92-102048 ,'.Ibat Y8
CITY OF FEDERAL WAY IVI E C H A N I CA L PERMIT PERMIT NO.: BLD92 2454
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/02/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 29739 4TH AVE S
PARCEL NO.: 6928600530
PROJECT DESCRIPTION: INSTALL GAS FURNACE
OWNER .— CONTRACTOR -- LENDER
KENNETH CARLSTEDT NORTHWEST WATER HEATER
29739 4TH AVE S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
839-2618 984-6404
NORTHWH103R2
F 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
Water Line OK Mechanical Inspection Notes: 6.//,- ,T /�6:_ J L-/-://:17‘,6-/2" c7,S/
SS PIPING OK Date /2--/7-7Z By /75
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNI HED 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 4
DATE / 2 1
bld mech 07/01/92
posit #
RECEIVED 411kITY OF FEDERAL
WAY
NOV 1 61992 BUILDING PERMIT APPLICATION
— Please Print-
any i I FED F we*
=OX 1 TE '�'.•� n i...4
0�'�NER - Z- SITE LOCATIQN 01-1 c._ t`-) •
OWNER'S ADDRESSl4 ' _
�I'` .3 9 CITY t— .PHONE r
ift
DESCRIBE JOB .. cjJ _ itvim,- •'
THE PROPERTY IS OWNED BY: SINGLE/M.AR'' D PARTNERSHIP CORPORATION
30X 2 CONTRACTOR'S NAME Northwest Water ReatAr. CONTRACTOR'S REG. # NORTHWH103R2
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Durangn St_ SW CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92
— 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.
30X 3 CONTACT PERSON Angel Foster
PHONE984-6404
0X 4 SEWER DISTRICT WATER DISTRICT
30X 5 ESTIMATED PROJECT COST A' EXISTING BUILDING VALUATION
30X 6 PROPERTY TAX ACCOUNT NUMBER (Q9 �-- _)•- C>>'')(j
LEGAL DESCRIPTION
I a . -
(If necessary, please submit a separate page with the legal description.) . . -
K.C. Plat Recording = -
!OX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST' FLOOR / 2ND FLOOR / .._ -
3RD - FLOOR I BASEMENT / • - - DECK I GARAGE • / -
IOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE _ _ ___
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY • SOFT
OX 9 PLUMBING FIXTURES (including rough-ins) .' - ..... .. . MECHANICAL APPLIANCES — BASIC FEE S -
NO. • - WATERCLOSETS - GAS PIPING, FEET (___94-1. 2±-Z . S-..- .
BATHTUBS NO. t FURNACE, ELEC. AS �O $
SHOWERS - — GAS_.. - GAS HOT WATER HEA „ T— S-- -
LAVATORIES - - - • . - CONVERtON BURNER - -- . . — S._
SINKS BOILER, SIZE BTU S
DISHWASHERS — AIR HANDLING UNITS -- S.-----
ELECTRIC HOT WATER HEATER --- - HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLET _ UNIT HEATERS S
_ _ URINALS AIR COOLING UNITS, SIZE -� ' S - '
DRINKING FOUNTAINS - COMMERCIAL HOOD - - $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS . .__ ._
-- - - OTHER
-- TOTAL FIXTURES - ' - ' ---- - - _ . S
• TOTAL MECHANICAL FEE ** S
;ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
D FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
ADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
EES 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
"FICERS AND EMPLOYEES, UPON THE ACCURACY CF TH'�INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
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';'SER/A.GENT: it \ &_,4`-, ,/ ` �o1 L' e
DATE: V