93-100723 9 ;, lap 7.3
CITY OF FEDERAL WAY IV! EC HAN KCAL PERMIT PERMIT NO.: BLD93-0316
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 03/29/93
Federal Way, WA 98003 BY: RJC
661-4000
SITE ADDRESS: 3703 SW 319TH ST
PARCEL NO.: 8731983220
PROJECT DESCRIPTION: HVAC ® INSTALL GAS FURNACE
— OWNER — CONTRACTOR — LENDER
JOSEOH STAAB NORTHWEST WATER HEATER
3703 SW 319TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
838-2714 984-6404
NORTHWH103R2
FUEL 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.* $ 10.00
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 $ 30.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
•.S PIPING OK Date -9 g"93By 6--
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FU'NI:' ED 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 / 7 / s.- DATE `.l ; 2 X73
bld_mech 07/01/92 / / — r
0
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
A0 As./2: 7frnyi 1)CT1/1"7:
• •
rot iiiii. rt
glITY OF FEDERAL WAY i 5L-i" - 031.co
• BUILDMIG PERMIT
APPLICATION
— Please Print —
TENANT NAME:
OWNER _ - a� -€.• i, . SITE LOCATION Sy ` __
OWNER'S ADDRESS •-10_ `31�(`= - L.
CITY �, 'c+�, PHONE x3% - ;D--1 it/
DESCRIBE JOB ‘v'-<� L1 �,.
THE PROPERTY IS OWNED BY: SINGL MARRIED '''/C-'-'' PARTNERSHIP CORPORATION
'. CONTRACTORS NAME Northwest Water WAater CONTRACTOR'S REG. # N0RTHWH103.R2
Card MUST De presented
CON-TRACTORS ADDRESS 8201 DtiranQn Gt SW ' 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 PHONE9R4-
6404
SEWER DISTRICT WATER DISTRICT
i ESTIMATED PROJECT COST 4 (-e`Sh EXISTING BUILDING VALUATION
i PROPERTY TAX ACCOUNT NUMBER -1'1 j 1 — d'G
LEGAL DESCRIPTION
(If necessary, please submit a separate pace with the legal description.) • . . _ ..
K.C. Flat Recording u -
' BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST- FLOOR 1 2ND FLOOR /3RD - FLOOR / BASEMENT / • - - DECK / GARAGE . / -
( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE __ _• _ •__
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY •
SQ F i
PLUMBING FIXTURES (including rough-ins) - •-- .... • .. • MECHANICAL APPLIANCES — BASIC FEE S-----..-
NO. • - WATERCLOSETS • GAS PIPING, FEET : 9.-xtt,Ilkl — . $.... .
BATHTUBS NO. 1 FURNACE, ELEC. GAS ?c) S
SHOWERS - - .. _..-
. . GAS HOT WATER HEATER... - -- S_.._. .._.
LAVATORIES - - - . . . CONVERtON BURNER - -- -- - ---- S- -
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 . . S
DRINKING FOUNTAINS - - COMMERCIAL H000 . . . S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS • . .. _ ._ . .--. . . .
-- - - OTHER
-- S.'.
TOTAL FIXTURES _ - ___--.-
• • TOTAL MECHANICAL FEE fit $
'IP(UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE ANO CORRECT TO THE BEST OF MY KNOWLEDGE
JRTiHER 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,ANO ATTORNEYS.
NCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY SE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
ILEO AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
:RS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY S A PART OF THIS APPLICATION.
l
R/AGENT:
DATE: