93-102833 . 93 - lod g33
CITY OF FEDERAL WAY MECHAN ICA 1... PERM ! T PERMIT NO:SSUED: 181 /05/9394
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC
661-4000 EXPIRES: 05/04/94
ADDRESS: 2730 SW 327TH ST
NO. : 246950-0000
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE (BLDG D)
OWNERfili
DOTTIE BROWN
2730 SW 327TH ST
-- CONTRACTOR -- LENDER
NORTHWEST WATER HEATER
8201 DURANGO ST SW
EDERAL WAY WA 98023 TACOMA, WA WA 98499
838-2883 984-6404 588-0393
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
CONY 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
oes the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ .—• � DATE ,"-773
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NOV- 2-93 TUE 17:44 NW WATER HEATER TACOMA FAX NO. 206 588 0353P. 02
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• Perm. �� 61'5- Lfl_.—_
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—PEe.sa Pfiat—
50X 1 TENANT NAME:
OWNER ( )...:P_ s C' I SITE LOCATION • - _ 7, `'
OWNER'S ADDRESS .S71. �'LA-} • ( '4 —CITY. �=--- PHONE `S.3R"-_-.)�R_
DESC.PIBE JOB fi? ' ;+ I •PlaMial._ a '
THE PROPERTY 1S OWNED BY:'' INGLFIM: -RIE0 t ..-/-. PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME . L 1<tI i �-„ 1� ,1 CONTRACTOR'S REG, # NOR41.E1i V kQ
Gard MUST 4e presented
CONTRACTOR'S ADDRESS 1 a to .�`1 "-L`CITY TGA-C 'C _PHONE ` S24—U"-f0
EXPIRATION DATE –_.11A gQ
CR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENFRALCONTRACTCRS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27 110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. -
BOx3 CONTACT PERSON , it ; 1 ' I PHONE -
SOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST $U fitP EX':-STING BUILDING VALUATION --
r
BOX E PROPERTY TAX ACCOUNT NJMMBE*i ..'lei, :de' 'C* ,�"0000 • .' . r Am
LEGAL DESCRiPTiOTr —
(it necessary, please submit a separate page with the legal description)
K.C. Plai Recording # _ — - .. -
EOX 7 BUILDING SQUARE FOOTAGE: (Existing!PrapoSad) 1ST FLOOR_,__ 2ND FLOOR J
3RD FLOOR ._ 1 BASEMENT ! _ — DECK__.._!___.— GARAGE /
BOX 8 ( ) SINGLE arAtv11'Y ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS — ) ( ) EXISTING STRUCTURE
( ) COMMEPCIAL'INDUSTRIAL TOTAL AREA OF PROPERTY SO FT
_
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— EASIC FEE$
NO._ WATER0LOSE'S GAS PIPING, FEET $
BATHTUBS NO. 1. FURNACE, ELEC. GAS k-Fr $
SHOWERS _GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER,SIZE BTU $
DISHWASHERS _AIR HANDLING UNITS S
ELECTRIC HOT WATER HEATER . HEAT PUMPS, SIZE $ -
__LAUNDRY WASHER OUTLET UNIT HEATERS $
_ URINALS __AIR COOLING UNITS, SIZE_. $
_DRINKING FOUNTAINS COMMERCIAL HOOD $
__.SUMPS, SPRINKLER VACUUM BREAKERS —_OTHER_ $
DRAINS —. --- $ _—
OTHER
—OTHER $ —
—TOTAL FIXTURES — $ _
- TOTAL MECHANICAL FEE $ _
CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECTTC THE BEST OF MY KNOWLEDGE
AND FURTHER THAT i AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MACE.I FURTHER AGREE TO SAVE HARMLESS THE CfTY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,ANE?ATTORNEYS'
=EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
2,___,L11-A.1 1S :OWNERlACIeNTGATE: -- --- 1 /40-0131 13/90