93-102216 33530CITY 0F FEDERAL WAY Firstt Way South MECO I CAL P El�;M I T PERMIT NO:ISSUED: 09/02/9358
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/01/94
ADDRESS: 1963 S 299TH PL
NO. : 367430-0060
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE.
= OWNER — CONTRACTOR — LENDER
STEVE PIIANA NORTHWEST WATER HEATER
1963 S 299TH PL 8201 DURANGO ST SW
FE L MAY WA 98003 TACOMA, NA NA 98499
941-7406 984-6404
NORTHMN103R2
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.* $ 10.00
GAS HNT - 0 MOOD 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 $ 30.00
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT iC DATE
1
ALE COPY
CITY
F FERAL WAY
335300FirsDtEWay South MECHANICAL PE1�:MIT PERMITISSUED: 09/02/9358
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/01/94
ADDRESS: 1963 S 299TH PL
NO. : 367430-0060
PROJECT DESCRIPTION:HYAC - INSTALL GAS FURNACE.
STEVE PIZANA NORTHWEST WATER HEATER
1963 S 299TH PL 8201 DURANGO ST SW
FEDERAL KAY WA 98003 TACOMA, NA WA 98499
9111/406 984-6404
WORT HWH103P2
Las,..,*_„,..*.;r,,r=-=t r-j, .a. _„,,,,_-,,lar 7-ai1C >--" __. .. .. . ....._._..,„,,,,_..,_-„.......•.a. _=-...s,__ .FUEL TYPGAS FANS • 9 RO1LERS PRESSORS w, FEES:
GAS PIPI0 ft 0000 • 0 0 HP. ....: A x MEC PRMT ISSUANCE... 8 20.00
FURN:1001 DUCT NORK • 0 3-r HP 0 ,� NE S.* $ 10.00
GAS NWT0 WOOD STOVESa ;5-30 ..: 0 I 1% _” ��" , � ��� ,®�CONY tR0 FURN>100I • 0 a n? .. �� ���BBQ 0 N1SC 9 ,+ HiT_,......: 0 ,: . - a. ® _ '_, _ ,GAS DRYE0 AIR HANDU��T IUEE ,DN° ------ ' 1 ��RANGE 0 <-10,000 N: 0 MOVE GP*:' ,x , .0GAS LOGS0 > I0,000 C : 0 P+i : 0
TOTAL FEES $ 30.00
Inspectiecord Water Line OK Mechanical Inspection Notes:
GAS PIPING OK/4704-17Date // ,f BY6i2_,
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 FERIRAL NAY REQUIREMENTS WILL 8E NET.
OWNER OR AGENT � . .- - NATI __7/.t' .21..___
FIELD COPY
• Per "t # /7696/3— g g
CITY OF FEDERAL WAY ! -
L+
BUILDING PERMIT APPLICATION -- )
—Please Print—
BOX 1 TENANT NAME:
OWNER .._ -l..l LL SITE LOCATION Co: • "C
OWNER'S ADDRESS • . • m*'( - CITY atr PHONE CI`-f i— INC C<-
DESCRIBE JOB 1� ` (I i r'tr'. `� ' 't\naC—t-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED y PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME NW l a 0.. j J "RD o e. j , CONTRACTOR'S REG. # ► RTF�1�'t{ 1�3R
Card MUST be presented
CONTRACTOR'S ADDRESS Sc�O 1 Q UJ\ft i`(1C�C SF1S�LCITY lQ-COY\a PHONE f
EXPIRATION DATE la l oa 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 I Lid C° 'l�= X 11 A Q O PHONE Q� I (S LIC y
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST J EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 3(rl(-/ ;3 :UlS1�
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 ; `K , $
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 $
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 PART OF THIS APPLICATION.
OWNER/AGENT: •
I ` � J v02-Jj DATE: 001:1)/9,3
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ANP-008 3/90