93-100272 93- t6ba. 7a
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93m0103
33:-30 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 02/04/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 31324 31ST AVE SW
PARCEL NO.: 438801=0040
PROJECT DESCRIPTION: HVAC
OWNER — CONTRACTOR LENDER
WILMA ZIEGELMAN NORTHWEST WATER HEATER
31324 31ST AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98024 TACOMA, WA WA 98499
984-6404
NORTHWH103R2
1
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
j GAS PIPING.: 0 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.* $ 10.00
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...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 30.00
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INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
IS PIPING OK Date By -. ..*/
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ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. _ .•�rc —�
I CERTIFY THAT THE INFORMATIQN FURNISH BY ME IS TRU ItCND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIRE1bI TS WILL BE MET.
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OWNER OR AGENT 7‘... DATE I4j --- t:It .."*"'.....°...'
bld.mech 07/01/92
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0 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
)X 1 TENANT NAME; `�
OWNER � '- I��� SITE LOCATIO. ..J' �.V , �_
OWNERS ADD^RES 1 7^L �,t�1�111Ii� CITY PHONE
DESCRIBE JOB r" 1 S ' co .
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
IX 2 CONTRACTORS NAME Northwest Water Heater CONTRACTOR'S REG. # NORTHWH103R2
Card MUST be presented
CONTRACTORS 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.
IX 3 CONTACT PERSON Angel Foster PHONE Q
84-640'4
IX 4 SEWER DISTRICT WATER DISTRICT ••
!X 5 ESTIMATED PROJECT COST ') lbo II EXISTING SI)14.n VALUATION
X 6 PROPERTY TAX ACCOUNT NUMB•cR " & 41 \__
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____L_____/ 2ND FLOOR / - -
3RD - FLOOR I BASEMENT / - - DECK I GARAGE - I -
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) .-- - .._.• .. ME LAICAL APPLIANCES — BASIC FEE S----- -
NO. WATERCLOSETS - GAS PIPING, FEET
‘,/v $-... .
BATHTUBS NO. � " FURN CE, ELEC. GAS S
SHO'W'ERS - " GAS HOT WATER HEATER... - - - -- S-----
- - - . . . CON'VERION BURNER - -- -- - -.-- $_ -
•
SIN(S BOILER, SIZE BTU $
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 OTHER S
DRAINS - '-
-- - - OTHER $ - -
TOTAL FIXTURES - - $ --------
TOTAL MECHANICAL FEE * S
:RTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
3 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'
S INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
J FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
'ICERS AND EI:PLO ' ES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY
D
I T TAS A PART OF THIS APPLICATION.
NER/AGENT: - DATE: ' -e M2__
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