93-101086CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 30136 12TH AVE SW
PARCEL NO.: 515320-0465
PROJECT DESCRIPTION: HVAC
OWNER
JOHN BOWMEN
30136 12TH AVE SW
FEDERAL WAY WA 98023
941-2063
FUEL TYPES.:GAS 7
GAS PIPING.: 65 ft
FURN<10OK..: 1
GAS HWT....: 1
CONV BURNER: 0
BBQ........: 0
GAS DRYER—: 0
RANGE......: 0
GAS LOGS...: 0
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
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
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
Water Line OK Mechanical Inspection Notes:
apS PIPING OK
Date By
LENDER
93'/0/15x(a
PERMIT NO.: BLD93-0482
ISSUED: 05/06/93
BY: JJ
FEES:
NEC PRMT ISSUANCE... $ 20.00
NEC APPLIANCE FEES.* S 19.50
TOTAL FEES S 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 CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT /'Lip- �lg z'U/�� DATE
bld meth 07/01/92 ���
C Y OF FEDERAL WAY
BUILDIN PERMIT APPLICATAN
Please Print _
3 -^V9,2
TEN AN T NAt1E:
)VAINER SI -c' LOCATION
)WNER'S AOORESS �✓� l,� �
CITY PHONEG+'H 1- t.:?
DESCRIBE J03 -
r HE PROPERTY IS 01'rNEO BY: SIN: 'MARRIEO PARTNERSHIP CORPORATION
'ONTR.ACTOR'S NAt„E Northwest Water � tPz CONTRACTOR'S REG. r_NORTHWHI O lsz?
Gard MUST be presanteQ
i7-ACTOR'SADORESS 8201 Durangn St.. SW ' ' CITY Tacoma PHONE 984-6404
;XPIRATION DATE 12-22-92
—O,R—
PLAN' E READ CHAPTER 18.27.0 10 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS ANO SPECIALTY CONTRACTORS ANO
'HAPTER 18.27.110 WHICH PROHISITS ISSUING PERMITS %.'I I HOUT PROOF OF REGIS T "RATION.
".OD.TACT PERSON Angel Foster PHONE94O4
3EVdER DIST RIC T WATER DISTRICT '
:STIt.',ATEO PROJECT COST EXISTING BUILDING VALUATION
'ROPcRTY TAX ACCOUNT NUMBER 51L� (o
_EGAL DESCRIPTION
'If necassaY. please submit a separate page with the legal description.)
<.C. Plat Recording ='
3UILOING SQUARE FOOTAGE:. (Existing/Proposed) 1ST- FLOOR / 2ND FLOOR
iRD FLOOR / EASEMENT / C_CK / GARAGE /
SINGLE FAM/;ILY { ) Ni."1 CONSTRUCTION
hil, U 01 FAMILY (NO. OF UNITS = ) { } EXISTING STRUCTURE
COMM ER C iA L/I N 0 U STRI A L TOTAL AREA OF PROPERTY r SQ (= t
'LUM31NG FIXTURES (including rough -ins) -' - " -' ' ' MEC;' NICAL APPLIANCES — BASIC FEE S --” -
d0. _. WA T ERCLOSETS GAS PIPING, FEE I S. --. S.... .
- - SATHTU3S NO.--4--FURNACE, ELEC. GAS S
SHOv:'ERSGAS HOT WATER HEATER - '— S -- - '-
- - L.GVATORIES CONVERItON BURNER _ _ _--- S_ _
SINKS BOILER, SIZE BTU S
DISHt't'ASHE?S _ --. -AIR HANDLING UNITS
—ELECTRIC HOT WATER HEATER --• HEAT PUMPS, SIZE
- LAUNDRY WASHER OUTLET UNIT HEATERS S
.. URINALS - - -- - - AIR COOLING UNITS, SIZE + S'
DRINKING FOUNTAINS --- - :_COMMERCIAL HOOD S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS _._ ._ -- S - - -- -
OTHER S
-- TOTAL FIXTURES _ -- _ _ .. _ S.------:
TOTAL MECHANICAL FEE S
Y UN=DER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
ITHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREN,ISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
FURTHER AGREE TO SAVE H A^M„LESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUOING COSTS, EXPENSES, AND ATTORNEYS'
'CURREO IN INVESTIGATION ANO DEFENSE OF SUCH CLAIM). WHICH MAY BE MAOE BY ANY PERSON, INCLUOING THE UNDERSIGNED,
ED AGAINIST THE CITY OF FEDERALVIAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE Cl TY, INCLUDING ITS
:.S AN.O E,.., LOYEES, UPO:d THE CCURACY OF THE INFORMATION SUPPLIED TO THE ITY S A PART OF THIS APPLICATION.
'AGENT:
LATE:
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
664-4000
SITE ADDRESS: 30136 12TH AVE SN
PARCEL NO.: 515320®0465
PROJECT DESCRIPTION: HVAC
OWNER
JOHN BOWMEN
30136 12TH AVE SW
FEDERAL WAY WA 98023
4p063
FUEL TYPES.:GAS T
FANS..........: 0
GAS PIPING.:
65 ft
HOOD..........: 0
FURN<100K..:
1
DUCT WORK.....: 0
GAS HWT....:
1
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K.....: 0
BBA........:
0
MISC..........: 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<a10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
MECHANICALPERMIT PERMIT NO.: BLD93-0482
BUILDING INSPECTION - 661-4140 ISSUED: 05/06/93
BY: JJ
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
titer Line OK Mechani al Inspect'on Notes:
GAS PIPING OK Date !l y
LENDER
FEES:
MEC PRMT ISSUANCE... $ 20.00
NEC APPLIANCE FEES.* $ 19.50
TOTAL FEES S 39.50
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 /���G/�jCi� DATE .�
bid mech 07/01/92 �/