92-101565 CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-219 6
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/22/92
Federal Way, WA 98003 BY: NH
661-4000
SITE ADDRESS: 1931 S 304TH ST
PARCEL NO.: 092104-9199
PROJECT DESCRIPTION:
OWNER — CONTRACTOR — LENDER
HUGO LARSON NORTHWEST WATER HEATER
1931 S 304TH ST 8201 DURANGO ST SW
FEDERAL WAY WA TACOMA, WA WA 98499
941-0564 984-6404
NORTHWH103R2
L 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.* $ 16.50
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...: 1 > 10,000 CFM: UNDERGROUND.: 0 TOTAL FEES $ 36.50
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 AG T DATE � let-1--
bld_mech 07/01/92 7
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2196
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/22/92
Federal Way, WA 98003 BY: MH
661-4000
SITE ADDRESS: 1931 S 304TH ST
PARCEL NO.: 092104-9199
PROJECT DESCRIPTION:
OWNER — CONTRACTOR -- LENDER
HUGO LARSON NORTHWEST WATER HEATER
1931 S 304TH ST 8201 DURANGO ST SW
FEDERAL WAY WA TACOMA, WA WA 98499
••0564 984-6404
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.* $ 16.50
GAS HWT • 0 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES S 36.50
INSPECTION RECORD
ter Line OK Mechanical/ Inspection Notes:
S PIPING OK Date l�/ 'LL ,�,
By ..
l�
�-1Z1`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.
OWNER OR AGE L✓ DATE 2__
bld_mech 07/01/92
V
ti t r1
• 1-2rZrmit # ' 9 ,)2/9A,
,, RECEIVED CITY OF FEDERAL WAY
SEQ 1992 BUILDING PERMIT APPLICATION
! —Please Print—
I PAL WAY
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OWNER �v" i\ SITE LOCATIO�AI� ,r\31 3 . 3`- -..,-4 .
OWNER'S ADDRE I`'\3\ S: ? A- `;'-{ . CITYaut- PHONE 4 Lk CY`Ze
DESCRIBE JOB ,SZ--1' ,40..v..4--v---‘c...4.— '7 e ,-Q
THE PROPERTY IS OWNED BY: SINGL ARRIED • PARTNERSHIN CORPORATION
BOX 2 CONTRACTOR'S NAME C\ A -< -ic- Via- k, �------ CONTRACTOR'S REG. #NV &k (0,3
Card UST be preseMd
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CONTRACTOR'S ADDRESS o\ - CITYc l-vI N PHONE 9' "�-ib`iT
EXPIRATION DATE --D-1 ;;--
—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 64, ,t9---9— PHONE 9 l-int-tt H
BOX 4 SEWER DISTRICT o WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST i \'-1 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER (lq D-1014 - If9 19 ,
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. Q�k .) �Z)� $
BATHTUBS NO.___I _FURNACE, ELEC. GA <) $
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_ r $$
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.
ifn,
OWNER/AGENT: -4 lU\'��\,1O�,[�c:v k-� - DATE: ` l I} '
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