92-101869 93D/9 9
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2348
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/02/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 1007 SW 350TH PL
PARCEL NO.: 542243-0150
PROJECT DESCRIPTION: HVAC - INSTALL GAS PIPING & DRYER
OWNER — CONTRACTOR — LENDER
MICHAEL BRUGATE NORTHWEST WATER HEATER
10070SW 350TH PL 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
984-6404
NORTHWH103R2
1111
FUEL TYPES.:GAS FANS BOILERS/COMPRESSO S FEES:
GAS PIPING.: 25 ft HOOD 0-3 HP • MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 3-15 HP • MEC APPLIANCE FEES.* $ 8.50
GAS NWT • 0 WOOD STOVES...: 15-30 HP •
CONV BURNER: 0 FURN>100K • 30-50 HP •
BBQ • 0 MISC 5+ HP
GAS DRYER..: 1 AIR HANDLING UNIT FUEL TANKS
RANGE • 0 <=10,000 CFM: ABOVE GROUND: 0
GAS LOGS.. .: 0 > 10,000 CFM: UNDERGROUND.: 0 TOTAL FEES $ 28.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
ifrss
OS PIPING OK 7/AO/CI Date 4-jf-P.BY /'i3
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FU'. ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
4
DATE �� i21 �
OWNER OR AGEN . ,
bld mech 07/01/92
Permit # 31._.0 2'345
III
IP I T Y OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
SOX 1 TENANT NAME:
OWNER A (L.A.( . '_ k,.1. SITE LOCATIIN v0-1 - t.36:12_ •
OWNER'S ADDRESS -.--1 ice:-` - "' ,'� - CITY.. t cv PHONE' (.0(p L - C , Ln
DESCRIBE JOB l QAz.- `ki Q_k__ i
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
30X 2 CONTRACTOR'S NAME Northwest Water Heater CONTRACTOR'S REG. # NORTHWH103R2
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Durango Rt_ 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 - PHONE
984-b404
30X 4 SEWER DISTRICT WATER DISTRICT •
30X 5 ESTIMATED PROJECT COST 4 1 EXISTING BUILDING VALUATION
30X 6 PROPERTY TAX ACCOUNT NUMBER 94 2 L 3-- 0l
LEGAL DESCRIPTION
t
(If necessary, please submit a separate page with the legal description.) - - -
K.C. Plat Recording # - -
lOX 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST" FLOOR / 2ND FLOOR /--- -
3RD - FLOOR / BASEMENT / - - DECK / GARAGE / -
OX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE _ - ___
( ) COMMERCIALIINDUSTRIAL TOTAL AREA OF PROPERTY • SQ FT
OX 9 PLUMBING FIXTURES (including rough-ins) ---.--. .. MECHANICAL APPLIANCES— BASIC FEE S----- "..
NO. WATERCLOSE T S - GAS PIPING, FEET. .1,a.`> • S-_..
BATHTUBS NO. FURNACE, ELEC. GAS S
SHOWERS - . ----
- GAS HOT WATER HEATER-. - " " Y.- $`
LAVATORIES • CONVERtON BURNER - -- __ g_ -
SINKS BOILER, SIZE BTU $
DISHWASHERS ' • . - -
AIR HANDLING UNITS "" -- g----- --
-
ELECTRIC HOT WATER HEATER . HEAT PUMPS, SIZE _ g__ • -
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS - - AIR COOLING UNITS, SIZE >y S -
DRINKING FOUNTAINS - - - COMMERCIAL HOOD . $
SUMPS, SPRINKLER VACUUM BREAKERS ( OTHER r $
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
ND FURTHER THAT!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+OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
t 1
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