93-101784 3- �a��sy
CITY OF FEDERAL WAY IVIECHANICAL PERIVIIT' PERMIT NO.: BLD93-0781
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 07/22/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 3300 SW 340TH PL
PARCEL NO.: 858120@0410
PROJECT DESCRIPTION: HVAC
OWNER - CONTRACTOR - LENDER
THOMAS LEONARD NORTHWEST WATER HEATER
3300 SW 340YH PLACE 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
110615 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 $ 30.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
PIPING OK c ss 7g4//d 6 ` Date 5 `ZT By J7,-/
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 /22diei„‹. DATE 7 .
bld mech 07/01/92
�'� I)
- CITY CDAZ FEDERAL WAY
BUILDING PIPRIVIIT APPLICATION`
— Please ?rinl —
jd r D J 3-- Gi 7 cF
,NT NAME:
ER ta tel& . i' SITE LOCATION .moi �.? D-r`
ima En'S AOO,;ESS *I• 4-i l�� �� CITY . . . PHONE • - _
RISC JC3 ► !. _1
PRO?ERTY IS OWNED SY: SINGL\'MARRIED X PAR TN-
c.;Shl? CORPORATION
•RACTCR'S NAME No rthwec .- w•=t-ar rso.+-v - CONTRACTOR'S REG. = N k
ORT zW IO 1R2
Card MUST be p;esernel
7-•_ACTORS ADDRESS 8201 Dtir=r, r, c1- Ew ' ' CITY Tacoma PRONE 984-6404
RATION DATE 12-22-9 2 .
— OR —
E READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS ANO
TER 18.27.110 WHICH PSOHISITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
'ACT PERSON Angel Foster PHONEQRa-4•404
ER DISTRICT WATER DISTRICT
MATEO PROJECT COST A La-Sb EXISTING BUILDING' VALUATION
_R71 TAX ACCOUNT NUM3ER `3j 15 \DO _ O(--\10
L DESCRIPTION
cessa:-y, please submit a separate pace with the. [scat description.) - - . ..
•
Flat .Re:.cc_iig # - .
DING SQUARE FOOTAGE:. (Exatinc/Propcsad) 1ST' FLOOR - / 2ND FLOOR •
• FLOOR / EASEMENT / • - • DECK / GA RAG_ / - -
-
SINGLE FAMILY ( ) NEW CONSTRUCTION -
MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE _. _.. _. ...
COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY • SQ -1
_ _
-I .G FIXTURES (including rough-ins) MECHANI,,C. APPLIANCES — BASIC Fc_S
- ---
V:ATERCLOSETS GAS PIPING, FEE ( ` _ 5.... .
SA T HTUSS • NO._ ,__FURNACE, ELEC. GAS S •
SHOWERS - - - -GAS HOT WATER HEATER... . • '---- S-"—'--
LAVATORIES . . . - - - CONVERS.tON BURNER . - .. - -.-- 5- - •
SINKS BOILER, SIZE BTU S
DIS-WASHERS • • • . • - -----AIR HANDLING UNITS --- S ---' '
ELECTRIC HOT WATER HEATER --• -•-•- .. - HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS - • - -- - 'AIR COOLING UNITS, SIZE
DRINKING FOUNTAINS ... -•.• - - COMMERCIAL HOOD . •- - S
SUMPS, SPRINKLER VACUUM BREAKERS - OTHER S
DRAINS
. ..._ ._ . .... . . . . . . .. -- S - - --
OTHER S•,
TOTAL FIXTURES _ - - - S ------
• • TOTAL MECHANICAL FEE 1ft 5
'4OER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE ANO CORRECT TO THE BEST OF MY KNOWLEDGE -
ER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
THEP AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
RED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY SE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED.
G.AINST THE CITY OF FEDERAL V,AY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
NO EMPLOYEE-,
UPON T•.E ACCURACY CF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
:N T: . 1/
DATE:- DATE: