93-100504CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 3328 SW 340TH PL
PARCEL NO.: 858120-0460
PROJECT DESCRIPTION: HVAC
OWNER
GRANT COSTA
k18 SW 340TH PL
ERAL WAY WA 98023
927-7415
9W 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
ter Line OK
GAS
S PIPING OK
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
FANS..........:
0
BOILERS/COMPRESSORS
HOOD..........:
0
0-3 HP......:
0
DUCT WORK.....:
0
3-15 HP.....:
0
WOOD STOVES...:
0
15-30 HP....:
0
FURN>100K..... :
0
30-50 HP....:
0
MISC..........:
0
5+ HP.......:
0
AIR HANDLING UNITS
FUEL TANKS ---------
<=10,000 CFM:
0
ABOVE GROUND:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
1 CERTIFY THAT THE INFORMATION
OWNER OR AGENT
bUkmech 07/01/92
INSPECTION RECORD
Mechanical Inspection Notes:
Date By
LENDER
93.11)0 s -0v
PERMIT NO.: BLD93-0222
ISSUED: 03/02/93
BY: FC
FEES:
MEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* S 10.00
TOTAL FEES S 30.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
HED BY ME I,S/T,tiUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE 3 —?
rr
OITAF FEDERAL WAY 4CLC) R3�ao2�
• BUILDING PERMIT APPLICATION
— Please Print —
)X 1 TENANT NAME:
OWNER SITE LOCATION �
OWNER'S ADDRESS -3 C,°`= k9 C CITY PHONE -9 a'�- �111
DESCRIBE JOS vxnA-cA 1 kar4 ce-
THE PROPERTY IS OWNED BY: SING LEA',ARRIED }cam PARTNERSHIP CORPORATION
)X2 CONTRACTOR'S NAME Northwest wai-,-r r�A�ter CONTRACTOR'S REG. # NORTHWH103R
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 puranrrn g#- -czW CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92
OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERM, ITS WITHOUT PROOF OF REGIS T RATION.
)X 3 CONTACT PERSON Angel Foster PHONEAA_640'4
)X 4 SEWER DISTRICT WATER DISTRICT -
)X 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
)X 6 PROPERTY TAX ACCOUNT NUMBER _VS-6 Ix-) -
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording _ _
IX 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST" FLOOR I 2ND FLOOR / - -
3RD FLOORI BASE1,4ENT ! - • DECK • / GARAGE /
IX 8 ( j SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS = )
( ) COMM ER CIA UIN0USTRIAL
( ) NEW CONSTRUCTION
( j EXISTING STRUCTURE
TOTAL AREA OF PROPERTY
SQ FT
FX 9 PLUMBING FIXTURES (including rough -iris)
- "" " ' MECHANICAL APPLIANCES — BASIC FEES ----
N0. TERCLOSETS
GAS PIPING, FEET -.WL ..
g.... .
BATHTUBS
NO. FURNACE, ELEC. 0
GAS S
_ SHOWERS
. ` _..-_ - GAS HOT WATER HEATER..
_ .. � — S _-•-- •--
LAVATORIES
CONVERSION BURNER - -- - -• -- S _ _
SINKS
BOILER, SIZE BTU $
DISHWASHERS
" _ "-"- AIR HANDLING UNITS
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
S
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
D FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
:DE. I FURTHER AGREE TO SAVE HARP. LESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
--S INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIIA), WHICH MAY BE MAOE 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
'ICE'
S AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY -AS A PART OF THIS APPLICATION.
-..*. P-0
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 3328 SW 340TH PL
PARCEL NO.: 858120-0460
PROJECT DESCRIPTION: HVAC
OWNER
GRANT COSTA
3328 SW 340TH PL
FEDERAL WAY WA 98023
07415
FUEL TYPES.:GAS 7
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
Water Line OK
OS PIPING OK
1 CERTIFY THAT THE INFORMATION
OWNER OR AGENT
bld mech 07/01/92
MECHANICALPPERMIT NO.: BLD93-0222
BUILDING INSPECTION - 661-4140 ISSUED: 03/02/93
BY: FC
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�j-//-93 By
Notes:
LENDER
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.
BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE ' 2 ..._7