92-101811 9Z-/0l 3)/
CITY OF FEDERAL WAY IVI EC HAN I CAL PERMIT PERMIT NO.: BLD92-2326
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/26/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 30804 22ND AVE S
PARCEL NO.: 053700-0415
PROJECT DESCRIPTION: HVAC - INSTALL FURNACE & HOT WATER HEATER
OWNER — CONTRACTOR — LENDER
MU UNG KIM NORTHWEST WATER HEATER
30804 - 22ND AVE S 8201 DURANGO ST SW
FEDERAL WAY WA TACOMA, WA WA 98499
0-0210 984-6404
NORTHWH103R2
, FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 80 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
ater Line OK Mechanical Inspection Notes:
GAS PIPING OK L/Iik-5 Date 7/I tk3 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 AG T \II DATE 'Z-(.0 Z
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
1 TENANT NAME: _
OWNER 'ti�ti•_ 1`�, �'w� . SITE LOCATION 1 `
OWNER'S ADDRESS " t..'\ • CITY - *-t PHONE —
DESCRIBE JOB `„L\A-1, cs _
THE PROPERTY IS OWNED BY: SINGLE oVn'IED rHniNERSHIP CORPORATION
2 CONTRACTOR'S NAME`--V L CONTRACTOR'S REG. # NUiZT tt lb-36:71
Card MUST be
CONTRACTOR'S ADDRESS '601U qX.)-A` 5-f `O CITI( COPHONE 47( 1-(-
EXPIRATION DATE
— 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.
( 3 CONTACT PERSON PHONE _� ,(�y C:L
{ 4 SEWER DISTRICT WATER DISTRICT
{ 5 ESTIMATED PROJECT COST_ H I EXISTING BUILDING VALUATION
{ 6 PROPERTY TAX ACCOUNT NUMBER .-
LEGAL DESCRIPTION
■1,
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
K 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 FEES
NO. WATERCLOSETS GAS PIPING, FEET lc, f_ CI � ) $
BATHTUBS NO. FURNACE, EEC. GAS /v $
SHOWERS I 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 $
ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BE; OF MY KNOWLEDGE
ID 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,
ID FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
FICERS AND EMPLOYEES, UPON THE ACCURACY OF THE I FORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
VNER/AGENT 1Q p DATE: