93-101279 •
'3.1o)179
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: ELD93-0549
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/27/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 3622 SW 328TH ST
PARCEL NO.: 873195®1090
PROJECT DESCRIPTION: HVAC ® INSTALL GAS FURNACE
— OWNER CONTRACTOR — LENDER
WILLIAM GISKIN NORTHWEST WATER HEATER
3622 SW 328TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
-5440 984-6404
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
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
*:e: :::
OK Mechan 'cal Inspec' ion Notes:OK Date Y I' W° i \I
I
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
t
OWNER OR AGEN `\\ l �4 `(�(�
s.
a DATE , ve \ `k
bld_mech 07/01/92
CI OF FEDERAL WAY
BUILDINPERMIT APPLICATION 151/013-03-q°l
— Please Pant —
:NANT NAME:
'.NES ..m. .' SITE LOCATION .. _ ,
YNER'S ADDRESS f'31( s3' : s CITY
`` r, P,.Of'vE
iSCRISE JOB ,tr-s Ct U S Lf1 I(Y 1 • C .
E
, PROPERTY IS O\ NEO aY: INGLEJ ARRIED S PARTNERSHIP CORPORATION
INTR.ACTOR'SNAME Northwest Wafor Fo..+-e,- CONTF,ACTOR•SREG. = NORTHWH103R7
Ca:C MUST be presented
NT?-ACTOR'S ADDRESS 8201 DTI angn ct qt; CITY Tacoma PHONE 984-6404
,PIRAlION DATE 12-22-9', •
- OR -
AVE READ CHAPTER 13.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
!ATTER 18.27.110 W ICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
INTACT PERSON Angel Foster
PHONEQ8a-840.4
:,,'SER DISTRICT WATER DISTRICT -
iTiMATED PROJECT COST / C% EXISTING BUILDING VALUATION
IOPERTY TAX ACCOUNT NUMBER -Det---)9 y�3 ()w/o 17301s- - /62967
;GAL DESCRIPTION ' •
n_c sa f, please submit a separate page. with the fecal description.) . . - ..
C. Fiat Recording = - -
IILDING SQUARE FOOTAGE:. (Exiszing/Proposed) 1ST' FLOOR / 2ND FLOOR ' / .._ '
,D • FLOOR______/ BASEMENT________/ • - • DECK / GARAGE • / -
SINGLE FAMILY ( ) NEW CONSTRUCTION .
MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE _. -.. -. .--
) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY •• • SQ r i •
,UMSING FIXTURES (including rough-ins) . ----.. . .. MECHANICAL APP, AfNCES - BASICFEE S---` •
f. WATERCLOSEETS - GAS PIPING, FEE S-
N-( 1 V4�t' - - S.... .
BATHTUBS NO. ( FURNACE, ELEC. GAS S
SHOkAEns GAS HOT WATER HEATER... S-.7'7'77
LAVATORIES CONVERS.tON BURNER - - .• - ---- S- - .
SINKS BOILER, SIZE BTU $
DIS;WASHERS . . - -----AIR HANDLING UNITS - S _'--
ELECTRIC HOT WATER HEATER -.. -.... . . HEAT PUMPS, SIZE -•— S_- .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'':
_ _ TOTAL FIXTURES — . - . _ • -• _ S •-__---
• • TOTAL MECHANICAL FEE Ifl. S
UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
'HER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
JR T-ER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
JRREQ IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY SE MADE BY ANY PERSON. INCLUDING THE UNDERSIGNED,
D AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
GENT: /L' L( • DATE: 4Jq3
6 /2 s_ V