93-101035 CITY OF FEDERAL WAY IV! E C H A N I A L P EI� I� PERMIT 2,.. -JO/0,3 NO.: BI,D93 0448
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/06/93
Federal Way, WA 98003 BY: ,7J
661-4000
SITE ADDRESS: 1248 SW 300TH PL
PARCEL NO.: 515320-0180
PROJECT DESCRIPTION: HVAC
OWNER .- CONTRACTOR — LENDER
DOROTHY PARR NORTHWEST WATER HEATER
1248 SW 300TH PL 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
410 984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 25 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.* $ 19.50
GAS HWT • 1 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 $ 39.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
IPS PIPING OK/D 5-y3 m// Date // j `? 5 By tM/t1
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FUR F7ED-BYH IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT / LOA-f1) DATE +� ' • /3
bld mech 07/01/92
(., _ :\j
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CIT OF FEDERAL WAY
• BUILDINGWERMIT APPL
ICAT1
•
— Please Print —
TENANT NAME:
)VV NE,R __10 z,--Nr- ' .C"-AYY SITE E LOCA t ION .,. J -- 0.‘-..r-.--
47
)VINE,'S ADDRESS % -- `x 11`- • a,I. -%-- ' CITY - _ PHONE c(-'� - `ts$`i
DESCRIBE JOB t . ,_, c�� `
i IHE PROPERTY IS OWNED 3Y: SINGLtIMARRIED ?-----• PARTNERSHIP CORPORATION
:ONTRACTORS NAME Northwest Wat-or u,=,. +,:_A.r CONTRACTORS REG. r NORTHWH103R2
•
Card MUST be presented
:ONTR„ACTORSADDRESS 8201 Duranan St Sr,/ • • CITY Tacoma• PHONE 984-6404
EXPIRATION DATE 12-22-92 •
— OR —
HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
:HAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
:ONTACT PERSON Angel Foster
PHONEQ8a-540•4 .
3EW_R DISTRICT WATER DISTRICT •
ESTIMATED PROJECT COST tt I I 1 11.2) EXISTING BUILDING VALUATION
PROPERTY TAX ACCOUNT NUMBER 3.. --C \ rs
_EGAL DESCRIPTION
It necessary, please submit a separate pace with the legal description.) .
<.C. Fiat Recording # -
3UILDING SQUARE FOOTAGE:. (Existing/Proposed) 1ST* FLOOR / 2ND FLOOR • / . -
iRD FLOOR / EASEMENT / . • - DECK / GARAGE
• / -
SINGLE FAMILY ( ) NEW CONSTRUCTION
) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE -.. -.. -. .--
) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY • • SQ FT .
PLUMBING FIXTURES (including rough-ins) • • -•• ' MECHANICAL?PLIANCES — BASIC FEE S ---..-
O WATERCLOSETS GAS PIP NG, FEET . S.... .
BATHTUBS NO. I FURNACE, ELEC. GAS____4___
_ • SHOWERS - _ .--t- - GAS HOT WATER HEATER... . _ . -•-- S---•-
LAVATORIES - • . • . . CONVERS`tON BURNER - -- -- - ---- S- -
SINKS BOILER, SIZE BTU $
DISHWASHERS • . • - ------AIR HANOC.ING UNITS
ELECTRIC HOT WATER HEATER -- -..•• - . HEAT PUMPS, SIZE
LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS - -- AIR COOLING UNITS, SIZE _ i.,k. S — _
DRINKING FOUNTAINS • -••• - • COMMERCIAL H000 . . . S
SUMPS, SPRINKLER VACUUM BREAKERS . OTHER S
- DRAINS _ ._
-- _ OTHER $':
TOTAL FIXTURES - _ 5 ------
' • TOTAL MECHANICAL FEE * S
Y UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED SI ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
THER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
'UR T HER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
PURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY SE MAGE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
'0 AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
i AND EMPLOYEES, UPON HE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
GENT: 1 ) - • 'C---) .
DATE: <g-EQ q3