93-100275 CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93-0108
'33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 02/04/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 3115 SW 313TH PL
PARCEL NO.: 438801-0330
PROJECT DESCRIPTION: HVAC
a- OWNER — CONTRACTOR — LENDER
CHARLES FORD NORTHWEST WATER HEATER
3115 SW 313TH PL 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
4104879 984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 4 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 • 1 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBC) • 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 $ 29.50
INSPECTION RECORD
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Water Line OK Mechanical Inspection Notes: /.2 /41 , 5 LV_ i/5 nfiA; ,f,
S PIPING OK 9-?3 -y 36 . Date )-)3 %3 By 7j.� l'li 4ac'/r2/t/) 6
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ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY IVjE IS TRUE AND CO RECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS T1LLBE MET.
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OWNER OR AGENT //‘J�i`Z `�« DATE —9 _9 ,)�
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rld_mech 07/01/92
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• CIe•F FEDERAL V ' 4.0
BUILDING PERMIT APPLICATION
— Please Print —
iX 1 TENANT NAME:
OWNER \ ,� SI: SITE LOCATI• . -3 �—
OWNER•S ADDRS 1rCi�� CITY ' PHONE K
DESCRIBE JOB 0 II "�� T . u `d -
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
IX 2 CONTRACTOR'S NAME Northwest Water HPatP,r 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 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.
IX 3 CONTACT PERSON Angel Foster _ PHONEq
84-6404 -
iX 4 SEWER DISTRICT WATER DISTRICT
IX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
IX 6 PROPERTY TAX ACCOUNT NUMBER '3''Ok 0-5-to
LEGAL DESCRIPTION
•
(If necessary, please submit a separate pane with the legal description.) . . - ..
K.C. Plat Recording # -
X 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST• FLOOR / 2ND FLOOR / • - -
3RD - FLOOR / BASEMENT / - - DECK / 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) • - •• • MECHANICAL APPLIANCES — BASIC FEE S----- -
NO. • - WATERCLOSETS - GAS PIPING, FEET • S...- .
BATHTUBS NO. FURNACE, ELEC. GAS S
SHOWERS -- GAS HOT WATER HEATER... - - - •'. S-'. - --
LAVATORIES - - - • . • CONVERSION BURNER - -- -- - _.-- S- - .
SINKS BOILER, SIZE BTU S
DISHWASHERS • • • - - ----AIR HANDLING UNITS
ELECTRIC HOT WATER HEATER --- -..-. .. . HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLET _ UNIT HEATERS S
URINALS -- - AIR' COOLING UNITS, SIZE -.
DRINKING FOUNTAINS - . COMMERCIAL HOOD • - S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS "'" '-
-- - OTHER S -S-•
TOTAL FIXTURES -
-- - S ---- ,
• TOTAL MECHANICAL FEES
:RTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
O 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'
ES 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
:ICERS AND EMPL EES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
'NER/AGENT: , , .' .= e L DATE:Q IP I
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