93-101292 3-1.01.29,)
CITY OF FEDERAL WAY IVI EC HAN I CAL PERMIT PERMIT NO.: BLD93-0561
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/27/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 34629 11TH CT SW
PARCEL NO.: 132173-0370
PROJECT DESCRIPTION: HVAC - INSTALL 1 AIR COOLING UNIT (2 TON)
OWNER r CONTRACTOR LENDER
LAWRENCE LEADER NORTHWEST WATER HEATER
34629 - 11TH CT SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
661-1711 984-6404
NORTHWH103R2
FUEL TYPES.:ELE FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 6.50
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP • 0
BSO • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <=10,000 CFM: 1 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES S 26.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
SS PIPING OK Date By
1 -` .
1 IIALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STAR a:. '
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY 0 •: SER AY REQUIREMENTS WILL BE MET.
OWNER OR AGENT -------___- DATE )\%ii C 7 D
bld meth 07/01/92
• NI t
•
• •
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
_, -c E 6 &----C %�/C/7c �E2 ,,T/ /9/11p S'i . A G?C=;- /2�44..c i c�>, (..__4.
/0..6 - 3 A i /4/6r17G� - i(/ 41e Cc5S - A/ 14/,peci,oA/ (sw)
CITYADF FEDERAL WAY
• BUILDING PERMIT APPLICATIO,
— Please Print —
V,t,o' O5Lo I
ENANT NAME:
'.'NE;, a ..1L.& - -- - . SITE LOCATION 3 /1---' 1``-
`JNER'S AOO,RESS . ...i c b ` CITY PHONE (Q le 1- X1 1 (------
:Sc=1S_JOB . ,Yl.,3l«_t_i_ i ij\- (`' 1L�Ns v -
.E PROPERTY IS OWNED 3Y: SINGLE/:'.ARRIED > PARTNERSHIP CORPORATION
INTR.ACTOR S NAME Northwest- w=t-or Rom, CONTRACTOR'S REG. = NORTHWH1Q 3R2
Card MUST be presented
)N-TP-ACTORS ADDRESS 8201 On•,-.q n Si- S'
J CITY Tacoma PHONE
. - 984-6404
,PIRATI0N DATE I2-22-92 •
— OR —
AVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS ANO SPECIALTY CONTRACTORS AND
?AFTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
)NTACT PERSON Angel Foster • PHONEQRa-F40'^ • -
EWER DISTRICT NATER DISTRICT
iTiMATED PROJECT COSTA (-.2.-^1.-J EXISTING BUILDING VALUATION
tOFESTY TAX ACCOUNT NUMBER 1,. I'73 -0;-3( )
:GAL DESCRIPTION .
,
n_cessa:Y, please submit a separate pace with file leCai description.) , . - - ..
•
C. Pia; Recording # _ .
JILDING SQUARE FOOTAGE:. (Ex?sting/Proposed) 1ST' FLOOR / 2ND FLOOR ' / • - -
i0 - FLOOR________J BASEMENT___J • • - DECK / GARAGE_____ __/ -
SINGLE FAMILY ( ) NEW CONSTRUCTION
) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE _. -.. _. .--
) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY •- - SQ ;i
.Ut.SING FIXTURES (including rough-ins) •---- -._.. .. MECHANICAL APPLIANCES — BASIC FEE S---- -
). WATERCLOSETS • GAS PIPING, FEET- _ 5.... .
EATH!UBS NO. FURNACE, ELEC. GAS S
_ . SHOWERS _.._. - GAS HOT WATER HEATER... - - - -•-— S---• -
LAVATORIES - • - . . • CONVERS`tON BURNER . •- -• - ---- S-
SINKS BOILER, SIZE ETU S
DISHWASHERS - - ----- AIR HANOC.ING UNITS ---
ELECTRIC HOT WATER HEATER -.• _. ... . . HEAT PUMPS, SIZE _-- $-- .
_ LAUNDRY WASHER OUTLET UNIT HEATERS S
- URINALS - -- t—AIR COOLING UNITS, SIZE Gr�- - >y - S — _...
DRINKING FOUNTAINS ..• -. - - COMMERCIAL H000 • . . S
SUMPS, SPRINKLER VACUUM BREAKERS . OTHER S
DRAINS •
. . .._ ._ . .... .
OTHER S----
-- - TOTAL FIXTURES . . . . ..._. . . . _ ._
TOTAL MECHANICAL FEE 114 5
'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 WORK FOR WHICH PERMIT APPLICATION IS
URTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
URRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM). WHICH MAY SE MACE BY ANY PERSON. INCLUDING THE UNDERSIGNED.
0 AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
I AND EMPLOYEES, UPO: THE ACCURACY CF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
:GENT: �� CATE: S012'?3