93-101615 CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93-0704
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 06/29/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 120 S 304TH PL
PARCEL NO.: 339190-0050
PROJECT DESCRIPTION: HVAC - INSTALL GAS FURNACE & HOT WATER HEATER
OWNER CONTRACTOR LENDER
ERINA SPERLINE NORTHWEST WATER HEATER
120 S 304TH PL 8201 DURANGO ST SW
ERAL WAY WA 98003 TACOMA, WA WA 98499
-4205 984-6404
NORTHWH103R2
4 ,
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 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.* $ 16.50
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONV BU4'-.ER: 0 FURN>100K • 0 30-50 HP • 0
G'Q - 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 $ 36.50
INSPECTION RECORD
Alter Line OK Mechanical Inspection Notes:
GAS 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 )2 /Ki_14<LL)A—).— DATE e /
bld mech 07/01/92
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93'-0704
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 06/29/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 120 S 304TH PL
PARCEL NO.: 339190-0050
PROJECT DESCRIPTION: HVAC - INSTALL GAS FURNACE & HOT WATER HEATER
OWNER .- CONTRACTOR •- LENDER
ER�IIIjA �5
SPERLINE ( 7/?/4 NORTHWEST WATER HEATER
120 S 304TH PL 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
4205 984-6404
NORTHWH103R2
B 1
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 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.* $ 16.50
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 S 36.50
INSPECTION RECORD
Water Line OK Mechanical Inspec ion Notes:
OS PIPING OK L, Date /(74' By &L ' N.- 1 ((--
\ -
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 /Z..-- L DATE .9 •/
bld mech 07/01/92 �/
- CITY OF FEDERAL WAY
BUILDING PEOMIT APPLICATION
— Ptease Print — 1 pi _t J`t .) o t
II
.N i NA1.;E:
ER • Ilia ZZ? v Si TE LOCATION < •LOW L.
ERS ADORESS 1 7_0 �� CITYH ,
P OtiE sS3c1- Z0;
,RIS_.103 ..i ►/' ^ !t.,--L' r- 7 .
PROPERTY IS OWNED SY: SINGLEIMAR.11 0 PARTNERSHIP CORPORATION
"R.ACTOR•S NAME Tort - t t-= - 1:s....4-=, CONTRACTOR'S REG. = NORTEWH1 0 3R2
Ca:d MLST be presented
RACTOR'S ADDRESS 8201 Du,-,=„r-n Si- crit . . CITY Tacoma PHONE 984-6404
RATION DATE 12-22-9'7 •
— OR —
'E READ CHAPTER 18.27.01 O RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
'TER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
Foster
iACT PERSON Angel - PHONEQRa_g,,C•A .
ER DISTRICT WATER DISTRICT -
MATED PROJECT COST EXISTING BUILDING VALUATION
:ERTY TAX ACCOUNT NUMBER . 161 -- (DO
L DESCRIPTION
.. , .. . .
:cessa.-y, please submit a separate pace with the Legal descriptici.) , ' • • . ..
Piet :Recording = - - .
DING SQUARE FOOTAGE:. (_xistinc/Propesed) 137. FLOOR____:_/ 2ND FLOOR • _ -
- FLOOR / EASEMENT_______/ • • - DECK / GARAGG . / -
SINGLE FAMILY ( ) NEW CONSTRUCTION •
MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE -. _.. -. ...
COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY •
SQ ;i •
;SING FIXTURES (inciuGing rough-i�,$) _ - MECHANICALIAPPLANCES — 'ASIC FEE S------
WA T ERCLOSETS • GAS PIPING, FRET• , Q - _ _ S.... .
BATHT13S • NO. I FURNACE, El GAS S •
SHOWERS - - .. --T. - GAS HOT WATER HEATER••
LAVATORIES . • • • . • CONVERSION BURNER . - .. . ---- S_ - .
SINKS BOILER, SIZE ETU S
DIS; ^iASH_RS - - --•--AIR HANOOING UNITS
S ----
ELECTRIC HOT WATER HEATER -- -• .•• . • HEAT PUMPS, SIZE • . -- S-. .
LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS - • - -- --AIR COOLING UNITS, SIZE -}
DRINKING FOUNTAINS ••• -•- - - COMMERCIAL HOOD • - •• S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS •
. ..._ ._ . .... . . . . . .. -- S - - --
OTHER 5•:
TOTAL FIXTURES _ . - - _ • _. _ 5 •—__---
• • TOTAL MECHANICAL FEE 'ft S
.;DER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE ANO CORRECT TO THE BEST OF MY KNOWLEDGE
:R THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMITAPPLICATION IS
THE'AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
REO IN (NVESTIGATION ANO DEFENSE OF SUCH CLAIM), WHICH MAY SE MADE SY ANY PERSON. INCLUDING THE UNDERSIGNED,
kG.AINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
`''0 EMPLOYEES. UPON! TH. ACCURACY CF THE INFORMATION SUPPLIED TO THE CITY A A PART OF THIS APPLICATION.
:NT: 61)
f+ (Q t'1 °l7 .
DATE E: