93-101025 3 qui
CITY OF FEDERAL WAY MECHANICAL PERMITPERMIT NO.: SL 93�0455
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/06/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 29731 4TH AVE SW
PARCEL NO.: 720510-0010
PROJECT DESCRIPTION: HVAC
OWNER
FAITH DEEMS
CONTRACTOR — LENDER
NORTHWEST WATER HEATER
29731 4TH AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
2992 984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 2 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.* $ 19.50
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
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 39.50
INSPECTION RECORD
Water Line OK _ Mechanical Inspection Notes: t 77-5-S 7/4'/eti � ✓*XS' "%Dw--
ftPIPING OK Date e; 7IA.'73 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 AGENT /4/e ... ,OX4.4L5/OP DATE S'/• !3
bkl meth 07/01/92
ilit . CI OF FEDERAL WAY
BUILDINIPERMIT APPLICATION
— Please Print -
1
r EVAN I NAME:
)WN ER Q.a S SITE LOCATION ION M `;nim
)WNER'S ADORES$;41 ' �`- CITY PHONE cj�Ity "t:2
J`�
DESCRIBE JO3 `vt. p.XA . •-vyw�-c .4. ,, L.�c Is
.
THE PROPERTY IS OWNED BY: SING) 'ARRIED /<-----) PARTNERSHIP CORPORATION
:ONTR.ACTOR•S NAME Northwest Wa t-Pr- uAa+:_fimr CONTRACTOR'S REG. = NORTHWH103R2
Card MUST be presented
:ONTRACTOR'S ADDRESS 8201 Durango St cW * ' CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92 •
— OR —
HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
:HAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS S WI T HOU IT PROOF OF REGISTRATION.
:O NTACT PERSON Angel Foster PHONEQRa-
640-4
3EWERDISiRICi WATER DISTRICT
--
ESTIMATED PROJECT COST `(30 t k EXISTING BUILDING VALUATION
'ROPERTY TAX ACCOUNT NUMBER -I .0-0c--)1
l.-U 1 v - (1)( k 0 .
_EGAL DESCRIPTION
If necessary, please submit a separate pa;e with the legal description.)
(.C. Fiat :Recording # -
3UILDING SQUARE FOOTAGE:. (Existing/Proposes) 1ST' FLOOR / 2ND FLOOR " / . _ -
i:RO • FLOOR / BASEMENT / • - - DECK • / GARAGE . / -
) SINGLE FAMILY ( ) NEW CONSTRUCTION .
' ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE -.. --
) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SO FT .
'LUM'BING_ FIXTURES (including rough-ins) - MECHANICAL APPLIANCES — BASIC FEE S----_. -
,:0. WATERCLOSETS - GAS PIPING, FEET 44- -0-,-
BATHTUBS
0-BATHTUBS NO. f FURNACE, ELEC. GAS 9 S
SHOWERS . -1-- ' GAS HOT WATER HEATER... . _ - _— S-..-. _-
LAVATORIES . . - . . • CONVERS`tON BURNER . .- .. - ---- S- - .
SINKS BOILER, SIZE BTU $
DISHWASHERS -----AIR HANDDNG UNITS S'---
ELECTRIC HOT WATER HEATER -.. --.•. HEAT PUMPS, SIZE
---
LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS - -- AIR COOLING UNITS, SIZE ' ;. S
DRINKING FOUNTAINS ..• -•.. - - COMMERCIAL H000 . • • S
SUMPS, SPRINKLER VACUUM BREAKERS • OTHER S
- DRAINS _ ._ _- S - - --
-- _ OTHER S---•
TOTAL FIXTURES . . . . ..._.. . . . _ . -
• - TOTAL MECHANICAL FEE lit S
Y UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
'THER THAT I AM AUTHORIZED BY THEO‘,ti'NER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
'UR i HERR AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
URRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM). WHICH MAY SE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
)AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
AND EMPLOY S, UPO THE ACCURACY CF THE INFORMATION SUPPLIED TO THE PITY AS • PART OF THIS APPLICATION.
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