93-102188 131. Wig
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO:ISSUED: 09/02/9350
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/01/94
ADDRESS:3724 SW 335TH CT
NO. : 109961-0340
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE.
OWNER — CONTRACTOR ========= LENDER
liwHALTER CONNER NORTHWEST MATER HEATER
3724 SN 335TH CT 8201 DURANGO ST SM
DERAL MAY MA 98023 TACOMA, NA NA 98499
838-4583 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 HMT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0
880 • 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
a
Inspection Record Mater Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK 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 MAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT, DATE `X--17/1Y
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CITY
OF FEDERAL WAY f Q\
BUILDING PERMIT APPLICATION alMelpD
— Please Print—
BOX 1 TENANT NAME:
OWNER L,i l J( r i1Y1e'f SITE LOCATION l`I -y Lu
OWNER'S ADDRESS 3' a�{ 5Lu 5 34- , CITYS:-Qd Luc - PHONE ...3(.6---1-15S
DESCRIBE JOB � CSE t crn ?Doc
THE PROPERTY IS OWNED BY: SINGLE/MARRIED V PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Nil) l a)CtQ.f {LQ CcC J CONTRACTOR'S REG. # NORT4t,of in3RQ.
Card MUST be presented/
CONTRACTOR'S ADDRESS & 3\ Q ir\ Y1CF S+SLLCITY 1 Q� PHONE C:1?,--fC:1?,--f_LcL{O /
EXPIRATION DATE ia(aa C3 U
— 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.
BOX 3 CONTACT PERSON ��� _Qf ULQ j PHONE q�LI CD L OY
BOX 4 SEWER DISTRICT c WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST O<_ EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER OCIC-(Ct I C
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET lk ; $
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 AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
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 AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES 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 Ditr(Q1( DATE: 8 10--(--003
ANP-008 3/90