92-102184 CITY OF FEDERAL WAY IVI E C H A N I CA L PERIVHT PERMIT NO.: BLD92®2 519
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/11/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 4113 SW 321ST ST
PARCEL NO.: 873196®0510
PROJECT DESCRIPTION: liV2k6 (-7}, i'I ' ,,;.- �� ' ,��-4,
OWNER .- CONTRACTOR LENDER
LARRY CHEN NORTHWEST WATER HEATER
4113 SW 321ST STREET 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
237-1728 984-6404
• NORTHWH103R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 25 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 • 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..: 1 AIR HANDLING UNITS FUEL TANKS
tl RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES S 28.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
gios PIPING OK 3 'ma-co C — Date 1.1(2. By/
ai
'cirJfri/ (Y1) )
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFO TION FURNI RED 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 DATE ( i( t I ("I
bld mech 07/01/92
(1,0 ,.).4 _l
Permit # 156-D 92- - S-/j
•
' ITY OF FEDERAL
WAY
,
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER eV l st•--v v L C t_t,--v--, SITE LOCATI N LA\\6 ,1---_, ,--;.L :-'2/-y -,T .
OWNERS ADDRESS L-kk\ '� �u� 33\ ;\ - CITYcLc.:-)•_- lrc-c.. PHONE .i-2 - 117
'‘ DESCRIBE JOB UL-v,..-)\ &,ti.;_-\U.- _
THE PROPERTY IS OWNED BY: SINGLE/MARRIED `) PARTNERSHIP CORPORATION
BOX 2 CONTRACTORS NAME Northwest Wat-Pr Heafer 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.
BOX 3 CONTACT PERSON Angel Foster
PHONEA84-6404 -
BOX 4 SEWER DISTRICT WATER DISTRICT
30X 5 ESTIMATED PROJECT COST 4 I��S' EXISTING BUILDING VALUATION
30X 6 PROPERTY TAX ACCOUNT NUMBER 2`x'1 ' (r cF I�
LEGAL DESCRIPTION
(If necessary, please submit a separate pace with the legal description.)
K.C. Plat Recording
30X 7 BUILDING SQUARE FOOTAGE:. (Existinc/Proposed) 1ST' FLOOR / 2ND FLOOR • I -.- -
3RD - FLOOR I BASEMENT / • - - DECK • / GARAGE • / -
•
30X 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE __ _ __
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ
FT
>OX 9 PLUMBING FIXTURES (including rough-ins) '- - " MECHANICAL APPLIANCES — BASIC FEE S----- ..
NO. • ' VJATERCLOSETS - GAS PIPING, FEET c j. .
BATHTUBS NO. FURNACE, SLEC. GAS S
SHOWERS - ..
- . - --- - GAS HOT WATER HEATER"- - - - " --- S--.-- --
LAVATORIES CONVERtON BURNER - -- _ S--
SINKS BOILER, SIZE BTU $
DISHWASHERS ' ' - ---
AIR HANDLING UNITS -'- S.---- '-
_
ELECTRIC HOT WATER HEATER - HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS - - AIR COOLING UNITS, SIZE " - s-• - S --• -- --
DRINKING FOUNTAINS - COMMERCIAL HOOD • . S
SUMPS, SPRINKLER VACUUM BREAKERS I OTHER . 'w' ✓ S
DRAINS - -
-- - ' OTHER
TOTAL FIXTURES - - S
• TOTAL MECHANICAL FEE
*Iv $
CERTIFY 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
FFICERS AND EMPLOYEES, UPON THE ACCURACY CFHE INFORMATION SUPPLIED TO THE CITY S A PART OF THIS APPLICATION.
;NERiAGEN T: Ove v`-
1L�'v•Q DATE: () - ,