93-101802 9546i Rbc)
CITY OF FEDERAL WAY IVI EC HAN I CAL PER M I T PERMIT NO,: 8LD93-0786
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 07/22/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 30016 8TH AVE SW
PARCEL NO.: 062104-9111
PROJECT DESCRIPTION: HVAC
I
OWNER — CONTRACTOR LENDER
LEONARD PIETRZAK NORTHWEST WATER HEATER
30016 8TH AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
14053 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..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 10.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP....: 0 MEC APPLIANCE FEES.* $ 10.00
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 $ 40.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes: - C 3 ~c(3 1.--:-,- tit ( e.3(<
Of, PIPING OK Date 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 AGENT /22//* ....— -,.___ Q ti&.(. /J69 DATE 7` - 98
bld mech 07/01/92
(j)k
f i'
CITY OF FEDERAL WAY
BUILDING PMIT APPLICATION.
— Please ?r.nt —
j3 '-p 7 3 -- 7E 6
.N T NAME:
ES ' •= a A. € Z-'\ SITE LOCATION ?S°= ' ‘''\D
ES'S ACOSE S �00\\0 idi Lti CIi , 1 PHONE 'A(-Aln-UC5-3
=13_J03 1V D t1kfw�fv,,C�) -
P,QPE=TY IS OV, ZJ 3Y: SINGLIMARRIED w PARTNERSHIP CORPORATION
.,.ACTOR'S NAME Nortnwes�- W?- - Fse..+ CONTRACTOR'S REG. = NORTE,W 01R'9
Cad MUST De pr es_nted
SACTOR•S ACO;RES'S 8201 D«,-�ngn ci- SW ' • CITY Tacoma PHONE 984-6404
RATION DATE 12-22-9, •
— OR —
'E READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS ANO SPECIALTY CONTRACTORS AND
;TER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
TACT PERSON Angel Foster PHONEg9 a- A 0.4. • .
ER DISTRICTWATER DISTRICT .
M',TEO PROJECT COST 'L EXISTING BUILDING VALUATION
'_RTY TAX ACCOUNT NUWSER UUd- \DLk - c.R
DESCRIPTION
:Ce_ScY, please submit a separate pa.; with the legal desc ipiic .) - • - -•
Fiat :Recording L - _ •
DING SQUARE FOOTAGE:. (Existinc/Prapcsed) 1ST• FLOOR • / 2ND FLOOR ' / •—
-
- FLOOR / EASEMENT / • - • DECK • / GARAGE / -
SINr.; E FAMILY • ( ) CONSTRUCTION
lY--- FAMILY NEW
MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE _. _.. _. ...
COMMESCIA JINOUS T RIAL TOTAL AREA OF PROPERTY - SQ ;i •
.._._.. .
rt_I . FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE S----- -
WATERCLOSETS GAS PIPING, F_ET. . S-... .
3ATHTU3S NO. j FURNACE, LEC GAS S •
SHOWERS _ GAS HOT WATER ER H A T ER... ' _ . .--_ S.--
.
LAVATORIES . • . • . . CONVERSriON BURNER . _ .•. .. - -.-- S- - .
SINK'S BOILER, SIZE ETU S
OIS-WASHERS - • • • - -----AIR HANOCING UNITS ----
ELECTRIC HOT WATER HEATER -- -•.•• .. . HEAT PUMPS, SIZE • • . --- 5-- •
_ LAUNDRY WASHER OUTLET _ UNIT HEATERS S
URINALS , _ . -
.--- .AIR COOLING UNITS, SIZE --1
--
DRINKING
DRINKING FOUNTAINS ••• -•- - - COMMERCIAL H000 . •- - S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS
_ . ..._ ._ . .... . . . • . .. -- S - - --
. . OTHER S'•;
TOTAL FIXTURES ' - - - -' -- • . . _ . . - S ------
•
' ' TOTAL MECHANICAL FEE tft S
DOER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE -
ER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
'1-HER AC.-::;SE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
RED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY SE MACE SY ANY PERSON, INCLUDING THE UNDERSIGNED,
kG.AINST THE CITY OF FEDERAL WAY,GUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
NO EMPLOYEES, UPON HE ACCURACY CF THE INFORMATION SUPPLIED TO T E CITY i AS A PART OF THIS APPLICATION.
a _ . -) i g2
ENT: •
GATE: