93-101277 MECHANICAL PERMIT PERMIT N0BL93�51
CITY OF FEDERAL WAY
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/27/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 2633 S 304TH ST
PARCEL NO.: 092104-9064
PROJECT DESCRIPTION: HVAC - INSTALL GAS HOT WATER HEATER & PIPING
11
OWNER CONTRACTOR LENDER
JACK MAIER NORTHWEST WATER HEATER
2633 S 304TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
839-6482 984-6404
NORTHWH103R2
4111
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 20 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 HNT • 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 $ 29.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
its 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 AGEN ` DATE , —�.i _ t .>
bld mech 07/01/92
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93-0551
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/27/93
Federal Way, WA 98003 BY: PC
661-4000
SITE ADDRESS: 2633 S 304TH ST
PARCEL NO.: 092104-9064
PROJECT DESCRIPTION: HVAC - INSTALL GAS HOT WATER HEATER & PIPING
OWNER — CONTRACTOR — LENDER
JACK MAIER NORTHWEST WATER HEATER
2633 S 304TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
6482 984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS BOILERS/COMPRESSORS FEES:
GAS PIPING.: 20 ft HOOD 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 3-15 HP • 0 MEC APPLIANCE FEES.* $ 9.50
GAS NWT • 1 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 $ 29.50
INSPECTION RECORD
01
ater Line OK �C/ Mechanical Ins ction Notes:
S PIPING OK c_ ��3 Date C.- By
A
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 APPUCABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT��1V� DATE , _. la
bld_mech 07/01/92
• CiEY OF FEDERAL WAY
BUILD1NTTPERMIT APPLICATigN
- Please Print - ����
�0�3 - 1
TENANT iNAt E: -
OWNER Li �.0 . SITE LOCATION � Air-
OWNER'S ADDRESS i� . _ �r• ism _ CITY - _w� �.r PHONE 'IN -(9s- )-
DESCRI5E J03 • 4f1,.Sia\ •0. "VII" I •
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ,><-) PARTNERSHIP CORPORATION
CONTRACTOR'S NAME Northwest Wai-rzr uAat=r CONTRACTOR'S REG. # NORTHWH103R2
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Durangn St- Crg ' • CITY Tacoma PHONE 984-6404
EXPIRATION DATE I2-22-92 •
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER ER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
CONTACT PERSON Angel Foster
PHONE98a-6404 •
•
SEWER DISTRICT WATER DISTRICT --
ESTIMATED
ESTIMATED PROJECT COST 1/4--1/4,4 EXISTING BUILDING VALUATION
PROPERTY TAX ACCOUNT NUMBER (09:�1CM-- 9 `-4
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.) . . - ..
K.C. Flat :Recording = - -
BUILDING SQUARE FOOTAGE:. (Existing/Prapased) 1ST• FLOOR • / 2ND FLOOR • I •-- -
3RD • FLOOR I BASEMENT / - • - DECK • / GARAGE / -
( ) SINGLE FAMILY ( ) NEW CONSTRUCTION .
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE -. -.. -. .--
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY •- • SO FT .
PLUMBING FIXTURES (including rough-ins) ••--- -• •• • MECHANICAL APPLIANCES — BASIC FEE S---—
NO. . -- WATERCLOSETS - GAS PIPING, FEET 0 . 5.... .
EA T HTU3S NO. FURNACE, ELEC. GAS S
. ..__
_ SHOWERS - -
-
1- - GAS HOT WATER HEATER-- S----' •-
LAVATORIES . - - . . . CONVERtON BURNER - - .- - ---- S- - .
SINKS BOILER, SIZE BTU S
DISHWASHERS . .. . •. - ------AIR HANOC.ING UNITS - S —"--
ELECTRIC HOT WATER HEATER -.. -.... HEAT PUMPS, SIZE
__ LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS - -- AIR COOLING UNITS, SIZE -1 '-"-
DRINKING FOUNTAINS . -.- - - COMMERCIAL HOOD . - •• S
SUMPS, SPRINKLER VACUUM BREAKERS • OTHER S
_. DRAINS _ ._. .... . . . -- S - - -- -
OTHER 5-,
TOTAL FIXTURES - _ _
- • TOTAL MECHANICAL FEE . S
FY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
RTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
:CURBED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY SE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
.ED AGAINST THE CITY OF FBCy�DERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
-S AND EMPLOYEES, UPON THE A CURACY OF THE INFORMATION SUPPLIED TO THE CI-Y AS A PART OF THIS APPLICATION.
AGENT: 0 r., i� s-- (Rt./ .
LATE: