93-101273 CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.:3BL 93-0 55
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/27/93
Fe feral Way, WA 98003 BY: FC
661-4000
SI-,E ADDRESS: 32420 3RD AVE SW
PARCEL NO.: 926490-1490
PROJECT DESCRIPTION: HVAC a INSTALL GAS FURNACE
OWNER a CONTRACTOR LENDER
TERRY DAVIS NORTHWEST WATER HEATER
32420 - 3RD AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
iiii2213
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 Insp-c ion Notes:
Ilk PIPING OK / / Date /17?343 By rA
7 N>_, , / .--
(...V ,,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.
r
OWNER OR AGENT DATEi 3..\ .-- t
1-Ld_mech 07/01/92 \� �,�
CITY F FEDERAL WAY „
BUILDING PERMIT APPLICATIO0
— Ptease Print —
?)40C1 - D155c I
NAN I NAME:
`.it E.R - * v--i SITE LOC A t I Ox - '� ''a" �-C.,J
VNER S ADORES . 2U 2- ' - ' i CITY,
f TYcA E
:SCRI JO3 IAA-uQ ,A-►-,���_ PHON `j2 —ZZI3
iE PROPER,TY IS 0V.'NED BY: OGLE/MARRIED "$ PARTNERSHIP NERSIHIP CORPORATION
IN'FRAC TOR'S NAME NorthwPs4,,- W.1-or g...4 o,- CONTRACTOR'S REG. = NORTEWHI03R2
Card MUST be presented
INT=ACTOR'SADDRESS 8201 Dtor•Angr, ct- c> • " CITY Tacoma PHONE 984-6404
PIRATION DATE 12-22-92 •
- OR -
AVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
?AFTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
)N TAC T PERSON Angel Foster
PHONEQga- 40.4 • .
iW_R DISTRICT WATER DISTRICT .
iTIM;TED PROJECT COST q ---I--).5- .
EXISTING BUILDING VALUATION
0FERTY TAX ACCOUNT NUMBER GjL19 L t U-- I 0
:GAL DESCRIPTION •
necessary, please s�bmita separate pace with the fecal
r pticn.)
•
C. Piat :Recording " - .
IILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST' FLOOR / 2ND FLOOR • / •- .
i0 - FLOOR / BASEMENT / - • • DECK / GARAGE . / -
) SINGLE FAMILY ( ) NEW CONSTRUCTION •
) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE -. _.. _. ...
) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY .. • SQ F i
.Ufa RING FIXTURES (including rough-ins) • ---- ..--. .. . MECHANICAL APPLIANCES - BASIC FEE S---- .-
J. WATERCLOSETS - GAS PIPING, FEci• L (5fi . S.... .
BATHTUBS NO. t FURNACE, ELEC. 3 GAS ' S •
SHOWERS
. _ .. ___.
GAS HOT WATER HEATER•- . - . .--- S---- -
LAVATORIES . • - • • • CONVERS`tON BURNER - .- . . .. - -.-- S-
SINKS BOILER, SIZE BTU S
DISHWASHERS . .. . - - ----- AIR HANDLING UNITS _ - S'----
ELECTRIC HOT WATER HEATER -•• -•.•. HEAT PUMPS, SIZE
_- LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS - . . -- '-•- AIR COOLING UNITS, SIZE - - 11• - S. —.. .-.--
DRINKING FOUNTAINS ••• -- • - • COMMERCIAL HOOD . . . S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS .._ ._ •
-- S - - --
OTHER $-•.
TOTAL FIXTURES _ _ -• _ S •-__---
' • TOTAL MECHANICAL FEE tit S
'UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE ANO CORRECT TO THE BEST OF MY KNOWLEDGE -
HER THAT I I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE V4'ORKFOR WHICH PERMIT APPLICATION IS
UR T HER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,ANO ATTORNEYS'
JRRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY SE MAGE 6Y ANY PERSON, INCLUDING THE UNDERSIGNED,
0 AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
f AND EMPLOYEES, UPON THE,CCURACY OF THE INFORMATION SUPPLIED TO TH CI T f•AS A PART OF THIS APPLICATION.
/
.GENT: i �r�J • DATE: - ( '7 ??