92-102179 CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2518
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/11/92
Federal Way, WA 98003 BY: FLP
661-4000
SITE ADDRESS: 1912 SW 351ST ST
PARCEL NO.: 795620-0180
PROJECT DESCRIPTION: HVAC
OWNER — CONTRACTORLI/ — LENDER
ELAINE AUSTIN NORTHWEST WATER HEATER
1912 SW 351ST ST 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
927-3447 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 • WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: FURN>100K • 0 30-50 HP • 0
BBQ MISC • 0 5+ HP • 0
GAS DRYER..: AIR HANDLING UNITS FUEL TANKS
RANGE <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 30.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
OAS PIPING OK Date pill z By*
<//4Z ---
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.
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CITY OF FEDEW
AY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER eAri-L.Ar._.\._. (1 LLti i V SITE LOCATION n1,-;1- `-) _3 k ..�-
OWNER'S ADDRESS V -- `4. ;zr
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DESCRIBE JOB •)-t-ca_Q l-- ,�-c'
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THE PROPERTY IS OWNED BY: SINGLE/MARRIED c� PARTNERSHIP CORPORATION
30X 2 CONTRACTOR'S NAME Northwest Water Reater CONTRACTOR'S REG. # NORTHWH103R2
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Durango St _ SW " - CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92
— OR —
I HAVE READ CHAPTER 18.27.0 i0 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON Angel Foster
- PHONE984-6404
30X 4 SEWER DISTRICT WATER DISTRICT •
30X 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
30X 6 PROPERTY TAX ACCOUNT NUMBER '-7 "I lP >L"3 --0.I (2)
LEGAL DESCRIPTION
.. I .. .
I
(If necessary, please submit a separate page with the legal description.) . . _
K.C. Plat Recording # _ -
IOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST' FLOOR / 2ND FLOOR " /"-- -
3RD - FLOOR I 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$----- -
NO. . ' WATERCLOSETS - GAS PIPI,NG,, FEET - 5....
BATHTUBS NO. FURNACE, ELEC. GAS S
_ SHOWERS _ - GAS HOT WATER HEATER - Y.- $-
LAVATORIES - - - - - CONVERkiN BURNER - -- _. ---- g-
SINKS BOILER, SIZE BTU S
DISHWASHERS " " - --
AIR HANOCING UNITS "" "- S ---- -
-
ELECTRIC HOT WATER HEATER -.- -. - - HEAT PUMPS, SIZE
_ LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS - —AIR COOLING UNITS, SIZE - - 4• • S"—•- – --
DRINKING FOUNTAINS .- -... _ COMMERCIAL HOOD . S
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
'•'O 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'
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 THE ACCURACY CF THE INFORMATION SUPPLIED TO THE CITY A. A PART OF THIS APPLICATION.
'�NER/AGENT: ILv= -,-. A- _ . DATE: ' C r-