92-1015729,Z /0 / -7j
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 122 S 357TH ST
PARCEL NO.: 114000-0060
PROJECT DESCRIPTION:
OWNER
PHILIP WISEMAN
122 S 357TH ST
:RAL WAY WA
661-2008
FUEL TYPES.:GAS
GAS PIPING.: 8 ft
FURN<100K..: 0
GAS HWT....: 1
CONV BURNER: 0
BBQ........ . 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
►.ester Line OK
GAS PIPING OK
I CERTIFY THAT
OWNER OR ACkEI
bld_mech 07/01/
FANS..........: 0
HOOD..........: 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>!001(.....: 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.: BLD92-2191
ISSUED: 09/22/92
BY: NH
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.
TICiH FU 15H BY MEIS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE El--e--:
lov VA
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST
3RD FLOOR_J BASEMENT_—J—
BOX 8 ( ) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS = )
( ) COMMERCIAUINDUSTRIAL
BOX 9
PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
- URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
Permit #L " r�
RECEIVED CITY OF FEDERAL WAY
SEP 21 1992 BUILDING PERMIT APPLICATION
Y — Please Print —
BOX 1 TENANT NAME:
OWNER
OWNER'S ADDRESS
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLEIMARRIEDPARTNERSHIP
CORPORATION
W,
CONTRACTOR'S REG.
BOX 2 CONTRACTOR'S NAME - —A I Card MUST be presented
CONTRACTOR'S ADDRESS `
�ITY PHONE qS�:�`�-
EXPIRATION DATE
—OR—
I HAVE READ CHAP O WHICH PROHIBITS ISSUING EPERMITS WITHOUT PROOF OF REGISTRATION. STRAT ON FINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.1
PHON
BOX 3 CONTACT PERSON
BOX 4 SEWER DISTRICT WATER DISTRICT
MY 5 ESTIMATED PROJECT COST
BOX 6 PROPERTY TAX ACCOUNT NUM
LEGAL DESCRIPTION
EXISTING BUILDING VALUATION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
FLOOR— J 2ND FLOOR
DECK / GARAGE_
( } NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY
SO FT
MEC=ICALAPPLIANCES —BASIC
FEE $
GAS PIPING, FEET
$
NO. FURNACE, ELEC. GAS
$
_GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
COOLING UNITS, SIZE
$
_�41R
COMMERCIAL HOOD
$
OTHER
$
TOTAL MECHANICAL FEE
$
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECTTO THE BEST OF MY KNOWLEDGE
AND FURTHERTHAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISESTO 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 THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: �'- . DATE:
ANP.008 3/90