92-102181 qa. /aaIR/
CITY OF FEDERAL WAY IVI EC HAN I CAL PERMIT PERMIT NO.: DLD92-2520
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/11/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 2720 SW 322ND PL
PARCEL NO.: 873190-0350
PROJECT DESCRIPTION: HVAC
OWNER — CONTRACTOR LENDER
BETTY ENGLUND NORTHWEST WATER HEATER
2720 SW 322TH PL 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
838-4938 984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC APPLIANCE FEES.* $ 10.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC PRMT ISSUANCE... $ 20.00
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
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
OS PIPING OK ss 77/.94/ 6' Date I/ -5-i) gyp
1
Pfi-
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT E IN •RM.• FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
I
OWNER OR A(ENT ` ` DATE i7 \ I k \ 7
btd mech 07/0 •
V /Nn` CTC
i Permit # L /) cl - — s.2c
CITYtF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER AAtkti f�x��-„�_ SITE LOCATIO�,��) �, ��' �
OWNER'S ADDRESS -71'x' rte=• _3- y' 122._ l' .� ,� 1 -_
DESCRIBE JOB LLQ.-Li, -Q �. ;51,,t-,--'y-\, ,,,,-,-4:_ CITYt t[ t,,_1_4..--).,PHONE 3�'1 C�.`�?,;'
THE PROPERTY IS OWNED BY: SINGLET' RRIED PARTNERSHIP CORPORATION
30X 2 CONTRACTOR'S NAME Northwest Wat-Pr PeatAr CONTRACTOR'S REG. # NORTHWH103R2
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Duranc7n St_ SW . . CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92 J
— 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.
30X 3 CONTACT PERSON Angel Foster
- PHONE984-6404 -
30X 4 SEWER DISTRICT WATER DISTRICT
30X 5 ESTIMATED PROJECT COST ik, ' -;1_) EXISTING BUILDING VALUATION
30X 6 PROPERTY TAX ACCOUNT NUMBER -1 31'1 0 - 0.3 j b
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 / BASEMENT / • - - DECK I 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. - •. WATERCLOSETS GAS PIP`NG, FEET- . . . 5.... .
BATHTUBS NO. ! FURNACE, ELEC. GAS S
SHOWERS - "- GAS HOT WATER HEATER •
— S-
LAVATORIES - . - . . . CONVERtON BURNER - -- -- - -. - S- -
SINKS BOILER, SIZE BTU S
DISHWASHERS - --AIR HANDLING UNITS S -----
ELECTRIC HOT WATER HEATER -.. -.-- - . HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS - - - AIR COOLING UNITS, SIZE " - ,i .1 S ---. ._..-
DRINKING FOUNTAINS - COMMERCIAL HOOD . . S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS . .-- ._ . .... . . .
-- - - OTHER
TOTAL FIXTURES - _ S--_-_-_--
- TOTAL MECHANICAL FEE wvt $
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,
'.D 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 0/THE INFORMATION SUPPLIED TO THE I Y AS • PART OF THIS APPLICATION.
\ •
',r;EP✓~.GENT: -v-,;f )L_0 . v t-------
DATE: l ) 7 Cf - •