93-100365 CITY OF FEDERAL WAY MECHANICAL PNO.: BLD93-0155
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 02/10/93
Federal Way, WA 98003 BY: PLP
661-4000
SITE ADDRESS: 4745 SW 315 PL
PARCEL NO.: 211572-0242
PROJECT DESCRIPTION: HVAC
OWNER CONTRACTOR LENDER
FRANCES DOUPIER NORTHWEST WATER HEATER
iiii
4745 SW 315 PL 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
918 984-6404
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: /2- ,t/ < �
fy/ c 2 ‘.7-' i �3j
OS PIPING OK V-(2 -93 ) Date By
ALL PERMITS E IRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMA • FU'4 .ISHII BY ME IS TRUE AND i•R7;CT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT 41 i"il4101
, r A0, DATE ' 16 ( 3
bld_mech 07/01/92 —
r `..--
rem'' '. rF
*BCS q3-6t5-.5-
C Y OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
)X 1 TENANT N ,, : ilL
v.
0W NER Vt M1AIMUMPANAWLIO, SITE LOCATIO ��Z� . MISNK
OWNDE
SC R'S ADDR SS 11,. CITY W PHONE �1M °
'‘ DESCRIBE J0 IIIMISIMPIE1tr�i
THE PROPERTY IS OWNED BY: SI;JGLE/MARR ED PARTNERSHIP CORPORATION
IX 2 CONTRACTORS NAME Northwest Wat-Pr HeatAr CONTRACTOR'S REG. it- NORTHWH103R2
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Dv ana St _ SW • • CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-9L'
— OR —
I HAVE READ CHAPTER 18.27.0 i 0 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
X 3 CONTACT PERSON Angel Foster - PHONEq84-6404
IX 4 SEWER DISTRICT WATER DISTRICT •
!X 5 ESTIMATED PROJECT COST r_ EXISTING BUILDING VALUATION
IX 6 PROPERTY TAX ACCOUNT tNUMBER �Ts�7v
q)
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.) - - -
K.C. Plat Recording # •
-
X 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST' FLOOR / 2ND FLOOR / .-- -
3RD . FLOOR / BASEMENT / • - - DECK / GARAGE - / -
X 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE _• _ _
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY - SQ FT
X 9 PLUMBING FIXTURES(including rough-ins) - MECHANICAL APPLIANCES — BASIC FEE S ---- --
NO. WATERCLOSETS GAS PIPING, FEET - $.--- .
BATHTUBS NO. FURNACE, ELEC. GAS S
SHOWERS _ - GAS HOT WATER HEATER... - - - -- S-_.--' --
LAVATORIES - - - - . - CONVERtON 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 - >y
DRINKING FOUNTAINS - COMMERCIAL HOOD . $
SUMPS, SPRINKLER VACUUM BREAKERS I OTHER ta' LU/ S
DRAINS /
-- . . OTHER $ - -
-- -. S
TOTAL FIXTURES -'
• ' TOTAL MECHANICAL FEE *Iv S
ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
D FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
DE.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,
B FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
'ICERS AND EM"LO ' ES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
NER/AGENT: • _ _ILA 1 ` A DATE:akuler
i