92-101959 9.)— /b) 9S 9
CiTY OF FEDERAL WAY IVI EC HAN I CAL PERIVI IT PERMIT NO.: BLD92-2403
3:3530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/09/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 2617 SW 333RD PL
PARCEL NO.: 010060-0180
PROJECT DESCRIPTION: HVAC — INSTALL GAS FURNACE
OWNER — CONTRACTOR -9. LENDER
WHITEMAN NORTHWEST WATER HEATER
2617 SW 333RD PL 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
927-1257 984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC APPLIANCE FEES.* $ 10.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC PRMT ISSUANCE... $ 20.00
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
4
11K,
° •
:K
INSPECTION RECORD; ' ' ; L
Water Line OK Mechanical Inspection Notes: , `
es PIPING OK Date BygE722J-1.
04___,114)
DATE
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 AGENTAlc DATE 1\ c..t )
-
bld mech 07/01/92
i
Permits ¢x,092 - 2-5/03
w ` .� II •
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print-
OX 1 TENANT NAME:
OWNER - _AK...-- -, -- SITE LOCATION .1
IMOIIBIEIEIIML-
OWNER'SS ADDRESS , -(p l"1 Sty% 3.3"36' PL- CITY--¢''` -.+-zx.ti. C ,\PHONE �1 7`1 - 1.7)-6---DESCRIBE JOB -- �"ti�. t,vvc��
t
THE PROPERTY IS OWNED BY: SINGLEIMARR D PARTNERSHIP CORPORATION
30X 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.
30X 3 CONTACT PERSON Angel Foster _ PHONE
984-6404 .
30X 4 SEWER DISTRICT WATER DISTRICT
30X 5 ESTIMATED PROJECT COST ' (P 4.73.C.) EXISTING BUILDING VALUATION
30X 6 PROPERTY TAX ACCOUNT NUMBER ®J 00 QO - 61 S
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.) . . - .
K.C. Plat Recording # _-
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 S----- --
NO. • - WATERCLOSETS - GAS PIPING, FEET L V-. _v_Th_ - S..._ - _
BATHTUBS NO. Y FURNACE, ELEC. r GAS S
SHOWERS -"- GAS HOT WATER HEAT - . - S--.-- --
LAVATORIES - - - - " - CONVERSrtON BURNER - -- -" - ---- S- -
SINKSBOILER, SIZE BTU $
DISHWASHERS _
AIR HANDLING UNITS - S ---- --
ELECTRIC HOT WATER HEATER --- -_ - . HEAT PUMPS, SIZE - ----- S-- - -
LAUNDRY WASHER OUTLET UNIT HEATERS S
_ _
URINALS "- AIR COOLING UNITS, SIZE - - ' --
SDRINKING FOUNTAINS - - - - COMMERCIAL HOOD . 5
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS . . -- .- .... . . . .
-- " OTHER S -S'-
TOTAL FIXTURES - . .
- - S ---"-
- TOTAL MECHANICAL FEE *Iv S
2ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
ND 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 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 WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
:FICERS AND EMPLOYEES, UPON THE ACCURACY OF E INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
,','NER/A.GENT:01...4 '1v ,
�- -k—__ ��:' "' DATE: V i
i