92-101861 90- )OI R(,/ .
CITY OF FEDERAL WAY MEC MAN I CAL PERMIT PERMIT NO.: BLD92-2353
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/02/92 t
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 31116 6TH AVE S
PARCEL NO.: 082104—92 03
PROJECT DESCRIPTION: HVAC — INSTALL HEAT °N GLO & GAS LOGS
OWNER - CONTRACTOR;.111 -- LENDER
MICHAEL TIPPER NORTHWEST WATER HEATER
31116 6TH AVE S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
941-5419 984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 30 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.* $ 15.00
GAS 'r'WT 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...: 2 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 35.00
INSPECTION RECORD
Water Line OK / Mechanical Inspection Notes:
AS PIPING OK /212,2/f! Date Z7/(7By 6 i.-
t;;Ild la--- -
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.
n
OWNER OR AGENT ±/(7 \(
DATE ? ( 1q
' z____
bld_mech 07/01/92 A(/
l_ ecib
1 7
Permit # Bt-nq_2 2353 ,
S CITOOF FEDERAL WAY S
BUILDING PERMIT APPLICATION
— Please Print-
BOX 1 TENANT NAME:
OWNER `"NY\ r�.a.sx SITE LOCATIO :3111 � �'>> ,�
,t[�I .
OWNER'S ADDRESS " :•? A _ _ <- - CITY • it-, -v3 PHONE `i q I - 91 L 1
DESCRIBE JOB LQ-nn 0 , , , _ civ.,q J_"f _
THE PROPERTY IS OWNED BY: SINGLE/MARRIED t''"" PARTN SHIP CORPORATION
30X 2 CONTRACTOR'S NAME Northwest WatPr neater CONTRACTOR'S REG. # N0RTHWH103R7
Card MUST De presented
CONTRACTOR'S ADDRESS 8201 Durango Rt SW CITY Tacoma PHONE 9846404
EXPIRATION DATE 12-22-92
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS RACTORS 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 -
BOX 5 ESTIMATED PROJECT COST Al CC)(-) EXISTING BUILDING VALUATION
30X 6 PROPERTY TAX ACCOUNT NUMBER Da91 t--) --1 - ci 3
LEGAL DESCRIPTION
(If necessary, please submit 2 separate page with the legal description.)
K.C. Plat Recording# - -
lOX 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST- FLOOR / 2.ND FLOOR . I - -
3RD - FLOOR J BASEMENT / • - - DECK / GARAGE /
•
lOX 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 S----- -
NO. ' - WATERCLOSETS - GAS PIPING, FEET 3 -- - (0 _ 5....
BATHTUBS NO. FURNACE, ELEC. GAS S
SHOWERS - - '
• . GAS HOT WATER HEATER - " '.- S
LAVATORIES • • CONVERSION 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 ;y $ - '
DRINKING FOUNTAINS - • COMMERCIAL HOOD . S
SUMPS, SPRINKLER VACUUM BREAKERS 1 OTHER JV'_Ledc- V`- t $
DRAINS . '-- --
__ OTHER S
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
ND 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,
0 FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
'FICERS AND Et:PLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
.VNER/AGENT: D-^v-' '