93-100496 93-/1b Y9,
CITY OF FEDERAL WAY IV! EC HAN I CAL PERMIT PERMIT NO.: BLD93=0227
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 03/02/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 30412 10TH AVE S
PARCEL NO.: 091900-0250
PROJECT DESCRIPTION: HVAC
OWNER CONTRACTOR a LENDER
MICHEAL CRISCIONE NORTHWEST WATER HEATER
30412 10TH AVE S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
946-4629 984-6404
NORTHWH103R2
F 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 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 $ 36.50
INSPECTION RECORD
/
Water Line OK Mechanical Inspection Notes: 2/7.5 J/7.4_' 6 r,'S ft/ '-'---
GAS PIPING OK Date 3 -I-%3 By /'3
S
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNI ED BY ME IS TRU ND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT /LI L„.."..._ /`ie DATE 2-1 -. `T q�
bld_mech 07/01/92 7f
rciii ti. re
YOFFEDERALWAY M 8 t 93 --002,97
' . BUILDIN PERMIT APPLICATION
— Please Print —
: 1 TENANT NAME:
OWNER Ai " .t_ . _ _ ' S ' ` on -,, SITE LOCATION "" & -e
OWNERS ADDRESS Ute'=' ._ CITY -
DESCRIBE JOB Iv'- t\ . . v C.�- illtx_�.� tpc21--,� - PHONE G��D— ticl�2�.
THE PROPERTY IS OWNED BY: SINGLE/MARRIED K PARTNERSHIP CORPORATION
2 CONTRACTOR'S NAME Northwest Wat-pi- Rea ter CONTRACTOR'S REG. # NORTHWH103R2
Card MUST be presented
CONTRACTORS ADDRESS 8201 'Jura 0gn St HW • • 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.
: 3 CONTACT PERSON Angel Foster
PHONE 9R4-640'4 • '
4 SEWER DISTRICT WATER DISTRICT •
: 5 ESTIMATED PROJECT COST 4k I I b---1 O EXISTING BUILDING VALUATION
6 PROPERTY TAX ACCOUNT NUMBER (�G1190 ) - O 2___C-1)
LEGAL DESCRIPTION -
(If necessary, please submit a separate page with the legal description.) . . -
K.C. Flat 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) - ME HANICA�F PPLIANCES — BASIC FEE S----- -
NO. . WATERCLOSETS - GAS PIPING, FEET ` 1_._
BATHTUBS NO. i FURNACE, ELEC. GAS $
SHOWERS - . -t-- - GAS HOT WATER HEATER.". . - - - -- S -- --
LAVATORIES . . . . . . CONVERS`tON BURNER - -- .- - _ --
- S_
SINKS BOILER, SIZE 8TU $
DISHWASHERS - - -AIR HANDLING UNITS _ S ---
ELECTRIC HOT WATER HEATER -.. -.••• HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLETUNIT HEATERS S
_
URINALS _--AIR'AIR COOLING UNITS, SIZE - 1
DRINKING FOUNTAINS • COMMERCIAL HOOD . S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS • - .-- ._ . .... . .
-- - - OTHER
TOTAL FIXTURES _ - -• - $----_--..-
TOTAL MECHANICAL FEE Ww $
;TI FY 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, UPON THE ACCURACY OF THE IN,ORMATION SUPPLIED TO THE CI T I AS A PART OF THIS APPLICATION.
tt'ER/AGENT: ii-AYN il'rt ' ATE: / 0 q ,