93-101380 9 , joI 32•6
CITY OF FEDERAL WAY I\/I EC HAN I CAL PERMIT PERMIT NO.: BLD93-0612
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 06/15/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 34629 30TH AVE SW
PARCEL NO.: 279150-0340
PROJECT DESCRIPTION: HVAC - INSTALL GAS LOG
OWNERERCONTRACTOR — LENDER
VALIE HENRY NORTHWEST WATER HEATER
34629 - 30TH AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
6586 984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 40 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.* $ 9.50
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 $ 29.50
INSPECTION RECORD
Water Line OK Mechan' c l Inspec, ion Notes: i\j)°/(---'' 'jOS PIPING OK Date1 / "/ By F��(�
r ' I
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 AGENT /4� n L� DATE 4 /--C- C_�
bld mech 07/01/92
CITYAF FEDERAL WAY
BUILDINGRMIT APPLICATIO ,
— Please Print — (31/0q3662 (1 ,
NAN t NAME: v
I •
NER ,, t► '. _ SITE_ LOCATION . C - ) V-t_
/'NER'S ADDRESS • 4tiN ! S"l,• CITY 1-C• L)3 _ PHONE c6-14 (oS
SCRIBE JOB VA . ..5 a .
E PROPERTY IS OWNED BY: SINGL ': = R(E- 'C PARTNERSHIP CORPORATION
N l R.AC T OR'S NAME Northw6,s;- W•=dor u....4 CONTRACTOR'S REG- 1 NORTHWH1O 3R2
Cad MUST be presented
N-I-FACTOR'S ADDRESS 8201 Dura„gr) s+- ct`j • • CITY Tacoma PHONE 984-6404
PIRATION DATE I2-22-9-7 •
— OR —
AVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
APTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
NTACT PERSON Angel Foster PHONEg84-Ev-4. - •
WER DISTRICT WATER DISTRICT
TiMAT'ED PROJECT COST EXISTING BUILDING VALUATION
OPERTY TAX ACCOUNT NUMBER 2_19 1 --U. `—p
GAL DESCRIPTION '
nece_safy, please submit a separate pace with the Iega1 description.) • - - ••
•
Fiat Recording =` - •
ILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST• FLOOR • / 2ND FLOOR • / ..- -
0 - FLOOR / BASEMENT______/ • - • DECK • / GARAGE / .
SINGLE FAMILY ( ) NEW CONSTRUCTION •
) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE . -. _.. _. ...
COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY •
•- • SQ ;i •
UMSING_ FIXTURES (including rough-ins) _._ .._.. .. . MECHANICAL APPLIANCES — BASIC FEE S-------
I. WATERCLOSETS - GAS PIPING, FE-7. LL . . 5.... .
BATHTUBS NO. FURNACE, ELEC. GAS S
SHOWERS - - . ---- - GAS HOT WATER HEATER... - - ' •--- S--'-- —LAVATORIES . - . . - - CONVERiON BURNER . - -- - ---- S_ _ .
SINKS BOILER, SIZE ETU S
DIS-WASHERS . . - ----- AIR HANOCING UNITS - S ---
ELECTRIC HOT WATER HEATER -•• -. --. . HEAT PUMPS, SIZE - - . -- S-- -
........ LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS - -- - AIR COOLING UNITS, SIZE
DRINKING FOUNTAINS --- --.- - - COMMERCIAL H00� . . • S
SUMPS, SPRINKLER VACUUM BREAKERS I T'••) UOTHER ` " S
_ .. . - DRAINS _ ._ . cj -- S - - --
_ OTHER S':
TOTAL FIXTURES _ - _ S ------
TOTAL MECHANICAL FEE . S
UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE ANO CORRECT TO THE BEST OF MY KNOWLEDGE •
'HER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
JRTHER HER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,ANO ATTORNEYS'
JRRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY SE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
D AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
AND EMPLOYEES, UPON THE/ CCURACY CF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
J
Al
GENT: . J., LATE: • Z
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