92-101290 4a--/0l.190
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2064
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/25/92
Federal Way, WA 98003 BY: AJ
661-4000
SITE ADDRESS: 2676 S 300TH ST
PARCEL NO.: 798500-0020
PROJECT DESCRIPTION: MECHANICAL - FURNACE, WATER HEATER
T OWNER - CONTRACTOR LENDER
ROSE BOYNTON NORTHWEST WATER HEATER
2676 S. 300TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
941-7666 984-6404
NORTHWH103R2
F TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 35 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.* $ 18.50
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 $ 38.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
eS PIPING OK Date By
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATIO '' ED 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 DATE c4I 1�
bldemech 07/01/9
rM:!TY OF FEDERAL WAY
ECHAN ICAL PERMIT PERMIT NO.: BLD92-2064
"'530 First Way South BUILDING INSPECTION 661 4140 ISSUED: 08/25/92
Federal Way, WA 98003 BY: AJ
661-4000
SITE ADDRESS: 2676 S 300TH ST
PARCEL NO.: 798500-0020
PROJECT DESCRIPTION: MECHANICAL - FURNACE, WATER HEATER
— OWNER CONTRACTOR LENDER
ROSE BOYNTON NORTHWEST WATER HEATER
2676 S. 300TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
941-7666 984-6404
911/TYPES.:GAS
NORTHWH103R2
? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 35 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.* $ 18.50
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 $ 38.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
S PIPING OK ' - Date J-11---/-'; By l 1A1
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE I ••MATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
1
OWNER OR AGENT A 'tom le.-r
DATE 1 I T�bldmech 07/01/92 l
V /-
I 1`
L.
• •rmit # 136i, O6
RECEIVED
CITY OF FEDERAL WAY
AUG 1992 BUILDING PERMIT APPLICATION
WV OF t~7 D .f`fAL VV/24`Y — Please Print-
raw ma cerir
BOX 1 TENANT NAME:
OWNER 4 `;t' �jCy VIA-05'1 SITE LOCATION "3-4,4i1 Lp 3. -3c t5 Ste.
OWNER'S ADDRES . - CITY ' `1`-k _llslp(,
DESCRIBE JOB 1 YA`"AA tr► '(c - co. '�-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAMEAr\0 \(\ )1A LOC ittirv, CONTRACTOR'S REG. #N61ZT1\1)4t(CU .
Card MUST be presented
CONTRACTOR'S ADDRESS ISr , �� 4 lX LL y lam' 'Jk -43CITY- X e4'116PHONE Cj 19 _ec{Lt
EXPIRATION DATE I a ,3 ct 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 «-."c PHONE 49 L10"1
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST - I , 1 `60 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER -195'S " OCl DID
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 3 `- `Th $
BATHTUBS NO. FURNACE, ELEC. GAS �= $
SHOWERS 1 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 A PART OF THIS APPLICATION.
OWNER/AGENT: gt_ r v�� _L DATE: 1 ' (11 -
ANP-008 3/90