93-100856 93- /OD /5
CITY OF FEDERAL WAY IVI EC HAN I CAL PERMIT PERMIT NO.: BLD93-0370
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 04/07/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 30121 31ST AVE SW r
PARCEL NO.: 416710-0175
PROJECT DESCRIPTION: HVAC
OWNER — CONTRACTOR — LENDER
MINDY KLAUSS NORTHWEST WATER HEATER
167,
30121 31ST AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
631 984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS • BOILERS/COMPRESSO S FEES:
GAS PIPING.: 48 ft HOOD • 0-3 HP • MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 3-15 HP • MEC APPLIANCE FEES.* $ 19.50
GAS HWT • 1 WOOD STOVES...: 15-30 HP •
CONV BURNER: 0 FURN>100K • 30-50 HP •
BBQ • 0 MISC • 5+ HP •
GAS DRYER..: 0 AIR HANDLING UNIT FUEL TANKS
RANGE • 0 <=10,000 CFM: ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: UNDERGROUND.: 0 TOTAL FEES S 39.50
INSPECTION RECORD •
Water Line OK Mechanical Inspection Notes: = .;,
itPIPING OK s-6.-1'3 fA✓ Date Byie. ' , ��_
p.R
F
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NOW• • r.. - - ARTED. �1 iT '''
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE/A i D CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APP BLE CITY OF FEDE B.�IfA4T RECiUIREMENTS WILL BE MET.
VI Q
OWNER OR AGENT �� / / DATE " 7` J.7
bld mech 07/01/92
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 _
---.--(g"X13 C, eC0 094/1) e4A,ceu...eQ Ry ce>4.-7---Rr -cTDA) 144/
O Alio
YOFFEDERAkWAY ö
BUILDIt,Git PERMIT APPLICATION
— Please Print -
TENANT NAME:
OWNER 11i & •. . , _ ._..1..A. SITE LOCATION ' II 12'1
111 I. D5W
OWNER'S ADDRESS 43C.> at \.'_ G. PHONE g')$•-
CITY � � ___. -4•3
DESCP.ISE JOB i r, i. _ A.. 1,.o,c1 kk k. ` A --- j .
THE PROPERTY IS OWNED BY: SING, 'MARRIED -,1p PARTNERSHIP CORPORATION
CONTRACTOR'S NAME Northwest Wai-Pr ue,=}er CONTRACTOR'S REG. # NORTHWH103R7
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Durango St cy,7 • ' 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 ER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
I CONTACT PERSON Angel Foster PHONEQ a_ •
8 640'4
SEWER DISTRICT WATER DISTRICT
i ESTIMATED PROJECT COST Ak25 F� EXISTING BUILDING VALUATION
i PROPERTY TAX ACCOUNT NUMBER ytlo--1 O -CA-TS-
LEGAL
\ NLEGAL DESCRIPTION -
(If necessary, please submit a separate page with the legal description.) . . -
K.C. Flat Recording # -
BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 151' FLOOR / 2ND FLOOR • I ..- -
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. • _. WATERCLOSETS - GAS PIPING, FEET Lk% - .S - . 5.... •
BATHTUBS NO. V FURNACE, ELEC. GAS S
SHOWERS - - • i.--- - GAS HOT WATER HEATER...
LAVATORIES . . - . . . CONVERS`FON BURNER - -- .. - ---- S-
SINKS BOILER, SIZE BTU $
DISHWASHERS . . . • - ------AIR HANDLING 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 $':
TOTAL FIXTURES _ -
• ' TOTAL MECHANICAL FEE S
'IP{UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE ANO CORRECT TO THE BEST OF MY KNOWLEDGE
JRTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
NCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM). WHICH MAY SE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
ILED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
ERS AND EMPLOYEES, UPON ;HE ACCURACY OF THE INFORMATION SUPPLIED TO THE C TY S A PART OF THIS APPLICATION.
- Arif I
DATE: