92-101785;ITY OF FEDERAL WAY
13530 First Way South
:ederal Way, WA 98003
361-4000
31TE ADDRESS: 1021 SW 347TH ST
'ARCEL NO.: 132173-0330
?ROJECT DESCRIPTION: HDAC
OWNER
OTTO BAYER
1021 SW 347TH ST
FEDERAL WAY WA 98023
,61-8163
FUEL TYPES.:GAS ?
GAS PIPING.: 1 ft
FURN<100K..: 0
GAS HWT....: 0
CONV BURNER: 0
BBO........ . 0
GAS DRYER..: 0
RANGE....... 1
GAS LOGS...: 0
'ater Line OK
GAS PIPING OK
FANS........... 0
HOOD..........: 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K..... : 0
MISC..........: 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP...... 0
15-30 HP....: 0
30-50 HP..... 0
5+ HP........ 0
FUEL TANKS ---------
ABOVEGROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
Mechanical Inspection Notes:
Date By
LENDER
PERMIT NO.: BLD92-2308
ISSUED: 10/19/92
BY: FLF
FEES:
MEC PRMT ISSUANCE... S 20.00
MEC APPLIANCE FEES.* S 8.50
TOTAL FEES
S 28.50
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.
0
OWNER OR AGENT
bld mech 07/01/92
DATE
Permit +t
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER '
OWNER'S ADDRESS
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARR
BOX 2 CONTRACTOR'S
W
SITE LOCATI
CITY
PARTNERSHIP
CONTRACTOR'S ADDRESS - CITY.
EXPIRATION DATE
—OR—
CORPORATION
CONTRACTOR'S REG. # N021RO ti I03e—,)---
Gard MUST be presented
r PHONE
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 L- " 'L _ PHONE
BOX 4 SEWER DISTRICT
BOX 5 ESTIMATED PROJECT COST
BOX 6 PROPERTY TAX ACCOUNT NUM
LEGAL DESCRIPTION
-��-- ( " 1 5
WATER DISTRICT
EXISTING BUILDING VALUATION
(It necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /
3RD - FLOOR / BASEMENT_) DECK /
BOX 8 ( ) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS = }
( ) COMMERCIAL/INDUSTRIAL
BOX 9
PLUMBING FIXTURES (including rough -ins)
NO. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
( ) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY
2ND FLOOR �.
GARAGE !.
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET $
NO. FURNACE, ELEC. GAS $
GAS HOT WATER HEATER $
CONVERSION BURNER $
BOILER, SIZE BTU $
AIR HANDLING UNITS $
HEAT PUMPS, SIZE $
UNIT HEATERS $
AIR COOLING UNITS, SIZE $
COMME IAL HOOD $
_OTHER __ $
$
TOTAL MECHANICAL FEE $
FT
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 THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION 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 OF THg INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
ANP•008 3/90