93-101804 93-JotgoY
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93®0790
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 07/22/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 4006 SW 328TH PL
PARCEL NO.: 873204-0120
PROJECT DESCRIPTION: HVAC
OWNER CONTRACTOR LENDER
STEVE SPRINKLES NORTHWEST WATER HEATER
4006 SW 328 PLACE 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
661-2729 984-6404
-I, NORTHWH103R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 80 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.* $ 13.00
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 $ 33.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
•S PIPING OK - / " , Date ,} //t By .. .,
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.
OWNER OR AGENT 2)/il ,...5----:?,14k/...-,c)rt0DATE 7,2• �3
bld_mech 07/01/92 ....---
•
C1TYFEDERAL WAY •
BUILDING PERMIT APPLICATION
— Please Print —
)' LA 9 3 -- 0 .790
,NT NAME:
ER r a! E LO1 . ' ._ : 1
E3'5 ACORESS r�elr i".'sir SiT CATION CI-Y to ` PHONE i i
,RISEJC3 LAt i itW IS: *.1. 1 . ! . ! l ni���:11
PZOPE-TY IS OWNED SY: ' NGLEI'M RRIED )( PARTNERSHIP ✓CORPOR.ATION
. crcR'S NAmE Northwet• w.=t-or Fon+-,,- CONTRACTOR'S REG. it ORTRW� 10382
Cad MUST be presented
= u
ACTOR'S ADDRESS 8201 D '-=n j+n c4- crt7 ' ' CITY Tacoma PHONE 984-6404
;ATION DATE 12-22-92 •
- OR -
E READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
TER 18.27.110 WHICH PROHI SITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
RAI ION.
'ACT PERSON Angel Foster - PHONEQRes-aA0. • •
ER DISTRICT WATER DISTRICT
`,tATEO PROJECT COST 1 1900 EXISTING BUILDING VALUATION .
'EB T f TAX ACCOUNT NUMSER ‘M3DC LI - at O •
,L DESCRIPTION
ca_sa.y, pleases submit a separate pa',_ with the legal deseriptien.) • • • • •.
Fiat Recording # - .
DING SQUARE FOOTAGE:. (ExistincfPropcsed) 1ST' FLOOR / 2ND FLOOR • I •'- -
- FLOOR / BASEMENT / • • • DECK / GARAGE • / •
SINGLE FAMILY ( ) NEW CONSTRUCTION
MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE -. -.. -. ---
COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY • SQ r i
- - .._.. .. .E;ING� FIXTURES (including rough-ins) ECHAN AL APPLIANCES - BASIC FEE S---- -
�
WA I ERCLOSE T S • GAS PIPING, FEE I' _ 5.... .
EA T HTU3S NO. I FURNACE, ELEC. GAS ✓ S
SHOG.'ERS - - .. --- - GAS HOT WATER HEATER•-• - - - -•-- S-----
.
LAVATORIES
---- -
LAVATORIES . • • . . . CONVERS`tON BURNER . - •• - _.-- 5- -
SIN<SBOILER, SIZE 81-U S
• _ _ _
DISHWASHERS - AIR HANDLING UNITSELECTRIC HOT WATER HEATER -.. -.... .. . HEAT PUMPS, SIZE . • -- 5-- .
LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS ' - . - -- --` 'AIR COOLING UNITS, SIZE - - '* ' . S.---- .-..-
DRINKING FOUNTAINS ..• -•- - • COMMERCIAL HOOD . • - S
SUMPS, SPRINKLER VACUUM BREAKERS • OTHER S
- DRAINS _ ._ -- 5 - -OTHER S'•:
TOTAL FIXTURES _. . _ _• _ 5 •-__---
TOTAL MECHANICAL FEES
';DER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE •
ER THAT I AM AUTHORIZED 8Y THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
I HER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATT 0RNEYS'
REO IN INVESTIGATION AND DEFENSE OF SUCH CLAIM).WHICH MAY SE MADE BY ANY PERSON. INCLUDING THE UNDERSIGNED,
:G.AINST TLE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
NO EMPLOYEES, UPON THE ACCUFACY CFTHE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
:NT. . 4 Yl 1 ru ^j GATE• _______q1/114.3 .