92-101937CITY OF FEDERAL WAY MECHANICAL P
:33630 First Way South BUILDING INSPECTION - 661-4140
,Federal Way, WA 98003
661-4000
SITE ADDRESS: 3063.7 STH PL S
PARCEL NO.: 1745100130
PROJECT DESCRIPTION: HVAC a INSTALL HOT WATER HEATER
OWNER
CARI LAVANG
30617 8TH PL S
FEDERAL WAY WA 98003
529-0607
FUEL TYPES.:GAS
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HUT....: 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
FANS........... 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC........... 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
Water Line OK
WS PIPING OKL-ESS —11-14iy 6 "
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP...... 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
Mechanical Inspection Notes. -
Date `/ By
LENDER
9 a1 j()i 937
PERMIT NO.: BLD92-239
ISSUED: 11/09/92
BY: FLF
FEES:
MEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* $ 6.50
TOTAL FEES $ 26.50
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.
0
OWNER OR AGENT
Imld mech 07/01/92
DATE t
101. • 11
SET BACKS AND FOOTINGS
DATE
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 JPSD
FD
0 0
Permit 4 931-DCkI - z3Ct q
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
tOX 1 TENANT NAME:
0`,NER L- SITE LOCATIO-fJ( o —D k� 0(
OWNER'S ADDRESS 4b(20
`> CITYds
DESCRIBE JOB �V� c _ate PHONE
THE PROPERTY IS OV,'NED BY: SIN'GLEIMARRIED - �_ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAMIE Northwest watpr uAa+o, CONTRACTOR'S REG. -r4r NORTHWHl03R2
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Dnrangn SW CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92
—OR—
I HA.1rEREAD CHAPTER 18.27.010 RELATIING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
30X 3 CONTACT PERSON Angel Foster
PHONP a o n --AM..
3OX 4 SEGVER DISTRICT
WATER DISTRICT
3OX 5 ESTIMATED PROJECT COST l.Q C) EXISTING BUILDING VALUATION
30X 6 PROPERTY TAX ACCOUNT NUMBER.. I -1 `(SIU 1270
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 / -
�RD FLOOR / BASEt,1ENT / CECK ! GARAGE /
?OX 8 ( ) SINGLE FAMILY ( } NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( } EXISTING STRUCTURE _
( ) COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY 1;0 Fi
;OX 9 PLUMBING FIXTURES (including rough -ins)
NO. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
_ OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES — BASIC FEES -----
GAS PIPING, FEET ' .
N0. FURNACE, ELEC. GAS
S
'f- GAS HOT WATER HEA
CONVERSION BURNER
- BOILER, SIZE BTU
S
AIR HANDLING UNITS
- S ---
- . - HEAT PUMPS, SIZE
_ - UNIT HEATERS
$
-
AIR COOLING UNITS, SIZE-
- - COMMERCIAL HOOD
S
- - OTHER
S
TOTAL MECHANICAL FEE
$
CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
I'D FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
?.DE.IFURTHERAGREETO SAVEHARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
__ES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM,), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
ND FILED AGAINST THE CITY OF FEDERAL Vr,�.'r, BUT ONLY `VHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
FFICERS ANID EMPLOYEES, UPON THE ACCURACY OF T�E INFORMATION SUPPLIED TO THE CI i Y AS A PART OF THIS APPLICATION.
��NEP,/^.GENT: L1/ll�-� r �A,y`.( ,�.1,� J DATE:
• ..C� )1W