92-102225 ,9 .1z),()). 5
CITY OF FEDERAL WAY MECHANICAL PERMITPERMIT NO.: BLD92-2549
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/15/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 443 S 304TH ST
PARCEL NO.: 232950-0070
PROJECT DESCRIPTION: HVAC
II[
ER - CONTRACTOR ..- LENDER
OSBORN NORTHWEST WATER HEATER
S 304TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
839-2347 984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS • BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 3-15 HP • 0 MEC APPLIANCE FEES.* S 10.00
GAS HWT • 0 WOOD STOVES...: 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 30-50 HP • 0
BBQ • 0 MISC • 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNIT FUEL TANKS
RANGE • 0 <=10,000 CFM: ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: UNDERGROUND.: 0 TOTAL FEES S 30.00
• INSPECTION RECORD
Water 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 r, DATE 12.-\ )s ICJ
bld_mech 07/01/92
CITY OF FEDERAL WAY IVI E C H AN I CA L PERMIT PERMIT NO.: BLD92-2549
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/15/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 443 S 304TH ST
PARCEL NO.: 232950-0070
PROJECT DESCRIPTION: HVAC
OWNER — CONTRACTOR -- LENDER
TOM OSBORN NORTHWEST WATER HEATER
443 S 304TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
839-2347 984-6404
410 NORTHWH103R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 NEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 10.00
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...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 30.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
PIPING OK Date11141/601-
f
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMAT 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 AGEN DATE 'Z,,, `‘s k 2
btd meth 07/01/9
�v (M
(i 4 0
Permit # 6C-CD f--4 2S--Gr7 0
III
CITA/F FEDERAL WAY
BUILDING PERMIT'APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER V w\ >L-Yrv\ SITE LOCATION 4
RS ADDRESS -k ' 5 3(-)--k4'=' c T �
OWNER'S
�� CITY`-P��,�_ ��>�z.�.� PHONE �.')l -- t�
', DESCRIBE JOB L.Q.An.,33�••-t '4-
• k JLQ , ,r vct
THE PROPERTY IS OWNED BY: SINGLE/M; RIED t _...) PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Northwest Water Reater CONTRACTOR'S REG. # N0RTHWH103R2
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 DuranQr, 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.
3OX 3 CONTACT PERSON Angel Foster _ PHONEQR4-
6404
3OX 4 SEWER DISTRICT WATER DISTRICT
3OX 5 ESTIMATED PROJECT COST 11. 5- EXISTING BUILDING VALUATION
30X 6 PROPERTY TAX ACCOUNT NUMBER -3P-CISO'-- cc'l C
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.) . . - ..
K.C. Plat Recording# -
3OX 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST" FLOOR / 2ND FLOOR - / --- -
3RD - FLOOR / BASEMENT / - - DECK / GARAGE - 1 -
30X 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE • _ ___
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY • SQ FT
•
IOX 9 PLUMBING FIXTURES(including rough-ins) -"• MECHANIC L APPLIANCES — BASIC FEE$ - -- --
NO. . - WATERCLOSETS - GAS PIPING, FEET L_ .\BATHTUBS NO. 1_ FURNACE, ELEC. £ GAS S
-
SHOWERS - . GAS HOT WATER HEA' R-" - - " 77 S-------
LAVATORIES CONVERtON BURNER - -- • _.-- 5--
SINKS BOILER, SIZE BTU $
DISHWASHERS "
_ _ _ -- �AIR HANDLING UNITS - S
- —
--- --
ELECTRIC HOT WATER HEATER - - HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLET _ UNIT HEATERS S
URINALS -- - 'AIR COOLING UNITS, SIZE - - 4- ' $•—.. - --
DRINKING FOUNTAINS - COMMERCIAL HOOD . S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS -
-- - . OTHER
TOTAL FIXTURES - _ $--.-_-_--
- • TOTAL MECHANICAL FEE #w S
CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
ND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
:ADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
ND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
FFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY ASA PART OF THIS APPLICATION.
','t,EP,/AGENT: \r,.' '\ _ l.'-fit ' I(i1 t---) DATE: (.. 19 .D-
1