92-101932 9a• lai93)
CITY OF FEDERAL WAY IV EC HAN I CAL PERMIT PERMIT NO.: BLD92-2393
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/09/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 32820 20TH AVE S Unit: #5
PARCEL NO.: 144170-0050
PROJECT DESCRIPTION: HVAC - INSTALL HOT WATER HEATER
OWNER t CONTRACTOR .— LENDER
JO ELLIOTT BLAKESLEE NORTHWEST WATER HEATER
32820 20TH AVE S #5 8201 DURANGO ST SW
FEDERAL WAY WA 980031111
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 5 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.* $ 8.50
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 $ 28.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
IllkS PIPING OK Date By .
:12 ` i ,
;L , i t
S7
X9i
_____ iv._ DATES
B
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 AGENTDATE 1 ( 1 ` 1 -
.- A./
tot d mech 07/01/92
Permit # oL0I2=23 3
CITY OF FEDERAL WAY
BUILDING PERMIT APP TION
— Please Print— /J'
BOX 1 TENANT NAME: �ll_�
OWNER � Iso SITE LOCATIO au �' LL,.., S -.,-
OWNER'S ADDRESS S';'913" ."3 J - -
`‘ DESCRIBE JOB ��-�r��..� •
,II�¢ Z�cITY- QJC4�r� UWPHONE �S — c1SJ�-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED O PARTNERSHIP CORPORATION
30X 2 CONTRACTOR'S NAME Northwest Water Heater CONTRACTOR'S REG. # NORTHWH103R2
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Durango St_ SW " 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.
3OX 3 CONTACT PERSON Angel Foster
PHONE984-6404
30X 4 SEWER DISTRICT WATER DISTRICT •
30X 5 ESTIMATED PROJECT COST 0 EXISTING BUILDING VALUATION
30X 6 PROPERTY TAX ACCOUNT NUMBER 1 L1(-1 \ 10 -- C`5'E)
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.) . . - -
K.C. Plat Recording # - -.
30X 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST" FLOOR • / 2ND FLOOR " / .-- -
3RD - FLOOR I BASEMENT I • - - DECK / GARAGE • / -
30X 8 ( ) SINGLE FAMILY ( CONSTRUCTION
O NEW cons t RucTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE _ _ __
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY - SQ FT •
.--- ----. - -
;OX
j-
iOX 9 PLUMBING FIXTURES (including rough-ins) - MECHANI�LAPPLIANCES — BASIC FEE$----- _.
NO. * - WATERCLOSETS - GAS PIPING, FEET - S...- .
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER-.
. LAVATORIES CONVERS'tON BURNER -- -- S._
SINKS BOILER, SIZE BTU $
DISHWASHERS - '-`
AIR HANDLING UNITS "- $ ----
ELECTRIC HOT WATER HEATER --- -. - . HEAT PUMPS, SIZE _ S_- _ -
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS - -- - AIR COOLING UNITS, SIZE
DRINKING FOUNTAINS - COMMERCIAL HOOD • . $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS . .__ ._ .... . . . _ . .. ---- --
-- . OTHER $ -
$`:
TOTAL FIXTURES _ - S ---"- -
- TOTAL MECHANICAL FEE * S
2ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
ND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE'WORK FOR WHICH PERMIT APPLICATION IS
ADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
ND 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 CI HE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
\ /(Tic- i
NNER/A.GENT: ' - 1!, DATE: .J