92-101407 a. 10 0�
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2115
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/09/92
Federal Way, WA 98003 BY: MH
661-4000
SITE ADDRESS: 4117 SW 325TH ST
PARCEL NO.: 873201-0620
PROJECT DESCRIPTION: MECHANICAL--FURNACE, WATER HEATER, AIR CONDITIONER
— OWNER — CONTRACTOR — LENDER
DONALD BIRKETT NORTHWEST WATER HEATER
4117 SW 325TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
838-3850 984-6404
NORTHWH103R2
FUEL YPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 65 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.* $ 25.00
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBC) • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <=10,000 CFM: 1 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 45.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
• PIPING OK /0/2k_ Date 4A, By )dirl
ALL PERMITS EXPIRE 160 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FUR ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
r 1 �j n
OWNER OR AGENT J DATE ` 1 q Q (�-
bld_mech 07/01/92
INV 47
1,A ift
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
DATE ._ BY GAS PIPING O.K._...._-_..__ DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY -......._-... DATE .... -_......._ DATE BY ....
FINAL O.K. T OCCUPY
DCD PSD FD
DATE/
6�L 41._ __.BY 9 V
• •
Permit # ia. �t 2 -2i1
CITY OF FEDERAL WAY
Rt` .
JV UILDING PERMIT APPLICATION
AUG 3 1 1992 - Please Print—
nt(IR keijEket..tern;
BOX 1 TE DEPT
OWNER _ �� `• .• SITE LOCATISN
OWNER'S ADDRESS _ LTi CI = __. PHONE ••
DESCRIBE JOB S./1,,754-0-k ' v'lnc{
THE PROPERTY IS OWNED BY: SINGLE/MA•RIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAM rsa-. ,` CONTRACTOR'S REG. # \-Z��C
Card MUST be presented
CONTRACTOR'S ADDRESS 1 � ' 113CITY — e---arc- PHONE 0 _ 1. ,t,L. 1
EXPIRATION DATE
— 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.
BOX 3 CONTACT PERSON ti� — PHONE �,p
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 1, ,f, X31 V EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER `ri) ?=-)c\ -._ ()Co
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 / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SO FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET , 3S $
BATHTUBS NO. I FURNACE, ELEC. GAS.' - $
SHOWERS I GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS I AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT DATE: '11
•`y J ANP-008 3!90