92-102276 _)(,),)n
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.:aBLD92 2579
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/31/92
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 240 S 312TH ST
PARCEL NO.: 082104-9069
PROJECT DESCRIPTION: HVAC
— OWNER v CONTRACTOR LENDER —
MICHELLE HATCH NORTHWEST WATER HEATER
240 S. 312TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
5363 984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 30 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.* $ 18.50
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 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 $ 38.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
OAS PIPING OK Date By
s
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.
I
OWNER OR AGENT
CI
(j2/2 c ---- DATE /L:?-,_-1"----9 ,7
bld mech 07/01/92
CITY OF FEDERAL WAY IV1 EC HAN I CAL PERMIT PERMIT NO.: BLD92-2579
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/31/92
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 240 S 312TH ST
PARCEL NO.: 082104-9069
PROJECT DESCRIPTION: HVAC
OWNER CONTRACTOR — LENDER
MICHELLE HATCH NORTHWEST WATER HEATER
240 S. 312TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
I-5363
984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS • BOILERS/COMPRESSORS FEES:
GAS PIPING.: 30 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.* $ 18.50
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 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 $ 38.50
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INSPECTION RECORD '*' `� x
V�
Water Line OK Mechanical Inspection Notes: '�
.441.4
S PIPING OK Date By
1+0t $48 0)79
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 c / t I P DATE /c;7-13/
bld mech 07/01/92
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE ____ BY __ DATE _ _BY DATE ____sY _____��������
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 -____BYDATE __ _-_-_-oY DATE BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE �Y
�-/~3- 3 ^\ /tiu /v/z iierfn - 1/60/2 j/At/*c-/r/2
•
Permit # .. . / ,
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
)X 1 TENANT NAME:
OWNER c.1-... SITE LOCATION ,?""k(-1
OWNER'S ADDRESS .--?A-3/4•0 `-)- 3 L ,-s+ - CITY-Re k-v- _cr PHONE.3`i
DESCRIBE JOB J- )- vrt,wc.c �_�:cA:��.� L,,; � o
THE PROPERTY IS OWNED BY: SINGLE``R'.ARRIED PARTNERSHIP CORPORATION
IX 2 CONTRACTOR'S NAME Northwest Water HeatP,- CONTRACTOR'S REG. # NORTHWH103R2
Card MUST De presented
CONTRACTOR'S ADDRESS 8201 Durango St SW . . CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92
— 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.
IX 3 CONTACT PERSON Angel Foster
' PHONE984-6404 •
IX 4 SEWER DISTRICT WATER DISTRICT
IX 5 ESTIMATED PROJECT COST A ')j O EXISTING BUILDING VALUATION
IX 6 PROPERTY TAX ACCOUNT NUMBER (jcg-c3Ib�1 — 90(.r; 1
LEGAL DESCRIPTION •
(If necessary, please submit a separate pace with the legal description.) . . - .
K.C. Plat Recording # -
IX 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST FLOOR - / 2ND FLOOR • / .._ -
3RD - FLOOR J BASEMENT / • • DECK • / GARAGE • / -
•
IX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE __
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY • SQ FT
X 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL A°PLIANCES — BASIC FEE S----_ .•'
NO. . ' WATERCLOSETS - GAS ?TING, FEET-0-- . .5� _ $...• .
BATHTUBS NO. i FURNACE, ELEC. GAS $ •
SHOWERS -
_ t GAS HOT WATER HEATER... - '— $----
. .
LAVATORIES - - - • • - CONVERtON BURNER - -- .- - -.-- S- -
•
SINKS BOILER, SIZE BTU $
DISHWASHERS .
- ----- AIR HANDLING UNITS `-- $ --'-- -
ELECTRIC HOT WATER HEATER -•. -•••• - . HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS - - AIR COOLING UNITS, SIZE - - -.y - $ ---. .-...
DRINKING FOUNTAINS ..• -•- - - COMMERCIAL HOOD - - $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS - - •
-- - - OTHER
S':
TOTAL FIXTURES -
- _ $ ---_
' TOTAL MECHANICAL FEE * S
ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
D 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 HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
ES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY ; .
D FILED AGAINST THE FEDERAL ��� WHERE) PERSON, INCLUDING THE UNDERSIGNED,
CITY OF FE_ERAL WAY, BUT ONLY��HERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
'ICERS AND EMPLOYEES, UPON THE ACCURACY CF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
'NER/AGENT: ' ,i -- / DATE: I•c)-- t.c1 1 1 D '
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