93-102832 73 - /a $3J
CITY
335300Firstt Way South F FEDERAL WAY M E C H A N I C A L PERM I T PERISSUED:NO: 11 /05 /9393
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/04/94
ADDRESS: 32520 2ND AVE SW
NO. : 926490-1790
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE
OWNER -- CONTRACTOR -- LENDER
GREG HINTON NORTHWEST WATER HEATER
32520 - 2ND AVE SW 8201 DURANGO ST SW
71ERAL WAY WA 98023 TACOMA, WA WA 98499
838-3863 984-6404 588-0393
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.$ $ 1.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY 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 $ 21.00
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Water Tank)
'Inspection Record Water Line OK Mechanical Inspection Notes: -
GAS PIPING OK Date _ By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE - //— r:„?
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NOV- 2-93 TUE 17'43 NW WATER HEATER TACOMA FAX NO. 206 588 0353 P. 01
• PermtVID °.b - I (°)3
CITY OF FEDERAL WAY '
BUILDING PERMIT APPLICATION
-Plpaee Prini—
BOX 1 TENANT NAME:
OWNER 'll .*a _SITE SITE LOCATION 33:5 ..Nit i '
OWNER'S ADORE _sr sir ' U , L. .) CITY F..L+.), - PHONE ,. , -. 0 •
DESCRIBE JOB ' 4Q.. d ih . 1 . I
THE PROPERTY IS OWNED BY: 'I NGLE/M"RRIED_,Z PARTNERSHIP _ CORPORATION __.
30X 2 CONTRACTOR'S :NAMEN1 U a J W ."O �_ _1, . _CONTRACTOR'S REG, #iska
Card MUST be presented"
CONTRACTOR'S ADDRESS \ Q� i Il SYITY TMPHONE 4'figLiri
--
EXPIRATION DATE 1 .---
-CR—
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. _
BOX 3 CONTACT PERSON . I A,._ `_ 4. --
t t PHON0
— ! i
BOX 4 SEWER DISTRICT T WATER DISTRICT _ - _-
BOX 5 ESTIMATED PROJECT COST WO _ EXISTING BUILDING VALUATION
SOX 6 PROPERTY TAX ACCOUNT NUMBER 0/ ji o
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording 4
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR --
3RD FLOOR ._J EASEMENT..l_/ DECK l_. - GARAGE , I
BOX S ( ) SINGE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = _______) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY ___SO FT
80X 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET L4.iX—� $
BATHTUBS NO..�_FURNACE, ELEC._. _GAS ✓ $
_ SHOWERS _ GAS HOT WATER HEATER $
—LAVATORIES - CONVERSION BURNER $
SINKS ,._BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE— $
_LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS __SIR COOLING UNITS,SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER _�....._.��— $
_TOTAL FIXTURES — - $
_ TOTAL MECHANICAL FEE $
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHCRIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE,I FURTHER AGREETO SAVE MARM_Es3 THE CITY OF FEDERAL WAY AS TOANY CLAM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON,INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: C c rA.,73 - DATE: JAllP#a —
_