92-101962CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 33410 40TH AVE SW
PARCEL NO.: 327900-0340
PROJECT DESCRIPTION: HVAC - INSTALL WATER HEATER
OWNER
WILLIAM WILKINS
33410 40TH AVE SW
FEDERAL WAY WA 98023
838-7934
FUEL TYPES.:GAS
FANS..........: 0
GAS PIPING.:
2 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
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<=10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
Water Line OK
GAS PIPING OK
CONTRACTOR LENDER
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
9a-10/ 96)
PERMIT NO.: BLD92-2406
ISSUED: 11/09/92
BY: FLF
FEES:
NEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* S 8.50
TOTAL FEES $ 28.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FU HED 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 r DATE JA
bld mech 07/01/92
CITY FEDERAL WAY
Permit;_ "Q2�0(0
40
BUILDING PERMIT APPLICATION
— Please Print —
30X 1 TENANT NAMIE:
OWNER l + -1 SITE LOCATION
OWNER'S ADDRESS 3111� AvIc- CITY ` ��. HONEYS �`e ��t �L!
' DESCRIBE JOB
_96nt-tyA LL 6=4 -
THE PROPERTY IS 0WNED BY: SINGLE/MARRIED 442 PARTNERSHIP
CORPORATION
BOX 2 CONTRACTOR'S NAME Northwest wat-A,- H".�teL CONTRACTOR'S REG. #_NORTHwH103R
CONTRACTOR'S ADDRESS 8201 Dtirangn St Card MUST be presented
SW CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92
—OR—
I HAVE READ CHAPTER 18.27.0 10 RELATING TO DEFINITIONS QF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
30X 3 CONTACT PERSON Angel Foster PHONEAR4_640.4
BOX 4 SEWER DISTRICT WATER DISTRICT
30X 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
30X 6 PROPERTY TAX ACCOUNT NUMBER �;Ij ILO n-- n'—s c�
LEGAL DESCRIPTION
(if necessary, please submit a separate page with the legal description.)
K.C. Plat Recording Jr' -
30X 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed)
3RD • FLOOR / BASENiENT
30X 8 ( } SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS = )
( ) COMM ERCIAUINDUSTRIAL
>OX 9 PLUMBING FIXTURES (including rough -ins)
N0. -WA EIRCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER _.
LAUNDRY WASHER OUTLET
_ URINALS -
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
_ DRAINS
OTHER
_ TOTAL FIXTURES
1ST' FLOOR / 2ND FLOOR / -
J DECK / GARAGE - /
( ) NEW CONSTRUCTION
{ } EXISTING STRUCTURE _.. _ .. _... _.
TOTAL AREA OF PROPERTY SQ FT
MECHAyjCAL APPLIANCES —BASIC FEES -----
GAS PIPING, FEET
_ $..._ .
-ND.-.------FURNACE, ELEC. GAS
$
-1- - GAS HOT WATER HEATER
CONVERStON BURNER
BOILER, SIZE BTU
$
_ �: AIR HANDLING UNITS
- HEAT PUMPS, SIZE
-- UNIT HEATERS
$
==AIR 'AIR COOLING UNITS, SIZE
S'
- - • COMMERCIAL HOOD
$
- - - ..-.-.OTHER
S
TOTAL MECHANICAL FEE ,
$
CERTIFY 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'
EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
ND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELI =,NCE OF THE CITY, INCLUDING ITS
FFICERS AND Et,!PLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY.AS A PART OF THIS APPLICATION.
"TER/AGENT 1 ' /n�
DATE: {
CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 33410 40TH AVE SW
PARCEL NO.: 327900-0340
PROJECT DESCRIPTION: HVAC - INSTALL WATER BEATER
OWNER
WILLIAM WILKINS
33410 40TH AVE SW
FEDERAL WAY WA 98023
838-7934
FUEL TYPES.:GAS
FANS..........: 0
GAS PIPING.:
2 ft
HOOD..........: 0
FURN<100K..:
0
DUCT WORK.....: 0
GAS HWT....:
1
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
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 i Mechanical Inspection Notes:
!S PIPING OK Date 94q3
By
LENDER
PERMIT NO.: BLD92-2406
ISSUED: 11/09/92
BY: FLF
FEES:
NEC PRMT ISSUANCE... S 20.00
NEC APPLIANCE FEES.* $ 8.50
TOTAL FEES S 28.50
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
bLd mech 07/01/92
n
v
DATE ! C, r 1