92-101857 9, Jo 1 2'5-7
CITY OF FEDERAL WAY MECHANICAL PERIV1 IT PERMIT NO.: BLD92-2351
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/02/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 29820 6TH AVE S
PARCEL NO.: 515200-0010
PROJECT DESCRIPTION: HVAC - INSTALL HEAT & GLO
OWNER r CONTRACTOR -- LENDER
JAMES MCFALL NORTHWEST WATER HEATER
29820 6TH AVE S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
839-2274 984-6404
NORTHWH103R2
•
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 5 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 8.50
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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 28.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
as PIPING OK //-/c5- 273) Date 7/--/C5 -92. By j l
Y
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT TH 4NFORM ION FURNISHED BY ME j.13 UE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE (72.-- �-
bld_mech 07/01/92
r - n
C6
Permit # bLp (2k2- 2'1)g"l
• CIOF FEDERAL WAY
N
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER L,-6,-yAst.,0 —At In c- -� SITE L OCATI O ea TS,:)t.) <r,- b-1-u-c__OWNER'S ADDRESS � -2) l9- '' l�=hJ-c__ CI � 1- PHONE S5 3 -- )-:7—] y
DESCRIBE JOB '_I-AiNt kJX ,� c t'
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ( PARl ERSHIP CORPORATION
30X 2 CONTRACTOR'S NAME Northwest Water Heater CONTRACTOR'S REG. # NORTHWH103R2
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Durango St gW - " 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
30X 4 SEWER DISTRICT WATER DISTRICT •
30X 5 ESTIMATED PROJECT COST cf4 U2 (Sk) EXISTING BUILDING VALUATION
30X 6 PROPERTY TAX ACCOUNT NUMBER S — 0 A p
LEGAL DESCRIPTION
(If necessary, please submit a separate pace with the legal description.) . . - ".
K.C. Plat Recording if -
lOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST" FLOOR / 2ND FLOOR • / • - -
3RD - FLOOR / BASEMENT / - - DECK / GARAGE - / -
IOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE __• _• __
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
OX 9 PLUMBING FIXTURES (including rough-ins) •- "- .. MECHANICAL APPLIANCES— BASIC FEE$ ---- •-
N0. • WATERCLOSETS - GAS PIPING, FEET - . _ - - S. _
•
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS - '
- . GAS HOT WATER HEATER•" - - " Y— S -' --
LAVATORIES CONVERtON BURNER - __ ____ S__
SINKS BOILER, SIZE BTU $
DISHWASHERS • . . - ---" AIR HANDLING UNITS .- S ----
ELECTRIC HOT WATER HEATER --" -.-.- - - HEAT PUMPS, SIZE _ S__ -
LAUNDRY WASHER OUTLET _ _ UNIT HEATERS $
URINALS - AIR COOLING UNITS, SIZE >y ' S - "
DRINKING FOUNTAINS ..• -_ - - - COMMERCIAL HOOD , • • $
SUMPS, SPRINKLER VACUUM BREAKERS i OTHER . A.-3J V\-- c- Y .ct; $
DRAINS - ._
-- ' OTHER $
TOTAL FIXTURES -' _ $
' 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 CLAIMINCLUDIN R
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,
','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 THEEACCURACY CF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
.,NEP,iAGENT 4� �
QAc•-•-4--5. --..--•.. . C)C'-c `= -
DATE: � ( 1 1 D----
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