93-101976 9. 16,1 9 , 0
CITY OF FEDERAL WAY M E C H A Ill I CA L PERMIT PERMSSUED: 08/IT NO:
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FLF
661-4000 EXPIRES: 02/08/94
ADDRESS: 32104 6TH AVE SW
NO. : 926490-0710
PROJ ECT DESCRIPTION:HVAC - INSTALL GAS INSERT W/ PIPING
OWNER CONTRACTORfill G LENDER
DON EHIGH NORTHWEST WATER HEATER
32104 - 6TH AVE SW 8201 DURANGO ST SW
EDERAL WAY WA 98023 TACOMA, WA WA 98499
838-5748 984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 99 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.$ $ 9,50
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 29.50
Inspection Record Water 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 FURNIH_SEDB ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT /////gl•— -1 1-.�1V� DATE 8' _?__. _
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CITY OF FEDERAL WAY ML % F1 A 11 I CA L F ERM I PERMSSUED: 08/12/0376
33530 First Way South
Federal Way , WA 98003 Building Inspection Requests 661 -4140 BY: FLF
661 -4000 EXPIRES: 02/08/94
ADDRESS: 32104 6TH AVE SW
NO. : 926490-0710
PROJECT DESCRIPTION:HVAC - INSTALL GAS INSERT W! PIPING
L.,..........„,,,,,,, ,, CONTRACTORS LENDER -Y_ x -- �--NORTHWEST WATER NEATER
SW8201 DURAHGG ST SW
8023TACOMA, WA W4 98499
984-6404
NORTHWHIO39__..:...._. .................._.,.mss. -. _- - r- ra._ .. _._. .._ _ _ _ _ .::_r.:..a-__
FUEL TYPES.:GAS FANS FEES:
GAS PIPING,: 99 ft HOOD0 0 .,` A�. T " MEC RMT ;SS1 NCE... $ 20.00
FURN<100K... 0 DUCT WORK.. ,,. �/ ', '" Hi', '~ -1 ®:PRS ..,.,°� , AMOK E FEES., $ 9.50
GAS NWT • 0 WOO + �" - ` ' . -' . :
CONY BURNER: 0 FURN> r+ . . 30 3 •t
884 • 0 . `� IP1 ' ' "".4 '_.
GAS DRYER..: 0 AIR S EU T4105 -�----`
RANGE • 0 <:i1•: I , 'i;)VF 140iPPI. '
GAS LOGS...: 1 > 10,i ;C ,. i(er�10t#N_
TOTAL FEES 1 29.50
Inspection Record Water Line OK Mechanical inspect ton Notes:
GAS PIPING OK i(//1)/ suis /ø- - --
-------- -------------------------------------------------
-.-�,.--. I
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 NE IS TRUE AND CORRECT TO THE BEST Of MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERALWAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ___-- -- 4BATF __5•1,?__!_?. .3 j
fi' Lem
FIELD COPY gi '" —
• Pert
CITY OF FEDERAL WAY FAILD
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER Le.--)n E h iqh SITE LOCATION X16 ( -/-,(J S (A
OWNER'S ADDRESS .310`- (o+h f $W CITY Lu • PHONE 3ik-
DESCRIBE JOB CiC4'." ( 1_ ? �fC1C Q f fr C
THE PROPERTY IS OWNED BY: SINGLE/MARRIED x PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME NLL.L) {COCa() CONTRACTOR'S REG. # NoRT4U-' I6)3RQ
_ Card MUST be presented
CONTRACTOR'S ADDRESS S t (1Ct Sr) CITY 1C��� �Q PHONE C L-f-&"1-I0 V
EXPIRATION DATE 1a -aa `ci 3 U
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON n D l� PHONE qc — COL-04/
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 'l CX EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 1act-ILIC 1
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET )6--) -4'nCLV) ECC` $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS 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 AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS _ ' OTHER (411111 0(1(1. (J $
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, UPONA�JjTHHE ACCURACY
OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: � � DATE: 61-51613
ANP-008 3/90