93-100126 CITY OF FEDERAL WAY MECHANICAL PERMIT PERM 9 3 /oo/��
IT NO,: BLD93 0047
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 01/21/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 30436 10TH AVE S
PARCEL NO.: 091900-0265
PROJECT DESCRIPTION: INSTALL GAS FURNACE & HOT WATER HEATER
- OWNER CONTRACTOR - LENDER
KEN GESCHE NORTHWEST WATER HEATER
30436 10TH AVE S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
iii'-3649 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.* $ 16.50
GAS HWT • 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 $ 36.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
41,S PIPING OKDate 7-17-57 By ( M
L
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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.
(-----2
OWNER OR AG' T .„ ' DATE t/z1 1q,3
bld_mch 07/01/9 ,
1,u`
4.1
Permit # 151-013 ' dO(--(1
6
COY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
)X 1 TENANT NAME: _
OWNER WASIK . V SITE LOCATIO �11L' '.-*)-9-11,1,\.-9
OWNERS ADD, rSS c ►AZ�T� &CITY PHONE
DESCRIBE JOB \\- '2149 C W
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
IX 2 CONTRACTOR'S NAME Northwest Wai-Pr Heater CONTRACTOR'S REG. # NORTHWH103R2
Card MUST be presented
CONTRACTORS ADDRESS 8201 Durango qt Sw . ' Cin Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-9g3
— 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.
iX 3 CONTACT PERSON Angel Foster _ PHONE9
$4-6404 •
IX 4 SEWER DISTRICT WATER DISTRICT •
!X 5 ESTIMATED PROJECT COST % I_ EXISTING BUILDING VALUATION
X 6 PROPERTY TAX ACCOUNT NUMBERCc-A )‘()C)- S
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.) . . - -.
K.C. Plat Recording # -
X 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST' FLOOR / 2ND FLOOR • / •.
- -
3RD - FLOOR I BASEMENT / - - DECK / GARAGE • / -
•
X 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY • SQ FT
•
X 9 PLUMBING FIXTURES (including rough-ins) - -.-.• -. MEC' LAICAL APPLIANCES — BASIC FEE S---- -
NO. . -. WATERCLOSETS - GAS PIPI ' , I'
FEC . g_... .
BATHTUBS NO. - - URNA c, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER.. . - - .--- $- --
LAVATORIES - - - - . - CONVERtON BURNER - -- -. - -. - S.-
SINKS BOILER, SIZE BTU $
DISHWASHERS . . . - ------AIR HANDLING UNITS .._-- S.------- -ELECTRIC HOT WATER HEATER -.. --... - . HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS - AIR COOLING UNITS, SIZE - <.j
DRINKING FOUNTAINS ..• -.- - - COMMERCIAL HOOD • . S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS -
-- - • OTHER - S -S.':
-
--
TOTAL FIXTURES _ _ S •-.--•_-.-
• TOTAL MECHANICAL FEE $
:RTIFY 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
DE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
:S INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
3 FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
'ICERS AND EMPL PEES, UPON THE ACCURACY CF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
NER✓^.GENT:
DATE (\---\ )\.