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
'01-1- C T PERSON Angel Foster PHONEqqi_64m,4
i.,
3EVY'ER DISTRICT WATER DISTRICT
ESTIM-ATEO PROJECT COST !9 1 1 0- 1 L) EXISTING BUILDING VALUATION
PROPERTY TAX ACCOUNT NUMBER U
_EGAL DESCRIPTION
necessary, please submiit a separate page with the legal description.)
P!a'k Recordfng#
3UILDING SQUARE FOOTAGE:. (Existing/Proposed) IST' FLOOR 2ND FLOOR
.RO FLOOR GARAGE
ZiNGLE FAI-41LY NE%,l CONSTRUCTION
EXISTING STRUCTURE
M U LT I F A M 11 LY (N0. 0` U N I T S
COMMERCIAL/INDUSTRIAL TOTAL P"% REA OF PROPERTY so Fi
PLUMBING FIXTURES (including rough -ins) MECHANiCA APPLIANCES —BASIC FEES---
. 3 . .. 0 " /' th'AiERCLOSEtSTS GAS S PIPING, FEET
SA T -H —4---
TUBS NO.-LFURNACE, ?LEC. GAS. S
SHOG.1ERS GAS HOT WATER HEATH S
LAVATORIES CONVERIION BURNER S_�
-SINKS BOILER, SIZE — BTU S
DIS��.VASHERS AIR HANOtING UNITS S._.___ ..
ELECTRIC HOT WATER HEATER .,_HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLET UNIT HEATERS
A
URINALS COOLING UNITS, SIZE
-DRINKING FOUNTAINS COMMERCIAL HOOD S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER— S
DRAINS S
OTHER
TOTAL FIXTURES S
TOTAL MECHANICAL FEE S
:Y UNDER PENIALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
ITHER TIHAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
FURTHER AGREE TO SAVE HARM -LESS THE CITY OF FEDERAL WAY AS TO A14Y CLAIM (INCLUMING COSTS, EXPENSES, AND ATTORNEYS*
CURA"O IN INVESTIGATION AND DEFENSE OF SUCH CLAIM). WHICH MAY BE MAOE BY ANY PEARSON. INCLUDING THE Ut"OERSIGNEO,
ED Ac. INST THE CITY OF FEDERALWAY. BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CIT Y. INCLUDING ITS
% 'S A'40 Ell.PLOYEES, UPONUTHE ACCURACY OF THE INFORMATION SUPPLIED TO TK CIT -1 AS A PART OF THIS APPLICATION.
'AGENT:
GATE:
400
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICALPERMIT PERMIT NO.: BLD93-0406
BUILDING INSPECTION - 661-4140 ISSUED: 04/14/93
BY: FC
SITE ADDRESS: 33405 26TH PL SW
PARCEL NO.: 010060-0390
PROJECT DESCRIPTION: HVAC — INSTALL GAS FURNACE
OWNER CONTRACTOR
MARIA DAVIS NORTHWEST WATER HEATER
33405 - 26TH PL SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
925-0364 984-6404
NORTHWH103R2
FUEL TYPES.:GAS
GAS PIPING.: 0 ft
FURN<100K..: 1
GAS HWT....: 0
CONV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
Water Line OK
JOS PIPING OK
FANS..........: 0
HOOD. ..... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC..........: 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
I CERTIFY THAT THE INFORMATION
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:
NEC PRMT ISSUANCE... $ 20.00
NEC APPLIANCE FEES.* $ 10.00
TOTAL FEES S 30.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
BY IAE IS TRUE AND,90RRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT / DATE >'
bld mech 07/01/92