93-101378CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 32650 9TH PL S
PARCEL NO.: 326070®0310
PROJECT DESCRIPTION: HVAC o INSTALL GAS FURNACE
OWNER CONTRACTOR LENDER
RAY CALDWELL NORTHWEST WATER HEATER
32650 - 9TH PL S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
2568 984-6404
NORTHWH103R2
9,'1°f 37 g
PERMIT NO.: BLD93-0610
ISSUED: 06/15/93
BY: FLF
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
Wa
ter Line OK Mechanical Inspection
SPIPING 0 s5 1114,1 ,1 ' Date 6 �)q- 3 By
Notes:
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
1 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
bld mech 07/01/92
DATE
•
i
SET BACKS AND FOOTINGS
DATE ...__- ....__..__BY __.__-...._.
OX TO POUR FOUNDATION WALLS
DATE __.......---_BY -_......._ ---....
PLUMBING GROUNDWORK
DATE - .. _.--....__ _- BY
PLUMBING ROUGH IN
DATE _ .--....._-___ BY _._- .._._-_......
WATER LINE O.K. ___ ..
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE _..- ... -__...-_.... _-BY
O.K. TO ENCLOSE FRAMING
DATE ......._..-........-. .BY
INSULATION
DATE .__......._BY ......_....
WALL BOARD AND FIRE WALL
DATE _ _BY
FINAL O.K. TO OCCUPY
DATE ......BY
DCD
PSD
FD
C 1TY
F FEDERAL W,",Y
BUILDIt�IC KRMIT APPLICATIOt
— Pieasa ?Mint —
NANT NA,%1E
`ER e- Si T- LOCATION
R S ADORES 41— CITY PHONE
SC= I�_ JOB `
- PAO' •-, TY IS 01':N'E'] 3Y: SINGLE0.'.ARRIEO F4niiti'E.?S�l? COR?0?4TI0V
,
N7RACTOR'SN.4N,tE Northwest Water CONTFyACTOR
S REG. - NORTKWF 1 01R
Ca:d MUST be pressnte4
NT?„,CTOR'S A00,?ESS 8201 D tr�nr*n �t Srrt CITY Tacoma PHONE 984-6404
?1RAT10"; DATE c:
—OR—
=`.'E 5E=.0 i.HAP i E:i 1$.27.010 EL4TIi:G T 0 DEFINITIONS 0; GcNERALCONTRACTOnS AND S?ECI�A L17CONTRACTORS As
AFTER 18.27.110 `1�I I PROHIBITS ISSUING PERI,/.ITS �i'I 11, i PROOF OF RECISTRAT(ON.
NTACT PERSON Angel. Foster PH0NE4Ra_��
V, ER DISTRICT
WATER DISTRICT
TIMATEO PROJECT COST !ar7'--JEXISTING BUILDING VALUATION
0FER T f TAX ACCOUNT NUM,
GAL DESCRIPTION
nec!zsz.^f, pleas! submmii a separet= page With the fecal descripticn.)
Ftai Recording
ILOING SQUAREE FOOTAGE:. (Exis"finclPropcse-) 137FLOOR / 2N0 FLOOR / -
0 FLOOR / 6ASEf.4EN TA. / CA." -..4 C -
S IN:Gi_E FAhLILY
( ) Ni ,,V CONSTRUCTION
MUUNFAMiLY (N0. OF UNITS = )
( )EXISTING STRUCTURE
COM. M,1EF; C[AL/INOUSTRIAL
TOTAL AREA OF PROPERTY
SQ FT .
UttISIr;C FIXTURES (including rougt-ins)o
...
fnCCXANI,CA AP, LANCES
�
— E A SIC Fc_ S ---- • -
WATERCLOSETS
GAS PIPING, F=ci , (c
6A T HTUBS
NO._L—FURNACE, ELEC. GAS_ S
GAS HOT WATER HEATER
_
LAVATORIES
CONVERSION BURNER
SINS
BOILER, SIZE BTU
S
OfSH�";ASHERS
— �- - AIR HANOCING UNITS
---
ELECTRIC HOT WATER HEATER
_.. _. HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLET
- --
UNIT HEATERS
S
URINALS I-
- -- - - 'AIR COOLING UNITS, SIZE
DRINKING FOUNTAINS
-- _ -COMMERCIAL H000
S
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
S
_ ... _ DRAINS
_._ ._
-- S - - --
- - OTHER
S •.
TOTAL FIXTURES
_ _
S ------
TOTAL MECHANICAL FEE
• S
UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
HER is .AT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE Y''ORKFOR WHICH PERMIT APPLICATION IS
JR T tER AGREE TO SAVE HART; LESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
J REO IN INVESTIGATION "NO DEFENSE OF SUCH CLAIM.). WHICH MAY SE MAGE 6Y Ar,Y PERSONA, INCLUDING THE Ur;OERSIGrAEO,
AGAIr;ST T -E CITY OF FEDERAL v:A.Y, BUT ONLY WHERE SUCH CLAIM .ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
A•rIO ENj?L01'EES, U�A THE ACCORACY OF THE INFORMATION SUPPLIED TO THE CIT� AS A PART OF THIS APPLICATION.
GENT
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