93-100309 CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93•
-G114
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 02/04/93
Federal Way, WA 98003 BY: , JJ
661-4000
SITE ADDRESS: 32808 17TH AVE SW
PARCEL NO.: 010455-0210
PROJECT DESCRIPTION: HVAC
OWNER — CONTRACTOR -- LENDER
JOHN ELLIOTT NORTHWEST WATER HEATER
908 17TH AVE SW 8201 DURANGO ST SW
RAL WAY WA 98023 TACOMA, WA WA 98499
874-3280 984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS • BOILERS/COMPRESSO S FEES:
GAS PIPING.: 0 ft HOOD • 0-3 HP • MEC PRMT ISSUANCE... E 20.00
FURN<100K..: 0 DUCT WORK • 3-15 HP • MEC APPLIANCE FEES.* $ 6.50
GAS HWT • 0 WOOD STOVES...: 15-30 HP •
CONV BURNER: 0 FURN>100K • 30-50 HP •
BBQ • 0 MISC • 5+ HP •
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 $ 26.50
INSPECTION RECORD
•ater 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 FURNISHE Y ME IS TRUE D CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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OWNER OR AGENT 4'44.- DATE 2 -9 -9
bld meth 07/01/92
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CITY OF FEDERAL WAY IVI E C H A N I CA L PERIVI I T PERMIT NO.: BLD93®0114
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 02/04/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 32808 17TH AVE SW
PARCEL NO.: 010455®0210
PROJECT DESCRIPTION: HVAC
OWNER CONTRACTOR — LENDER
JOHN ELLIOTT NORTHWEST WATER HEATER
32808 17TH AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
" 3280 984-6404
NORTHWH103R2
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..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 6.50
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 $ 26.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
IS PIPING OK - '5— 3 w'^-/ Date ;2 -/S-k3 By
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME JS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT7-•••"--- --"--Z-JI CN
DATE N ?,
bld mech 07/01/92
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print-
DX 1 TENANT NAME:
OWNER Z v VVAI k SITE LOCATI I �- 2,01 \-7\ _ 1
OWNER'S ADDRESS , 10 �� .� .. " `CITY PHONE 7l�i +1211
DESCRIBE JOB'EST1 '"`1 'S N15: -,Ik `lt t`.1 Q )
THE PROPERTY IS OWNED BY: SINGLE/MARRIED x PARTNERSHIP CORPORATION
DX 2 CONTRACTOR'S NAME Northwest Water Heater CONTRACTOR'S REG. # NORTHWH103R7
Card MUST be presented
CONTRACTORS ADDRESS 8201 Durango Rt cW ' ' 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.
DX 3 CONTACT PERSON Angel Foster - PHONEQ
84-640'4
DX 4 SEWER DISTRICT 1 WATER DISTRICT
DX 5 ESTIMATED PROJECT COST `AtY., EXISTING BUILDING VALUATION
DX 6 PROPERTY TAX ACCOUNT NUMBER O\ oq b ,'-' (D-. .\h
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # -
DX 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST' FLOOR / 2ND FLOOR - / -"- -
3RD - FLOOR I BASEMENT / - - - DECK • / GARAGE • / -
•
DX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE _
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY • SO FT-
)X 9 PLUMBING FIXTURES(including rough-ins) - ` MECHAN L APPLIANCES — BASIC FEE S-----
NO. . - WATERCLOSETS
WATERCLOSETS GAS PIPING, FEET
BATHTUBS NO. FURNACE, ELEC. GAS S
SHOWERS - '-
_ - . GAS HOT WATER HEATER - - S -
LAVATORIES - - - . . . CONVERS`tON BURNER - -- _. - _.-- S- -
SINKS BOILER, SIZE BTU S
DISHWASHERS • .. . . - ----AIR HANDLING UNITS - $ ---
ELECTRIC HOT WATER HEATER -- •• • - HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS AIR COOLING UNITS, SIZE —
DRINKING FOUNTAINS .-• -•. - . - COMMERCIAL HOOD . - . S
SUMPS, SPRINKLER VACUUM BREAKERS 0TH S
-- - • _ DRAINS - _— 1`1 0.0
-- OTHER S
TOTAL FIXTURES - - - . -"--. . . . _ - _ ------
• ' TOTAL MECHANICAL FEE $ S
ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
:0 FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
kDE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
ES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
0 FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
FICERS AND EMPLOY ES, UPON THE ACCURACY CF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
;NER/AGENT: , • ...--)__ \_A_)
_ _ DATE: I ,.J
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