93-100860 CITY OF FEDERAL WAY MECHANICAL PERMIT 9�- )OOSroa
PERMIT NO.: BLD93-0374
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 04/07/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 160 5357TH
57TH ST
PARCEL NO.: 71400b-0010
PROJECT DESCRIPTION: HVAC
OWNER - CONTRACTOR - LENDER
DARLENE LENTZ NORTHWEST WATER HEATER
160 S 357TH ST 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
838-59591111 _
984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS • BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0-3 HP • 0 MEC PRMT ISSUANCE... E 20.00
FURN<100K..: 2 DUCT WORK • 3-15 HP • 0 MEC APPLIANCE FEES.* $ 26.50
GAS HWT • 1 WOOD STOVES...: 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 30-50 HP • 0
BBQ • 0 MISC • 5+ HP • 0
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 $ 46.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
OS PIPING OK Date 4-/-7,343 By
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 AGENTile 'll a DATE 1/-,' /3
bid meth 07/01/92 '1I -i
•
--- • C Y OF FEDER Y • ec Dgt3 -- 0 .3 7/
• BUILDINCPERMIT A LICAT(ON
— Please Print -
TENANT NAME:
OWNER pai.ii a . tj- rk-?-� SITE LOCATIQ )leu "•)•11:`"--- • _1---
OWNER'S ADOR�SS ((��'� t CITY fir- PHONE `?3 3/s --4--- IS-5DESCRIBE J03 vi.c5kekk4 ` U-,r-v-e..s-e0 A. , 4 _ �.nu..;�
THE PROPERTY IS OWNED BY: SINGLE',RRIED �o PARTNERSHIP CORPORATION
CONTRACTORS NAME Northwest Wat-Pr r3Aa+-er CONTP,ACTOR'S REG. # NORTHWH10 3R7
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 DuranQn St cra - - CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92 J
— OR —
I HAVE READ CHAPTER ER 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.
CONTACT PERSON Angel Foster
PHONE484-6404 -
SEW:R DISTRICT WATER DISTRICT ••
ESTIMATED PROJECT COST (k c0c-5L' EXISTING BUILDING VALUATION
PROPERTY TAX ACCOUNT NUMBER 1 \L - 10
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the fecal description.) .
K.C. Plat Recording # -
BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST• FLOOR • / 2ND FLOOR • / ••- -
3RD • FLOOR / BASEMENT / • - • DECK • / GARAGE____:.__/ •
•
( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE _ _
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY • • SQ Fr .'
PLUMBING FIXTURES(including rough-ins) - --- --. - MECHANICAL APPLIANCES — BASIC FEE S----..-
NO. WATERCLOSE T S - GAS PIPL(r'G, FEET 1. -.4_N_a- . S.... .
BATHTUBS NO. - FURNACE, ELEC. GAS S
_ SHOWERS - - . _ 1-- - GAS HOT WATER HEATER•- . _ . .._� S---• -
LAVATORIES - • - - . - CONVERSION BURNER . - -. - ---- S-
SINriS BOILER, SIZE BTU S
DISHWASHERS .- - ------AIR HANDLING UNITS _ 5----
ELECTRIC HOT WATER HEATER -.• -.- .. . HEAT PUMPS, SIZE
_ LAUNDRY WASHER OUTLET _ _ UNIT HEATERS S
URINALS - AIR COOLING UNITS, SIZE -
DRINKING FOUNTAINS ... -•.. - . . COMMERCIAL H000 . . ,y . S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS . .__ ._. . .... . . . . . .. . .
-- - . OTHER -- S - -S.%
TOTAL FIXTURES _
-- - _ - S ---- -
• • TOTAL MECHANICAL FEE S
IFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND 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 ANC) 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. UPN/THE ACCURACY CF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
RR/AGENT: a. 3 `?
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