93-102480 4111111111- )Y Rt.
CITY OF FEDERAL WAY MECHANICAL PERMIT PERISSUED: 09/30/9340
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 03/29/94
ADDRESS:321O9 11TH AVE SW
NO. : 926493-0840
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE, HOT WATER HEATER, & PIPING.
r OWNER CONTRACTOR LENDER
I JAMES LAMS I NORTHWEST WATER HEATER
32109 - 11TH AVE SM 8201 DURANGO ST SW
1111 FEDERAL WAY NA 98023 TACOMA, WA NA 98499
838-7891 984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 5 ft HOOD - 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK - 0 3-15 HP - 0 NEC APPLIANCE FEES.* $ 19.50
GAS NWT • 1 MOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0
86Q • 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 $ 39.50
Does the nater supply systee contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then Nater expansion tank is required on Hot Mater Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ----: J' 1 DATE --_ 1`-�=
FILE COPY
m14A AdOO a131d
yr
h '
_.__.____._________,._._v_ --° r.��-� AM /JO 130110 '
31u `
01/111
1IN 38 11IN SIN3N3d1ib311 AVN 10113031 JO A113 31$0311110301 ONV 3903111011440130i 11538 301 01 133111103 ONV 30111 SI 3N 10 03SIN1fil NOI1VNVOINI 3111 IUHI AII11133 I
' 33NVfiSSI IO MVO V311V V03A IMO 311IdX3 S1700 MOM ONV 10IIN30IS3d '0311101S SI 111O* ON II 33NNOSSI N3110 SAVO OSI 111IdX3 SIIN83d
\O tI4
/y1,4 A8A5-h_,e61e0,Q46iey_4ssa 1O 9NIdId 519
:salow uotiaadsul Ieatuepa% _._..__.__ 10 air! Melt pJ03911 uociaadSul
(ieIi 'a1'N 10H u0 paainbai st tuei uotsuedxa ialea uayi .SaA. Al) ON () SOA () 4aA1eA i3au JO MASH uOtianpaa OJOSS0ad a UT.P UO3 001Sf.S Aldrins aale» aqi sao0
OS'61' $ S33J 10101
o : i A 0 1 sw 00S4, 0 • 5901 SV9
�3 ` I $` '0I) 0 1911011
a �
0 13Aa00 SV9
.
wriblegxote :•-• Cfc— 4 sr °",. T ti 0 :ammo AN03
4:46510i :; , ..`. ,`af- 0 r"-3AD1S I • INNf VA
OS'bT $ r"53313311VI
of az v; .. __. STS 11 = 'DWI 111143i =""1001>111111300'0Z $ ""3311W%SS1 II1 d 33N ° 0 0 ""'" 00011 11 S :"9111(11d SV9
:S33I _ .a�T�. Idlm f `" 08° 0 .."•"•"•...SNVI SV9:'S3dil 1311
°
7.K01N121110N
tot9-686 I6111-918
66186 VN VN `1110311 YZ�' 6 VN AVN 1V83031
NS 1S 09111860 I0Z8 NS lAU HITT - 60IZS
11311311 d3121 1S3011111011 SNVI S3NVf
/132131 _ X e 1101301111103
'911IdId R `113(1311 03121 1011 '33211101 SV9 11VISNI 3VAN=NOIldItlCS30 13314O21d
Ot'80-£61'926 = *ON
MS 3A11 HITT 60TZ£=SST:1001o1
tr6/6Z/£0 =S3Z1IdX3 000t'-T99
313 =A8 Odtt?-199 sgsanbatl uotl,Jadsut 6utPITn8 £0086 tSM 'AeM TeJapa3 r'
26/02/60
SSI
OtOT—£6018 =ONn1IWtl3d � ,I��d 'IVI R1 t qiAVM 1H2i3O3J JO0AlIO ,I
QS AC 9( ��E,
0)
0
0
0
0
( -4
0
1111
T > >- T T T T >- >-
Z0VQm �QQZ ZGaoo
T [O-
m
m m m CO m m m m m mai
m wZJ
ZW
m ZJLL
m
m CO
C0 T TZ
EE
fx
0I3 CC
0- JQ 0
V) 0 O
11): O m w mZJw0 ZZZ -1r- NO p WN UN ;23Na3J =
• w co 0 co Z co co Qco wC w m CO co Z co co H t13
(/)(/) 0 u. 0 a0 DO Cl) 0 a0 00 200 0. 0 0 00 00 030 0. 0 w0
u 0 m', 0 0 0 0 0
SEP-24-93 FRI 7 19 NW We HEATER TACOMA FAX NO. 206 588 0353 P, 04
Pen, 004'0)- i o q
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
--Please Frint—
BOX 1 TENANT NAME:
OWNER . c ) j, 1 — 5i TE LOCATION ' Plc 1 V _,_;' '
OWNER'S ADDRESS _ : i1 1 I J : CITY r, ONE 1; •
DESCRIBE JOB t ''' r INIRMINUMINICHKIFF ' (A._ '. 4111/111111.0111P A
THE PROPERTY IS OWNED BY: $Ir LJMAR"IED '_._ PARTNERSHIP CORPORATION
SOX 2 CONTRACTORS NAME K!LI A1)( Pi I- . , _CONTRACTOR's REG. # >~ RETI W)-1-Ir}31
Q.
Card MUST be bresented
7.'CONTRACTOR'S ADDRESS 0 _ . Ilk lk SIS C;TY ICI-CCIY\O PHONE -&PLIC..
EXPIRATION DATE 12'. c1 _
— OR—
F 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. _
BOX 3 CONTACT PERSON , 1' l PHONE cif'
111M i
_
BOX 4 SEWER DISTRICT _ __WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST _ _EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 37.---5-r-
LEGAL DESCRIPTION —
(If necessary, please submit a separate page with the legaI de5criptian.)
K.C. Plat Recording#
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR _ _ 2ND FLOOR _ 1
3RD FLOOR / BASEMENT_ ` _ DECK / GARAGE_J
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION —
( ) MULTIFAMILY (NO. CF UNITS — r .) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY _ SU FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECH CAL APPLIANCES— BASIC FEE
NO._ WATERCLOSETS GAS PIPI G, FEET_
BATHTUBS NO. FURNACE, ELEC. GAS_ V . $
SHOWERS _ GAS HOT WATER HEATER $ W
LAVATORIES _ ._CONVERSION BURNER $
. SINKS BOILER, SIZE_ _ BTU $
DISHWASHERS _AIR HANDLING UNiTS $ _____
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE . $
LAUNDRY WASHER OUTLET —_,UNIT HEATERS $
URINALS __AIR COOLING UNITS, SIZE $
_DRINKING FOUNTAiNS COMMERCIAL HOOD $
__SUMPS, SPRINKLER VACUUM BREAKERS OTHER�_ $
DRAINS _.. $
_ OTHER _ _.. . $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ _
CERTIFY UNDER PENALTY DF PERJURY THAT THE INFORMATION FURNISHED 9Y ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
IND FURTHER THAT I AM AUTHORIZED BYTHE OWNER OF THE ADCVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
t1ADE.I URTHERACREETOSAVEHARMLESS THE CITY OP FEDERAL WAY AS TO ANY CLAIM(INCLUDING CLAIM(IrCLUDIN3 COSTS,EXPENSES,AND ArrO9NEYS'
:EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
CO FILED AGAINST THE CITY OF FEDERAL WAY. BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
]FFICERB AND EMPLOYEE!, UPON TE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A P,RT OF THIS APPLICATION.
JWNER/AGENT: _ ___ii_< f `✓ L— 11 DATE: q..741