93-101023 CITY OF FEDERAL WAY MECHANICAL PERMIT 93 , /0 /d. 3
PERMIT NO.: BLD93-0453
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/06/93
BY: JJ
Federal Way, WA 98003
661-4000
SITE ADDRESS: 3112 S 320TH ST
PARCEL NO.: 092104-9140
PROJECT DESCRIPTION: HVAC
— OWNER — CONTRACTOR -- LENDER
DONALD HENDERSON NORTHWEST WATER HEATER
3112 S. 320TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
839-3223 984-6404
AONORTHWH103R2
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..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 9.50
GAS HWT • 1 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 $ 29.50
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
OAS PIPING OK Date By
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNIS 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 gzE_ K64) c DATE e ' ?___
bld mech 07/01/92
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CIATI OF FEDERAL WAY
• BUILDINWPERMIT APP
LICATN
— Please Print -
TENANT NAME:
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OWNER V . - , \yam\ L
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SITE E LOCATION A_: - .�'
a`'/NER•S ADDRrxx. Z� Q , _ ,=��L- ti. -S \\ •-' ' CI TY---. ft ,Jc�
PHONE ��"` ' �
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DESCRIBE JOB
THE;E PROPERTY IS OVVNEO SY: SINGLEJMARRIED �` PARTNERSHIP CORPORATION
:ONTF.ACTOR'S NAME Northwest Wet-Pr r-i.,•=+-e-- CONTF<,CTOR'S REG. t NORTHWH10 3R7
Card MUST De presented
:ONTRACTOR'S ADDRESS 8201 Durango gt- cr..7 • • CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92 J
— OR —
HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS ANO SPECIALTY CONTRACTORS AND
:HAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
:ONTACT PERSON Angel. Foster
PHONEgR a-6404 • •
SEWER DISTRICT WATER DISTRICT -
STIMATED PROJECT COSTEXISTING BUILDING VALUATION
ION
PROPERTY TAX ACCOUNT NUMBER f`,c1 d\ULA .-- of I-t--IG
LEGAL DESCRIPTION •
•
:If necessary, please submit a separate pa,-..la with the legal description.) .
K.C. Fiat Recording y -
BUILDING SQUARE FOOTAGE:. (Existinc/Proposed) 1ST- FLOOR____L__/ 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-.'
'LUMSING FIXTURES (including rough-ins) .---- ..-•. - MECH AL APPLIANCES — BASIC FEE S——..-
i0 WATERCLOSETS GAS PIPING, FEET . . $.... .
BATHTUBS NO. FURNACE, ELEC. GAS S
-• - SHOWERS -- - GAS HOT WATER HEATER•.- - - ' - s-- .--
LAVATORIES - • - • - . CONVERtON BURNER - -- -- - ---- S- •
-
SIN:;S BOILER, SIZE BTU S
DISHWASHERS - . . - - ------AIR HANOCING UNITS - S'----
ELECTRIC HOT WATER HEATER -•• -•••- - • HEAT PUMPS, SIZE
- LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS - . - __ -'- AIR COOLING UNITS, SIZE - - -}
DRINKING FOUNTAINS ••• -.- - - COMMERCIAL HO0O . . - S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS • .-- •- . .... . . . . . . .. .
-- .. . _ OTHER -- S - - --
TOTAL FIXTURES . . _ . ...__. . . . _ . . _• _ S •___---
• • TOTAL MECHANICAL FEE S
Y UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
1THER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
CURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY SE MACE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
ED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
iS AND EMPLOYEES, UPQ: THE ACCURACY OF THE INFORMATION SUPPLIED TO TH CITY AS PART OF THIS APPLICATION.
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