93-100129 CITY OF FEDERAL WAY MECHANICAL PERMITPERMIT NO.: ELD 3a 0044
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 01/21/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 601 S 316TH PL
PARCEL NO.: 794170-0160
PROJECT DESCRIPTION: INSTALL GAS FURNACE
r OWNER — CONTRACTOR — LENDER
LARRY NELSON NORTHWEST WATER HEATER
601 S 316TH PL 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
839-2457 984-6404
NORTHWH103R2
i
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
BBC) • 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: 1 (
I,S PIPING OK '^ Date 61,--d --/') By / 7
lw
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.
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OWNER OR AGENT' DATE ( 1-2A `�bld mech 07/01/92�-
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Permit # 3tt7c - OOL1L
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
IX 1 TENANT NAME; . _ V\ '
OWNER 1r�LE i$$%11 SITE LOCATI �\bW
OWNER'S ADDRSS. _f 1 ���ani�j CITYk\W
DESCRIBE JOB
PHONE:Urania
1 4 a
THE PROPERTY IS OWNED BYfnIlItelIj grucil .. PARTNERSHIP CORPORATION
ix 2 CONTRACTOR'S NAME Northwest Water Heatps- CONTRACTOR'S REG. # NORTHWH103R2
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Duran gr, �t cW CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-9 '0
— 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.
X 3 CONTACT PERSON Angel Foster
- PHONE4Ra-6404 -
X 4 SEWER DISTRICT WATER DISTRICT
'X 5 ESTIMATED PROJECT COST Ac 5 EXISTING BUILDING VALUATION
X 6 PROPERTY TAX ACCOUNT NUMBER \ V6- OA*
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.) . . - -.
K.C. Plat Recording y -
X 7 BUILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST. FLOOR / 2ND FLOOR • / --- -
3RD - FLOOR / BASEMENT / • - - DECK / GARAGE • / -
•
X 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE _• _ ___
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY • SQ FT
X 9 PLUMBINGFIXTURES (including rough-ins) - -.. .. ME ANICAL APPLIANCES — BASIC FEE S---- -
NO. . . VtiATERCLOSETS GAS PIPING,/FEE-i. . . _ . S...- .
BATHTUBS NO. V FURNACE, ELEC. GAS S
SHOWERS - .. .. _ ._..
_ . GAS HOT WATER HEATER77-- S_. _. ._
. LAVATORIES CONVERtON BURNER -- _ _ $._
SINKS BOILER, SIZE BTU S
DISHWASHERS - . ' - ----AIR HANDLING UNITS .- -- S--------- '-
ELECTRIC HOT WATER HEATER -.. -.... - . HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLET _ UNIT HEATERS S
URINALS �` - AIR COOLING UNITS, SIZE1
DRINKING FOUNTAINS - COMMERCIAL HOOD - S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS - -- -_ .... . .
_ . . - OTHER S S - - -
--
TOTAL FIXTURES _ _ S--.-_--•.-
• TOTAL MECHANICAL FEE *4. S
:RTIF Y UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
J FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
DE.I FURTHER.AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
:S INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, I
J FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
'ICERS AND EMPLOY S, UPON THE ACCURACY CF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
NER/AGENT: It• AIL A,. A _ DATE:\(\, A
(32) I I