93-100919 93 ,boa 9)
CITY'OF FEDERAL WAY IVI E C H A N I CA L PERMIT PERMIT NO.: BLD93®0407
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 04/14/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 31327 10TH AVE S
PARCEL NO.: 787540®0035
PROJECT DESCRIPTION: HVAC m INSTALL GAS FURNACE & HOT WATER HEATER
- OWNER — CONTRACTOR — LENDER
RICHARD TALLMAN NORTHWEST WATER HEATER
31327 - 10TH AVE S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
9016 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
liter Line OK Mechanical Inspection Notes:
GAS PIPING OK Date 6-3-x'3 By �-//t%
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED :Y M/ TRU ' ,D COR:ECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
�! DATE / 7��
bld_rn11 ch 07/01/92
'V
CISOF FEDERAL WAY •
• BUILDING PERMIT APPLICATICIlk �jZ- 43 `c'K<9;
— Please Print -
TENANT NAME:
OWNER Fir 4 4' A WWII ' r--'- SITE LOCATION ' • ►r''--•
OWNERS ADDRESS • ufi= .•.0 CITY ti ahPHONE H .141 .- • _
DESCRISE JOB IY' ),,vr‘.euet ci,. u3 • - s_4,1,.. ,/-__.. y .
THE PROPERTY IS OWNED BY: SII.‘GL E!:{ARRIED " PARTNERSHIP
� CORPORATION
CONTRACTOR'S NAME Northwest- Water He,. er CONTRACTOR'S REG. # NORTHWH10IR?
Card MUST De presente4
CONTRACTOR'S ADDRESS 8201 Durango St- Srd . . CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92 J
— O,R —
I HAVE READ CHAPTER 1 a.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
CONTACT PERSON Angel Foster
PHONEag4.-640-.! • .
SEWER DISTRICT WATER ER DISTRIC i
ESTIMATED IMATED PROJECT COSTIf r VALUATION
.---11,)_- EXISTING BUILOIN., fir, DATION
PROPERTY TAX ACCOUNT NUMBER 1Y-).9-16-- C ti-3
LEGAL DESCRIPTION
(Ii necessary, please submit a separate page with the legal description.) .
K.C. Flat Recording # -
BUILDING SQUARE FOOTAGE:. (Existinc/Proposed) 1ST• FLOOR / 2ND FLOOR • / ••- -
3RD FLOOR / BASEMENT / • - - DECK / GARAGE • / -
( ) SINGLE FAMILY ( ) NEW CONSTRUCTION .
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE _
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY • • SQ FT
PLUMBING FIXTURES (including rough-ins) • -- ..--- .. MECHANICAL APPLIANCES — BASIC FEE S----..-
NO. WA'ERCLOSETS - GAS PIPING, FEET 3, C-)C, _ . S.... .
BATHTUBS NO:FURNACE, ELEC. GAS ' -'•., S •
SHOWERS GAS HOT WATER HEATER••- S----• .._.
LAVATORIES - . . . . . CONVERtON BURNER - -- -- - -.-- S-
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 .} S
DRINKING FOUNTAINS • -• • - . COMMERCIAL HOOD . S
SUMPS, SPRINKLER VACUUM BREAKERS • OTHER S
DRAINS . ._._ ._ . .... . . . . . .. .
-- - • OTHER -- S - - --
TOTAL FIXTURES __. . _
TOTAL MECHANICAL FEE tit S
=Y UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
RTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
CURSED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY SE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
ED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
1S AND EMPLOYEE , UPON T • ACCURACY OF THE INFORMATION SUPPLIED TO THE CI Y AS A ART OF THIS APPLICATION.
/AGENT: _ . - IL '/ 1 • DATE: '`-
W