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CITY OF FEDERAL WAY IVI E C H A N I
C I T' PERMIT NO.: BLD9 -2421
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/13/92
Federal Way, WA 98003 BY: PLP
661-4000
SITE ADDRESS: 30026 5TH AVE SW
PARCEL NO.: 039590-0030
PROJECT DESCRIPTION: INSTALL HEAT & GLO; HOT WATER HEATER
OWNER — CONTRACTOR LENDER
DUANE HAGER NORTHWEST WATER HEATER
30026 5TH AVE SW 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
941-2596 984-6404
NORTHWH103R2
ill
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 35 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 15.00
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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 35.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
OS PIPING OK , 2 Date tb .i/ By i nit--/
1,f
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.
A _�
OWNER OR AGENT I DATE (. \ �� X11 i al ----l____. (�
bid_mech 07/01/92
y;'\ 0'5
\ .'7/9-6
v
Permit #
RECEIVED tn,Vq 2 -T4-2/1
I NOV 61992 CITY OF FEDERAL WAY
G�yE �A�.+�Ay BUILDING PERMIT APPLICATION
the P'p OF
— Please Print—
34iX 1 TENANT NAME:
OWNER A_Ar._).-� SITE LOCATI0� ' ' O.:. vw
OWNERS ADDRESSZ C. a, -, CITY L. •r-c . ��e- PHONE `1y 1-B�1(?
DESCRIBE JOB JL i (a_ - ,-ic - c...(7— � � c-_, I -
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
SOX 2 CONTRACTOR'S NAME Northwest Water Heater CONTRACTOR'S REG. # NORTHWH103R2
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Durango St SW • • CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92
— 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.
SOX 3 CONTACT PERSON Angel Foster
PHONEg84-6404 •
30X 4 SEWER DISTRICT WATER DISTRICT -
SOX 5 ESTIMATED PROJECT COST 4 �m 0- EXISTING BUILDING VALUATION
30X 6 PROPERTY TAX ACCOUNT NUMBER 62)"S'I b--C)O 3
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.) . - - -.
K.C. Plat Recording f-- -
OX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST• FLOOR / 2ND FLOOR • / - -
3RD - FLOOR I BASEMENT / - - DECK / GARAGE - / -
IOX 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) - - -•• .. MECHANICAL APPLIANCES — BASIC FEE$ -- --
NO. WATERCLOSETS - GAS PIPING, FEET Li --- -. -S - S
BATHTUBS N0. FURNACE, ELEC. GAS S
SHOWERS - . . I-- - GAS HOT WATER HEATER-- - - 7— $- -
LAVATORIES CONVERS`tON BURNER -- -- S._
SINKS BOILER, SIZE BTU $
DISHWASHERS - . - ----AIR HANDLING UNITS $ ---- ._
ELECTRIC HOT WATER HEATER --- -.... - HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLET _ _ UNIT HEATERS S
URINALS -
AIR COOLING UNITS, SIZE :3 $ -
DRINKING FOUNTAINS - COMMERC AL HOOD • - S
SUMPS, SPRINKLER VACUUM BREAKERS - - I OTHER M-�`k --A."- c S
-- - - - DRAINS S -- -
_ OTHER S;,
TOTAL FIXTURES - - S ----
• TOTAL MECHANICAL FEE S
:ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
'•: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 CLAIMINCLUDIN
NEYS'
EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE M. NY G SON, IN LUDI°^SETH G TAHE
UNDERSIGNED,ATTOR
'�D FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE ITY,
INCLUDING ITS
:FICERS AND EMPLOYEES, UPON THE ACCURAC CF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
;,'NER/AGENT:PiL.AN)V4),-A/� l 1 LCL 61
�L-`� DATE: 630 ?