93-100133CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 30433 IST PL S
PARCEL NO.: 339190-0360
PROJECT DESCRIPTION: INSTALL GAS FURNACE & GAB HOT WATER HEATER
OWNER
VERN PATTERSON
30433 1ST PL S
FEDERAL WAY WA 98003
FUEL TYPES.:GAS
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<100K..:
1
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
ter 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:
PIPING OKLL551 ,IW ' Date,777- 3 By Xz7,,fl
LENDER
113 -
10rj 153
PERMIT NO.:
BLD93®0043
ISSUED:
01/21/93
BY: JJ
FEES:
MEC PRMT ISSUANCE... S 20.00
MEC APPLIANCE FEES.* $ 16.50
TOTAL FEES $ 36.50
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 I A DATE
bld meth 07/01/92
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICALPERMIT PERMIT NO.: BLD93-0043
BUILDING INSPECTION - 661-4140 ISSUED: 01/21/93
BY: JJ
SITE ADDRESS: 30433 IST PL S
PARCEL NO.: 339190-0360
PROJECT DESCRIPTION: INSTALL GAS FURNACE & GAS HOT WATER HEATER
OWNER CONTRACTOR
VERN PATTERSON NORTHWEST WATER HEATER
30433 1ST PL S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
�.1-4299 984-6404
NORTHWH103R2
FUEL TYPES.:GAS
GAS PIPING.: 0 ft
FURN<100K..: 1
GAS NWT....: 1
CONV BURNER: 0
BBQ........: 0
GAS 11RYER..: 0
RANGE......: 0
GAS LOGS...: 0
Line OK
GAS PIPING OK
LENDER
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
HOOD..........:
0
0-3 HP......: 0
MEC PRMT ISSUANCE... S 20.00
DUCT WORK.....:
0
3-15 HP.....: 0
MEC APPLIANCE FEES.* $ 16.50
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
TOTAL FEES $ 36.50
INSPECTION RECORD
Mechanical Inspection Notes:
Date By
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE WfORED 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 V DATE Z1 l c
bld mech 07/01/92 LAN�1— �
Permit {�L®�l3 " LO� LJ3
C17Y OF FEDF•RAI_
WAY
BUILDING PERMIT APPLICATION
— Ptease Print —
)X 1 TENANT NAMf:
OVt'NER SAM SITE LOCATI
OWNER'S ADDRE S CITY
`i DESCRIBE JOB PHONE
THE PROPERTY IS OWNED BY: SINGLE1M,-,%RRIEO PARTNERSHIP CORPORATION
�X 2 CONTRACTOR'S NAME Northwest Wat-Pr T4eAter CONTRACTOR'S REG. N0RTHWHI 03R2
Card MUST be presented
CONTRACTOR'S ADDRESS 8_29 CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-9
—OR—
I HAVE READ CHAPTER 18.27.0 10 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS ANQ SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION,
X 3 C0":TACT PERSON Angel Foster
PHONEg8a_640-4
SEWER DISTRICT
WATER DISTRICT
PROPERTY TAX ACCOUNT NUMBE
LEGAL DESCRIPTION
(If necessary, please submit a separate paga with the legal description.)
K.C. Plat Recording
X 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST' FLOOR I 2ND FLOOR 1 '-
3RD - FLOOR ! BASEM.1ENT !GECK ! GARAGE !
X 8 ( } SINGLE FAMILY ( } NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( } EXISTING'STRUCTURE _
( } COMM ERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY • SQ FT
X 9 PLUMBING FIXTURES (including rough -ins) - - -" " ME ANICAL APPLIANCES — BASIC FEE S ---�
N0. V►'ATERCLOSETS GAS PIPIN , FEET. 5..._ -
BATHTUBS NO. URNACE, ELEC. GAS S
SHOWERS - - GAS HOT WATER HEATER.. -
LAVATORIES - CONVERb*N BURNER - - __ S__
SINKS BOILER, SIZE BTU $
DISHWASHERS -- -'----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 $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
-- _ DRAINS -- S - - -- -
-- - OTHER S
TOTAL FIXTURES """ ' _ - - • - S . _.__—
'TOTAL MECHANICAL FEE �. $
:RTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
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 CLAIM I), WHICH MAY BE h!ADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY `THERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
ICERS AND EM,?P5EES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
':ER/AGENT:
DATE:
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