93-100349 3-/ot. 2
CITY OF FEDERAL WAY MECHANICAL PERMITPERMIT NO.: �BLD93 0153
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 02/10/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 4152 SW 314TH ST
PARCEL NO.: 8731990180
PROJECT DESCRIPTION: INSTALL GAS FURNACE & HOT WATER HEATER
OWNER — CONTRACTOR — LENDER
MICHAELE WUKELIE NORTHWEST WATER HEATER
4152 SW 314TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
661-9205 984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 55 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.* $ 19.50
GAS HWT • 1 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 $ 39.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
IlkS PIPING OK -77-"3 /1-7,6/ Date's 9 -' 3 By ,ter/
A ALL PERMITS EX RE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
J
I CERTIFY THAT THE INFORMATIcN FU' " SHED MBIS TRUE AND COR T TO E BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT 14. A. .1 , (/L DATE �U q •-.)
bld mech 07/01/92
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r IVY OF FEDERAL WAY . 1 93 cC3
- BUILDING PERMIT APPLICATION i
— Please Print —
DX 1 TENANT "taE:
OWNER IS A A A fes. SITE LOCATIP �� -'i
OWNER'S ADD S -gm U CITY +r PHONE tElnl)lf*
DESCRIBE JO ..1►r7ilt. �r1 .l1N.\A1I
THE PROPERTY IS OWNED BY: SINGLE/MARRI D PARTNERSHIP CORPORATION
)X 2 CONTRACTOR'S NAME Northwest Wa truer Rea tAr CONTRACTOR'S REG. # NORTHWH10 3 R2
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Durango St cW CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92 J
— OR —
I HAVE READ CHAPTER 18.27.01 O RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER ER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
)X 3 CONTACT PERSON Angel Foster _ PHONE
984-b40'4 •
)X 4 SEWER DISTRICT 1 WATER DISTRICT
)X 5 ESTIMATED PROJECT CO _ (��` EXISTING BUILDING VALUATION
IX 6 PROPERTY TAX ACCOUNT NUMBER \ I ! \.E O
LEGAL DESCRIPTION •
(If necessary, please submit a separate page with the legal description.)
K.C. Flat Recording # -
IX 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST' FLOOR / 2ND FLOOR / -.- -
3RD - FLOOR / BASEMENT / • - • DECK / GARAGE • .1 IX 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) *- -- .... .. . MEAL APPLIANCES— BASIC FEE S ---- -
NO. .. WATERCLOSETS GAS PIPING, FEET . . - - $..._ . _
BATHTUBS NO. V FURNACE, ELEC. GAS V S
SHOWERS - " . -.1-_ . GAS HOT WATER HEATER-- - - . 77 $ -- `-
LAVATORIES - - - - . - CONVERSION BURNER - -- -- - ---- $.- -
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 . $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS " ._- "-
-- - . OTHER
TOTAL FIXTURES - _ $ ---_ -
• " TOTAL MECHANICAL FEES _
ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
0 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,
O FILED AGAINST T. CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
=ICERS AND EMP ; 'EES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE c ITY AS A PART OF THIS APPLICATION.
C3'N )2.ER/AGENT: , A_1 v DATE:
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