92-101940 CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: /BLD92-22395
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/09/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 405 S 312TH ST
PARCEL NO.: 082104-9221
PROJECT DESCRIPTION: HVAC ® INSTALL FURNACE
OWNER — CONTRACTOR — LENDER
FEDERAL WAY MISSION CHURCH NORTHWEST WATER HEATER
405 S 312TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
3200 984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 50 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.* $ 12.00
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 $ 32.00
•
INSPECTION RECORD r
Water Line OK Mechanical Inspection Notes:
AS PIPING OK Date By + 1 ,
tip/
ATE '
33Y.
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED 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 _...ACDATE Y 1 149 7
told mech 07/01/92
Permit # 0A-Q cb-- 2.°1s'
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER - ►;, i& <', ' .. . • SITE LOCATI N L '— S. .301-': St
OWNERS ADDRESS t-1,0(f) S. :-31-.)- - ' • CITY .6,c„al (Atr. PHONE S1-2_,c1- Cx
DESCRIBE JOB a__A,.-zx. 'Q.L `:vw c_
THE PROPERTY IS OWNED BY: SINGLE/MA IED > PARTNERSHIP CORPORATION
30X 2 CONTRACTOR'S NAME Northwest Water Heater CONTRACTOR'S REG. # NORTHWH103R2
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Dura lig() St SW - CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92 J
— OR —
I 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.
30X 3 CONTACT PERSON Angel Foster
PHONE984-6404
30X 4 SEWER DISTRICT WATER DISTRICT
30X 5 ESTIMATED PROJECT COST Iii. '. ?0t_) EXISTING BUILDING VALUATION
30X 6 PROPERTY TAX ACCOUNT NUMBER O i O - )-
LEGAL DESCRIPTION
•
(If necessary, please submit a separate pace with the legal description.) . . - -
K.C. Plat Recording if _
!OX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST- FLOOR / 2ND FLOOR /- - -
3RD . FLOOR / BASEMENT / - - DECK / GARAGE /
OX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE _ _ ___
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
OX 9 PLUMBING FIXTURES (including rough-ins) - _.• .. MEC 'ICAL APPLIANCES— BASIC FEE$ -
NO. . . WATERCLOSETS GAS PIPING, FEET -,L1-). - $...- .
BATHTUBS NO. 1 FURNACE, ELEC. GAS S
SHOWERS - - GAS HOT WATER HEATER--. - - ---- $---
-
'-
LAVATORIES - - - . - CONVERtON BURNER - -- -- - _._- $_
SINKS BOILER, SIZE BTU $
DISHWASHERS - ----AIR HANDLING UNITS -..-- S ---_ '-
ELECTRIC HOT WATER HEATER -.. -.... - . HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLET _ UNIT HEATERS $
URINALS - AIR COOLING UNITS, SIZE - - 4a - $ .-
DRINKING FOUNTAINS .-• -_- - - COMMERCIAL HOOD • . $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS _
-- - . OTHER - $ - -
TOTAL FIXTURES _.. .
- TOTAL MECHANICAL FEE $
:ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
'N,D FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
ADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
:ES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
ND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
:FICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
I.
i
/AGENT: ...J 1 : /.../ ,
...ASP DATE: C-.. c 1 i