92-102183 CITY OF FEDERAL WAY IVI E C H A IV 1 CA L P E�M I� PERMIT N0.//BI�D$�2522
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/gl/92 ,
Federal Way, WA 98003 BY: F'LF
661-4000
SITE ADDRESS: 842 S�P 30�TH �T
PARCEL NO.: 178870-OOAS
PROJECT DESCRIPTION: HVAC
ONNER CONTRACTOR LENDER
TED NOTMAN NORTH4IEST WATER HEATER
842 SW 304TH 8201 DURANGO ST S41
FEDERAL NAY NA 98032 TACOMA, NA NA 98499
""-0156 984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft H000..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... S 20.00
FURN<100K..: 1 DUCT 4fORK.....: 0 3-15 HP.....: 0 MEC APPLIANCE FEES.* S 10.00
GAS HHT....: 0 NOOD STOVES...: 0 15-30 HP....: 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0
BBQ........: 0 MISC..........: 0 5+ IIP.......: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS---------
RANGE......: 0 <=10,000 CFM: 0 ABOVE GRWND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES S 30.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
� PIPING OK Date� B���
/���- �
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
1 CERTIFY THAT TH FOR ATION FU ISHED BY ME IS TRU�ND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
�I � � �.
OWNER OR AGENT DATE � ( ��
bld mech 07/01/92 \ �,1x
M,t� �
ll���'�`+ .
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SET BACKS ANO FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE __ -.__-_BY __._. _.- DATE __- _--___BY _ DATE ._--_ -- _ --__BY - _____
P�UMBING ROUGH IN WATER LWE O.K. _......-_....______-_._.______ MECHANICAL INSPECTION
DATE.._- __ BY __-___-.._ GAS PIPING O.K. __....__ DATE __ _
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE .- --__ --_.BY _ ___.._ DATE __ __-...._ __BY DATE __BY ____
FINAL O.K. TO OCCUPY
DGD PSD FD
DATE _. _-- __ BY
Z• co�3 5 / FT
� Permit �_ ��v�� ? s �z
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CITY "F FEDERAL WAY
BUILDING PERMIT APPL[CAT(ON
— Piease Print—
�OX 1 TEr�'ANT N�t.",E:
0'�",'h'ER ' �--' -- ' ,..� ,, ,; _, SITE LOCATIO �i-1:.,� `�i_A� �,c�'_��,:: ` t
<;; _
0`"JNER S ADDRESS ��.l- - ,�.._- = t�-\�'� �:l CITY� t-<.�,•.- :� _ ��r��-� PHONE `'iW�n - `',!` �7
� D�SCRISE JOB z. _x ,_* �� k_ F --�-;. � .
THE PROPERTY IS 0��'��'�D BY: SI'vGLE�'f,';,;RRfEO__�' `� PARTNE^nSHiP � CORPOaATION
30X 2 CONTR.�CTOR'S N.4����E Northwest watPr NA�t�r CONTfi.�1CTGR'S REG. � NORTHWHIO�x
Card MUST be presenied
CONTR,4CTOR'S ADDRESS 8201 Duranan �,t g� Ciry Tacoma PhONE 984-6404
EXPISATION DATE 12-22-
— OR — f
I H�.VE RE,�D C,N.SP I tR i 8.27.G i0 REL4Ti":G�0 D�FINITIOh'S 01=GENE.RAL CON I nACTOnS AND SPcCIA!TY CO��i RACTORS AND �
CHhPTER 18.27.110 `4�HICH PROHIBITS ISSUItv'G PEnIJ:ITS �"�'I I HOUT PROOF Or F,EGIS i R,4i IO`J. `
3GX3 CONTACt PERSON Angel Foster _ PHONE4Ra_ �
6�(�4
30X 4 SE`",'ER DISTRIC i tiNATER DIS i RIC I �-
30X S ES i ItJATED PnOJECi" COST ���' EXISTING BUILDING V�LUATION
i0X 6 PRO?ERTY TAX ACCOUNT tr'Uh'�3cR ��� �`��f(;� � �`.���`.�..���. �
LEGAL D�SCRIPTION �
.. _ �
(If necesszry, pl2ase subnit 2 separate paoe with the 12ga1 description.) . . _ ..
K.C. P;ai Recording =
3QX 7 BUiLb(NG SQU.4R�. FOOTAGE: (Existirg/Proposec) iST� FLOOR / 2�'�D FLOOR / - �
3RD - FLOOR / BAS�fY1ENT / - - C�CK / G�R�GE /
?OX 8 ( ) S;N�LE FAtJ;ILY O NEW COh'S i RUC i ION
( ) N�ULTIFAMiLY (N0. OF Utt'IT� _ ) { ) EXISTING STRUCTURE
O COh1N�ERi,IAVINDUS I RfAL TOTAL AREA OF P"nOPER!�Y $Q � ,
;OX 9 PLUf,�3l�dG FIXTURrS (including rough-ins) ��� � fJECHAN AL APPLIANCES — oASiC FEE S ��
�d0. - -- �fJAI ERC�OSt"IS - GAS PIPING, FcCT ` . _ . $.... .
5 ATH i UBS tJO.�_FURNACE, ELEC. GAS�_ _ $
_ Sn04'�'ERS _ . . _ -- - GAS HOT W.4 i E� HEATER.. S__._. __
. _ L,SVA70nIES - - - CONVERS`tON BURNcR - -- -- - -.-- S-
SIN�S BOILER, SIZE BTU S
DISn��'ASH�RS � - - - -�---- AiR HANOCING UNI IS .` $ ---- -- �
ELECTRIC HOT�1'ATER f-�EATER -�� -. - . NEAT PUMrS, SIZE . _._ $__ _ .
_ ____ LAUNDRY V�'AS�'ER OUTLET UNfT HEATERS $
URfN�LS - -- �- AIR COOLING Uh'IiS, Sl'LE � - �>3 � S — - �"
� DRINKING FOUNTAIhS - COMMERCIAL HOOD . S
SUMPS, SPRIh'KLER VACUUM BREAKERS OTHER $
ORAINS ._- .- ---- - _ .. .
-- - - - OTHER -- � - -- -- --
-- � S'� ,
TOTAL FIXTURES - - - � - -- _ � . _ . -- - - - S----�---.
� TOTAL h"ECHANICAL FEE � g
�tRTIrY U�dOER PEN�L'IY OF PERJUn'f THAT THE INFORMATION FURNISHED 6Y fJ�E IS TRUE ANO CORRECT TO THE 6EST OF MY KN01�`LEDGE
'•:0 FURTHER TN,4T I AM AUT;-iOnIZED BY THE 0�'�'i.'ER OF THE AEQVE PREh'ISES TO PEFFOR�.1 THE�"rORK FOR WHICH PERF�IITAPPUCATION IS
:�.DE.I FURTH�R,4G7�E TO S,-1VE Hr^.;iP.'LESS I HE CITY OF FEDERAL b','AY AS TO A��Y CLAIM(INCLUDI'�G COSTS,EXPENSES,AND ATTOh�1'EYS'
=ES i�dCUn�,ED Ir� I�;vESTIGATiON,�ti�D DE,E!;SE G=SUCH CL�I�;1, �h'NICH MAY 5E �",,4DE BY ANY PERSOrJ, iP��CLUDIrJG THE Ur�DERSIGNED, �
'��FILED.SG,^,I�;ST T��E CITY OF FE�ER„L Vd,�.'f, EUT OtJLY�1'HEP,E SUCH CLAIf�i�RISES OUT OF THE RELI,�,�;CE OF THE CITY, INCLUDING ITS i
FFICE�S At•;O E!,�PLOYEES, UPO�d T�-,E hCCUnACY CF �HE I��FORr,�ATIOrJ SUPPLIED TO THE CI i� AS A P„RT OF THIS APPLICATION.
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�'�'��ER�r.GENT: �-�-�"� ����`'�-�'�-��--� - ����_ E�ATE: ��� �� � �1 �
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