93-100606 9,-100 60,
CITY OF FEDERAL WAY IVI EC HAN I CAL PERMIT PERMIT NO.: BLD93-0274
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 03/23/93
f:9deral Way, WA 98003 BY: • FC
661-4000
SITE ADDRESS: 30450 8TH AVE S
PARCEL NO.: 091800-0035
PROJECT DESCRIPTION: HVAC - INSTALL GAS PIPING & HOT WATER HEATER •
OWNER — CONTRACTOR — LENDER
MICHAEL MADELAS NORTHWEST WATER HEATER
30450 - 8TH AVE S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 8 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.* $ 9.50
GAS HNT • 1 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 $ 29.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
GAS PIPING OK-2--/-9-677 3 /446 /A,,Date q--(q-5 By /,e4 n/
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.
KOWNER OR AGENT DATE 3 -2_3 —1
bld mech 07/01/92
V GI L I I t rt
llpF FEDERAL WAY i
MAR 1 i 1993 BUILDING PERMIT APPLICATION
iwr 9p — Please Print —
: 1 TENANT NAME:
OWNER --ANVcAAJ_ FAM % . ....1 SITE LOCATION - i - A -
OWNER'S ADDRESS:30-X Sb (-'" 4.4k, CITY : V -
PHONE
DESCRIBE JOB \(-‘,,-V-",\\ o ..' )p ---
THE PROPERTY IS OWNED BY: SINGLE/MARRIED G> PARTNERSHIP CORPORATION
2 CONTRACTOR'S NAME Northwest Wal-Pr Heater CONTRACTORS REG. # NORTHWH103RJ
Card MUST De presented
CONTRACTOR'S ADDRESS 8201 Durango St SW . . CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92 J
— 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.
: 3 CONTACT PERSON Angel Foster - PHONE g8a-6404
: 4 SEWER DISTRICT WATER DISTRICT -
: 5 ESTIMATED PROJECT COST ff S`kL( EXISTING BUILDING VALUATION
6 PROPERTY TAX ACCOUNT NUMBER bill O( -c 3`i
LEGAL DESCRIPTION
•
(If necessary, please submit a separate page_ with the fegal description.)
c . . . - ..
•
K.C. Plat Recording -
7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST. FLOOR • / 2ND FLOOR • / -- -
3RD - FLOOR / BASEMENT / • - - DECK / GARAGE____-_____/ -
8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
9 PLUMBING FIXTURES (including rough-ins) . •--- - -• .. MECHCAL APPLIANCES — BASIC FEE S------NO. • WATERCLOSETS - GAS PIPING, FEET .- . S.... .
BATHTUBS NO. FURNACE, ELEC. GAS S
SHOWERS - - •- --1
• •
.. GAS HOT WATER HEATER '- S _
LAVATORIES - - - . - . CONVERtON BURNER - -- -- _ _.-- $-
SINKS BOILER, SIZE BTU S
DISHWASHERS • - - -----AIR HANDLING UNITS
ELECTRIC HOT WATER HEATER --. -.... - . HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS - -- AIR COOLING UNITS, SIZE - '
DRINKING FOUNTAINS ... -. . - . COMMERCIAL HOOD y . $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS . ._._ ._ . .... . . . _ .. .
-- - - OTHER $ - - -
TOTAL FIXTURES _ _ $
' TOTAL MECHANICAL FEE # S
STIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
!E.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM). WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
CERS AND EMPLOYEES, UPO THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
:ER/AGENT: _ 4 - jI` DATE: ( 3