93-101364 CITY OF FEDERAL WAY IVI E H A N I AL PERIVI ITL/a3� y
PERMIT NO.: LD93060
3
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 06/15/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 30146 10TH AVE SW
PARCEL NO.: 515320-0520
PROJECT DESCRIPTION: HVAC ® INSTALL GAS FURNACE & PIPING
OWNER -- LENDER
KARL SOLBERG NORTHWEST WATER HEATER
30146 10TH AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
0644 984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 10 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.* $ 13.00
GAS HWT • 0 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 $ 33.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
4111
AS PIPING OK Date ' 5/f1 Byee. ..____
:1`.4- fik
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.
OWNER OR AGENT fflyeL- L-A--)10_P DATE e'' 6-- 22
bld mech 07/01/92
• S
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE---_.__ BY DATE ......_ BY DATE -_...BY
PLUMBING ROUGH IN WATER LINE O.K. _ MECHANICAL INSPECTION
DATE .._ BY GAS PIPING O.K. _ DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE ...-- _ BY DATE ... BY _ DATE BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE -.__- BY
CITY F FEDERAL WAY
BUILDING PltRMIT APPLICATION lir
— P(ease Print —
6GQ‘O' NO
NANT NAME:
;NEP, AMA I la rI� SITE LOCATION 1 • • ` a
/NER'S ADDRESS `>11 , 4- - V S )....) CITY F-QI w7 PHONE `L -g Q
SCRIBE JOB install gala /T i
PROPERTY IS OWNED 3Y: S ;vGLEf:`.,,RRIEO X PARTNERSHIP
CORPORATION
N T RACTORS NAME Northwest- W=t-or Fr..4- CONTRACTOR'S REG. - NORTEWHI0 3R2
Card MUST be presented
NTRACTOPSADDRESS 8201 Du*-angn ct- Brut • • CITY Tacoma PHONE 984-6404
PIRA ION DATE I2-22-9,
— OR —
AVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
APTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS \.'ITHOUT PROOF OF REGISTRATION.
`,TACT PERSON Angel Foster -
PHONE98d-540-4- . -
WER DISTRICT WATER DISTRICT .
TiMATE0 PROJECT COST 5NC EXISTING BUILDING VALUATION
OP_RTY TAX ACCOUNT NUMBER 515 3a0-05Q0
GAL DESCRIPTION
necessary, please submit a separate pace with the legal description.) . . - ..
•
Fiat Recording # -
ILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST- FLOOR - / 2ND FLOOR
J • FLOOR / BASEMENT / • - DECK • / GARAGE_______-___/ -
•
SINGLE FAMILY ( ) NEW CONSTRUCTION .
) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE , _
) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY _ - _..SQ
UMSING FIXTURES (including rough-ins) - - MECHANICAL APPLIANCES — BASIC FEE S---- --
WATERCLOSETS GAS PIPING, FEET LW)C.IS- - 10 $.... .
BATHTUBS NO. l FURNACE, ELEC. GAS X S
. . .. SHOWERS _ .. -.._.
- GAS HOT WATER NEATER... - - - ..--7- S----"
LAVATORIES • • • . . - CONVERS`tON BURNER . - .. - -.-- S- -
SIN<3 BOILER, SIZE BTU S
DIS-WASHERS - -- - AIR HANDLING UNITS - S'—_--
ELECTRIC HOT WATER HEATER -.. -.... . . HEAT PUMP'S, SIZE
_- LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS - - -- - AIR COOLING UNITS, SIZE
DRINKING FOUNTAINS • -..• - . COMMERCIAL H000 . . . S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
GRAINS _ ._
OTHER S-.
TOTAL FIXTURES - . - . ...-. . . . - . - • _ - S ------
- •' TOTAL MECHANICAL FEE # S
UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE •
HER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE V4'ORKFOR WHICH PERMIT APPLICATION IS
JRTHEP AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,ANO ATTORNEYS'
1RREJ IN INVESTIGATION AND DEFENSE OF SUCH CLAIM). WHICH MAY SE MADE BY ANY PERSON. INCLUDING THE UNDERSIGNED,
AGAINST THE CITY OF FEDERAL WAY BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
AND EMPLOYEES, UPON THE ACCURACY CF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
GENT: d, DATE: CCI`i `i3
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