93-101610 93. /0/ lol0
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93-0700
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 06/29/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 3615 SW 339TH PL
PARCEL NO.: 921150-0660
PROJECT DESCRIPTION: HVAC m INSTALL GAS FURNACE
OWNER CONTRACTOR — LENDER
DELAINE RIGG NORTHWEST WATER HEATER
3615 SW 339TH PL 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
.2372 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 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 4 30.00
INSPECTION RECORD
*ter Line OK Mechanical Inspection Notes:
GAS PIPING OK= ', '',,,,,,, 4= Date.-/2" (-) > By h.
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 pc/ KL a .1D DATE 6'--. Y.-IS
bld_mech 07/01/92
CITY OF FEDERAL WAY
BUILDING PEM1T APPLICATION • koocj-o1oo
— Please Print - r
1N i NAME: I-'
ER ' A A Si T- LOCATION Sv, ` .rte
ER' AOORESS _ • �� • CI
,RISE JCB to- „\\ n'� .
PROPERTY IS Ov NEO EY: SINGLE/MARRIED >— PARTNERSHIP CORPORATION
TRACTOR'S NAME Nort'twej- W-.Lor i~o>>-•o - CONTRACTOR'S REG EG # NO RT;F.77•�7 LO 1R2
Cad MUST be presented
•
TRACTOR'S ADDRESS 8201 Dti-mnc'n c - eW • • Clef Tacorna PHONE 984-6404
F AiLON DATE 12-22-9' •
— OR —
'E READ CHAPTER 18.27.0 10 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
TER 18.27.110 WHICH PSOHISI S ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
TACT PERSON Angel Foster . PHONE9Rd-c4,0•4. . •
FR DISTRICT VyAiERDISiRICi •
MATED PROJECT COST 1 `vtC) EXISTING SUILDING VALUATION
'_R T f TAX ACCOUNT NUMBER c2-1 -- 0(..c 4^L--' '
I,L DESCRIPTION -
:Ce_Sary, please Sud-ii d separate pace with the fecal descrlpiiCn.) • • • - . ••
Fiat Recording # - •
DING SQUARE FOOTAGE:. (_xistinc/PropcseP) 1ST• FLOOR____•_/ 2ND FLOOR ' I ..- -
- FLOOR__________J EASEMENT / . - • DECK / GARAGE •j .
•
•
SINGLE FAMILY ( ) NEW CONSTRUCTION
MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE. _. _.. _..
COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY - SC r< •
FIXTURES (including rough-ins) - - ' '' " • MECHANIC �L„APPLIANCES — 'BASIC FEE S----
WATERCLOSETS - GAS PIPING, FEE i S..
EA T HTUES NO. _t_ F lRNACE, EL=C. U GAS }G S •
SHOWERS - - . - - GAS HOT WATER HEATER... . . ..-- 5-----
LAVATORIES . . - . . • CONVERS`ZON BURNER . - .. - -._- 5- - •
SINKS BOILER, SIZE BTU S
DIS-WASHERS . - ----- AIR RANO TNG UNITS —_--
ELECTRIC HOT WATER HEATER -.. -.... •. . HEAT PUMPS, SIZE • . . -- S-. . .
- LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS - . - -- --AIR COOLING UNITS, SIZE . . N _ S. - -
DRINKING FOUNTAINS ... -••• - • COMMERCIAL HOOD . • - S
•SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS _ ._ .... .
- • - OTHER S-•;
- TOTAL FIXTURES . . . . ..._. . . . _ . . - - S ------
' ' TOTAL MECHANICAL FEE *. S
HOER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE ANO CORRECT TO THE GEST OF MY KNOWLEDGE •
ER THAT I AM AUTHORIZED SY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
T HER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
':"-;ED IN INVESTICATIO'I AND DEFENSE OF SUCH CLAIM), WHICH MAY SE MADE sY ANY PERSON, INCLUDING THE UNDERSIGNED.
!‘GAit:ST THE CITY OF FEDERAL WAY•BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
NO EMPLOYEES, UP.:i THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
ENT: - _ Jr- • LATE: • 3
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