93-102085 93' WO8G.
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CITY OF FEDERAL WAY lvi EC HAN I CAL PERMIT PERMIT NO.: BLD93-0904
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/17/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 2901 SW 312TH PL
PARCEL NO.: 150320-0020
PROJECT DESCRIPTION: HVAC m FURNACE & HW HTR
OWNER CONTRACTOR LENDER
ROBERT TYACK NORTHWEST WATER HEATER
2901 SW 312TH PL 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
I-1054
984-6404
INORTHWH103R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 40 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 19.50
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBD • 0 MISC • 0 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 $ 39.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
It PIPING OK Date By
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 - �,__._.._ DATE
CS - n ~ 0
bld mech 07/01/92
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, SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE..........—_..... BY DATE ...._ BY
_ _.. DATE _ ._.—..........— _---_.. BY .-..—
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
PIPING O.K.
BY GAS DATE ^/ VS BY
DATE.... — .._ _...__
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY _.__... DATE .- BY ____.__....._ DATE BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE BY
1
// Cnl 4 /5yC.)14/1124C160—
MG-16-93 MON 11 :29 NW WATER HEATER TACOMA FAX NO. 206 588 0353 P, 034110
Per # 41,13"e/gvil
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
F!enoe Print—
BOX 1 TENANT NAME: --------T- . -
OWNER 7'y Q ^ c ,-, SITE LOCATION. r-l1C m = L-
IMNER'S ADDRESS '�' U � ' � CITY :a_
! C�-C3-1L Li PHONE .3R- 1054DESCRIBE JOB _.� rIF-- Q P-k �t� SS )('I
THE PROPERTY IS OWNED BY: SiNO '7Yf
EIMARRIIED PARTNERSHiP CORPORATION
BOX 2 CONTRACTOR'S NAME #�ILk Zlr -- CONTRACTOR'S REG.# N ' r i )
Card MIL'be preeenied
CONTRACTOR'S ADDRESS S- I - S ►itS.4-S. � �� PHONE_ q"Ei4
EXPIRATION DATE a
— 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 PERMITS WITHOUT PROOF OF REGISTRATION.
c-TBOX 3 CONTACT PERSON `� A. ! _ PHONE_ *MEW
BOX 4 SEWER DISTRICT WATER DISTRICT -- —
BOX 5 ESTIMATED PROJELT COST 'd2C-- EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER l�S Cr/.2.0
LEGAL DESCRIPTION � _
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording# _
BOX 7 BUILDING SQUARE FOOTAGE: (FxistinglProposed) 1ST FLOOR_ I 2ND FLOOR /_
3RD FLOORY _ BASEMENT_J DECK / • GARAGE /
DOX 8 ( ) SINGLE FAMILY • ( ) NEW CONSTRUCTION
( ) MULTiFAMICY (NO. OF UNITS = _.___,) ( ) EXISTING STRUCTURE
( ) COMMERCIALJINDUSTRiAL TOTAL AREA OF PROPERTY SQ FT
SOX U PLUw:BING FIXTURES(including rough-ins) MECHANI^AL APPLIANCES -- BASIC FEE$
NO. --WATERCLO ETS OAS PIPING, FEET $
BATkTUBS NO: t FURNACE, ELEC.__-- . jAS $
SHOWERS GAS HOT WATER HEATER Y $
LAVATORIES CONVERSION BURNER 8
_— SINKS .._BOILER, SIZE BTU $
. DISHWASHERS AIR HANDLING UNITS S
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 $
_DRAINS
OTHER
.TOTAL FIXTURES _. $
TOTAL MECHANICAL FEE $
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.!FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY ASTO 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
p
OWNER/AGENT. c \_
DATE: l I r�' /Q$ _
.ANP.P06 a(O