93-102218CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:2162 SW 316TH ST
NO.: 122103-9097
PROJECT DESCRIPTION: HVAC - INSTALL OSBURN HEATER 6 PIPING.
OWNER
LAURIE FIORITO
2162 SW 316TH PL
F MAY WA 98023
838-7424
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA NA 98499
984-6404
NORTHNH103R2
LENDER
PERMIT NO:
ISSUED:
BY:
EXPIRES:
93 - �oaar 8
BLD93-0957
09/02/93
FC
03/01/94
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 99 ft
HOOD..........:
0
0-3 HP......: 0
NEC PRMT ISSUANCE...
= 20.00
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....: 0
NEC APPLIANCE FEESJ
= 9.50
GAS HNT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
CORV BURNER: 0
FURN>100K.....:
0
30-50 HP....: 0
BBQ......... 0
RISC...........
1
5+ HP........ 0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0
<:10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
$ 29.50
Inspection Record
Nater line OK
Mechanical Inspection Notes:
GAS PIPING OK
Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
n
DATE
FILE COPY
Pe at # &Z-) 0"D —D937
CITY OF FEDERAL WAY o -
BUILDING PERMIT APPLICATION D
— Please Print —
BOX 1 TENANT NAME:
OWNER
—; 'T +-U
SITE LOCATION -�tLDd LULU
ILP EL-
OWNER'SADDRESS
$
L- CITY &Ld ILLD31
PHONE -
DESCRIBE JOB k L546-`
S Linn J\,�L
BOILER, SIZE BTU
$
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP
CORPORATION
BOX 2 CONTRACTOR'S NAME N
U l A) LtO
CONTRACTOR'S REG. # SRT N-I,M In3R;a
$
AIR COOLING UNITS, SIZE
$
Card MUST be presented
CONTRACTOR'S ADDRESS
/'�
56
_
inn(') 5+5L'JCITY �OfC�0.
PHONE q?Lf -L'2g07
EXPIRATION DATE 1a
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON PHONE -- E
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST Al c5550 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER K — LIG 1
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK ------J— GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMM ERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
71 .
PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET i .tL `l (C=L: '
$
N0. FURNACE, ELEC. GAS
$
GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIA HOODL
$
OTHER C' _ ELLJ Q �Jdl
$
TOTAL MECHANICAL FEE
$
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPL YEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: `- .J—� DATE: �dcLz
ANP -008 3190
CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:2162 SW 316TH ST
NO.: 122103-9097
PROJECT DESCRIPTION: NVAC - INSTALL OSBORN HEATER K PIPINS,.
OWNER - - ----
LAURIE FIORITO
2162 SW 316TH PL.
FEDERAL WAY WA 98023
8 A 2 4
FUEL TYPES.:GAS
GAS PIPING.: 99 ft
FURNc100K..: 0
GAS MI—.: 0
CORY BURNER: 0
880........: 0
GAS MEN–: 0
f RANGE......: 0
i GAS LOGS...: 0
CONTRACTOR
NORTHWEST WATER NEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984--6404
Inspection Record Water Line OK -- -- Mechanical Inspection Nates:
BAS PIPING OK Date I,"
LENDER
PERMIT NO: BLD93-0957
ISSUED: 09/02/93
BY: FC
EXPIRES: 03/01/94
FEES:
NEC PRNT ISSUANCE... t 20.00
$m NES_ FEES. 9.50
TOTAL FEES 1 29.50
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY Of FERFRAE WAY REQUIREMENTS HILL BE MET.
OWNER OR AGENT � _w _��__�_-------_----- DATE --
FIELD COPY
FANS..........:
0
BOILERS MP*
No ..........
0
0-3 HP. ..
0
DUCT WORK.....
0
!-15 NP.....
WOOD STOVE ..,u
0
i5-30 IV—,
0
FURNA009:. ..
op ..
0
RISC..*
AIR IIAtNi v ON;
FU' Mors..
1-10,000 ON.,
,4'
A.,.-;E,fI100i:
> 10,000 0114
Inspection Record Water Line OK -- -- Mechanical Inspection Nates:
BAS PIPING OK Date I,"
LENDER
PERMIT NO: BLD93-0957
ISSUED: 09/02/93
BY: FC
EXPIRES: 03/01/94
FEES:
NEC PRNT ISSUANCE... t 20.00
$m NES_ FEES. 9.50
TOTAL FEES 1 29.50
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY Of FERFRAE WAY REQUIREMENTS HILL BE MET.
OWNER OR AGENT � _w _��__�_-------_----- DATE --
FIELD COPY