92-102235 ), jb-1)3.5
CITY OF FEDERAL WAY IVEC MAN I CAL PERIVI IT PERMIT NO.:� BLD92-2560
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/21/92
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 2606 SW 332ND ST
PARCEL NO.: 894530-0460
PROJECT DESCRIPTION: INSTALL HEAT 'N GLO & GAS PIPING
OWNER — CONTRACTOR -- LENDER
CLIFFORD ULLARICH NORTHWEST WATER HEATER
2606 SW 332ND ST 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
927-7026 984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 50 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 8.50
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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 28.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
//11^
OS PIPING OK ;_err ,_ . Date i- /L/ ('72By / -?L8
i
. 111°
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 I 22,2.1,/'
2 s DATE 5 •i -.4"—
bld mech 07/01/92
Permit # 27L-D ' 2 Z- &9
r •
CI0 OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER ' lit k - s,.,at_4/-i . SITE LOCATIQ, ' "PC'(..z SU,:- � �= -T .
OWNER'S ADDRE f too c `'�/ - 'c$ Si _ CITY t' PHONE 9a-7— -)OD-CoDESCRIBE JOB LSt-V-\S{z -2-41,-*--- v\
THE PROPERTY IS OWNED •BY: SINGLE/MARRIED 2� PARTNERSHIP CORPORATION
30X 2 CONTRACTOR'S NAME Northwest Water Heater CONTRACTOR'S REG. # NORTHWH103R2
CONTRACTORS ADDRESS 8201 Durango St SW . CITY Tacoma PHONE Card MUST be presented
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 Q
84-6404
30X 4 SEWER DISTRICT WATER DISTRICT
30X 5 ESTIMATED PROJECT COST it T1 EXISTING BUILDING VALUATION
30X 6 PROPERTY TAX ACCOUNT NUMBER Vi t-1Sa O' -\ O
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 / BASEMENT / - - DECK / GARAGE • / -
?OX 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) MECHA'l-,AL APPLIANCES— BASIC FEE S----- ._.
NO. WA T ERCLOSETS - GAS PIPING, FEET _ - $-._-
BATHTUBS NO. FURNACE, ELEC. GAS S
SHOWERS _ -. .. _..-- - __
_ . . GAS HOT WATER HEATER - �— S
LAVATORIES - - - - CONVERSION BURNER - -- -- - -.-- $.- -
SINKS BOILER, SIZE BTU $
DISHWASHERS - -AIR HANDLING UNITS - S.--------- --
ELECTRIC HOT WATER HEATER --- -. ..- - - HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS - - AIR COOLING UNITS, SIZE - - ,.•• - S —.• .- -.
DRINKING FOUNTAINS - COMMERCIAL HOOD - S
SUMPS, SPRINKLER VACUUM BREAKERS - OTHER,J V1 IC S
DRAINS-- . OTHER $ -
S`-
TOTAL FIXTURES -
- _ $ ---_
- TOTAL MECHANICAL FEE * $
It
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, EUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
:FICERS AND EMPLOYEES, UPON THE ACCURACY OF Ti E INFORMATION SUPPLIED TO THE CITY S A PART OF THIS APPLICATION.
fANER/AGENT: ' v! �� :.1,_ _� 44 A ' DATE: r I
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