92-101570 9���D� ���
CITY OF FEDERAL WAY M E C H A N I CA L P E R IVI i°T PERMIT NO.: BI�D92-2193
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/22/92
Federal Way, WA 98003 BY: �
661-4000
SITE ADDRESS: 1917 S 289�°H ST
PARCEL NO.: 422300-0260
PROJECT DESCRIPTION:
OWNER CONTRACTOR
LENDER
BEVERLY VAMALA NORTHWEST WATER HEATER
1917 S 289TH ST 8201 DURANGO ST Su
FEDERAL WAY HA TACOMA, WA NA 98499
839-0493 984-6404
NORTH41H103R2
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 5 ft HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... S 20.00
FURN<100K..: 1 DUCT NORK.....: 0 3-15 HP.....: 0 MEC APPLIANCE FEES.* S 18.50
6AS HNT....: 1 LJOOD STOVES...: 0 15-30 fIP....: 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0
88�....••••: 0 MISC..........: 0 5+ HP.......: 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 38e50
IN8PECTYON RECORD
Water Line OK Mechanical Inspec�ion Notess
> PIPING OK�L Ss �►���C� ' Date I v'��`�z By i�lU
ALL PERMITS EXPiRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHEO BY ME IS 7RUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND TF9E APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
\
OWNER OR AGENT � ��� � ��
DATE
bld mech 07/01/92
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�'����"��``� CITY OF FEDERAL WAY
SEP Z 1 �992 BUILDING PERMIT APPLICATION
����►,�`;_,4r�������� —Please Print—
�� ���.�<,;•:r,,-�.�
�� xeu��+i, ?.--a..c -
BOX 1 TENANT NAME:
OWNER ' �:_�� �.. ;��' u_ SITE LOCATIOJ� ,I�l I`1 �. t���,���,�
OWNER'S ADDRESS 1 I I `->_ ,•�-�,`�`,'ti`-� ` � _ �'�� �>
� � � -,-� - CITY�r� �_.�. �.,�' PHONE`�._, -j - (��1��-_
DESCRIBE JOB �� _�.� ' �- -�t� c° � �_� ��, .�. �-;.,
THE PROPERTY IS OWNED BY: SINGLE/ RIED �' PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAM� � " � ^ '`- � " �:��c ��- CONTRACTOR'S RE6. #N�,I��W ��l G��k'�?
' Card MUST be presented
CONTRACTOR'S ADDRESS � ` �' -� c �J�tCITI��_��-���-�'�✓�-=� PHONE ���L�-- 1�:����f�i
EXPIRATION DATE � � �
— 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.
BOX 3 CONTACT PERSON ��',`�,� - PHONE ` j�I -l -,`-I(��-I
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST ` � U` EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER � ���������' C��a'Cp (�-
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the lega1 description.)
K.C. Plat Recording#
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE '
( ) COMMERCIAUINDUSTRIAt TOTAL AREA OF PROPERTY S� FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC f�EE$
N0. WATERCLOSETS GAS PI IN6, FEET.�.�."���VL�� '� `� { $
�
BATHTUBS NO.�FURNACE, ELEC. T— G�� $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF TNE ABOVE PREMISES TO PERFORM T� NORK FOR WHICH PERMIT APPLICATION IS
MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAfM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES INCURRED IN INVESTIGAT�ON AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
,'� _
OWNER/AGEN • "1�' , _ �A-1�+-����' - i�-� DATE � �' � �' : � �j-
� ANP-OD!3i90