92-102278� , y��a ad7$
CITY OF FEDERAL WAY M E C H A N I CA L P E R M I T PERMIT NO.: BLD92-2583
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/31/92
'Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 29643 20TH AVE S
PARCEL NO.: 367440-0� ���� Z 1�`2
PROJECT DESCRIPTION: �
OWNER CONTRACTOR LENDER
LORRIE NELSON-SMITH NORTHWEST WATER HEATER
29643 20?H AVE S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, 41A WA 98499
631-9354 984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 30 ft HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... S 20.00
FURN<100K..: 0 DUCT NORK.....: 0 3-15 HP.....: 0 MEC APPLIANCE FEES.* $ 8.50
GAS HWT....: 1 WOOD STOVES...: 0 15-30 HP....: 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0
BB�......... 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 UNDERGRWND.: 0 TOTAL FEES S 28.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
S PIPING OK ,S � Date 15��� By �
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.
�
OWNER OR AGENT DATE /�� J�—�1' � �
bld_mech 07/01/92 �r,lA�'� `✓
�f` C._/
��� Perm�t � 1�,, ,: �� � �
.
�.. . .'Y OF FEDEF�AL WAY
BUILD1hIG PERMIT �'�PPLICAT(ON
— Pleasz Print —
;X 1 T�r��;,NT N��.�E:
C'�`��tiE�� vv `- ^ - - wid� SITE LOCATION �`�1p�4� ;�L`� �
Qt`,'NE�9'S ADD�;ESS j������1 '� ,�1:"� lAt:t � CITY � �� ' �.,. PNONE__ (� 3l -"��`�.L-�
'� C'c SC RI S E J 0 3 �..i, _ �: �.�i-�,• � �--�
T�E PROPERTY IS 0��'�d�D 6Y: SI'dGLE,'h.','-,r^,;(ED PARTh'EnSHIP o
�— CORPO,,ATI ON
�X 2 CONT�,.�CTOR'S ��'��,��E Northwe�t wat-A,- uAater CONTF,.aCTOR'S REG. � NORTHWHI O�R
Card MUST be presented
CO'�Tf�„Ci0RSA00RESS 8201 D „-an��_�t SW � � CITY Tacoma PHONE 984-6404
EXPI5AT10"d D,�;TE 12-22-92
— OR —
I H."-.VE RE"�D i,��PTE�18.27.Q10 RELa I'i;dG I 0 D�FINITIOh'S OF GE�ti'E�,",L CONTnACTO�S��'D SP�CIA�IY CONTRACTO^nS AND
CN;,PTER 18.27.110 1'v�ICH PROHIBI I S ISSUI�v'G PEnN:ITS t'�'ITHOUT PROOF Ot= REGfST,^,ni!0;�'.
�X 3 CG,�i�CT PERSON Angel Foster
PHONE9R4-64,04 �
�X 4 SE'�'JER DISTRIC i ��JATER DISTRICT •
!X S ES i(tJATED PnOJECT COST � � � EXISTING BUILDING V„i U�ITION
�X 6 PRO?E�i,f TAX ACCOUfv'T ��'Ut�!8'cR �.�v`� l�)`iZ� -- (>�lo ;
L�G�L DESCRIP I ION
-- . _ .. . . .
(It mce�sary, pizasa sub��it a szpar�te pao� wi;h th� (egzl description.) � . . . .
K.C. Plat Recording j
X 7 Bui�DING SQUAR� FOOTAGE:. (�xisting/Propose�} i�T� FL00� / 2ti� FLOOR / � - �
.,-� FLOOR / E�S���1ENT ! - - C=�;{ � GAR�G� /
X 8 ( ) SiN��E F�iti�ILY � O NEW CG�'�'�Tr�UCT10�'�
O h'�JLTlFAMiLY(NO. OF UNITS = ) ( } EXIS I ING S I RUC I URC
( ) COh111�E�C.IAVINDUSTnIAL TOTAL ,",REA OF P^nOPERlY Sq Fj
X 9 P�UtY;Sl��'G FfXTURcS (inciuding rouqh-ins) ���- � ��� ' f�ECH. '(CAL APPLI„NCES — B�SIC FEE S----- ��
FdQ. . .. �fd,^,TERCIOSETS � GAS PIPING, Fc�� . _ - S...- .
_ 5A�H i UBS N0. FURNACE, ELEC. GAS g
SHC4'�'ERS ' ' ' - --
- . . �_GAS HOT WA i ER HEATE��� � � '"— S "
L�VATOnIES - - - CONVERS`rON BURNER . __ _. _ _.__ S._
SI�v�S BOILER, SIZE BTU S
D15n1NASH=RS � - - ��-�"- AiR HANDCING UNI I S � '- $"—'-' "'
ELECTRIC HOT 1'�'ATER HE��ER _.. -. . HEAT PUMrS, SIZE . _.— S-- - -
_ ____ Lr1UNDRY WASHER OUTLET UNIT HEATERS $
_ URIhALS - � �- AIR COOLING UNfiS, SIZE � � �-.y ' $ — " -'
DRINKING FOUNTAII�S - - - COMMERCIAL H000 . g
SUMPS, SPRIh'KLER VACUUM 5?Er,KEFS QTHER S
DR�INS � � -- �- -- - - . .
-- - - OT�;ER _ .. . -- � - �- -- �-
-- - S�':
TOTAL FIXTURES - - - . . ._.. . _. . _ . -- - - - S.---.-•,
� TOTAL �1ECHANICA� FcE +� $
_�TIr=Y l;taDER PEN,-',LiY OF PERJUn'r THAT THE IN"rORMATION FURNISFiED 6Y ME IS TRUE ANO CORRECT TO THE 6EST OF f�iY KN01h'LEDGE
'J FURTncR I HAT I A"�i AUTNOnIZED BY THE 04NNER OF THE AEOVE PREh!ISES TO PEnFORf.1 THE�`tORKFOR WHICH PERMITAPPLICATION IS
DE.I FU�T��RAGREE TO SAVE H;;R�'�LESS i HE CITY OF FEDERAL4','AYASTO A�JY CLAIM(INCLUDI�dG COSTS,EXPEhSES,ANDATTORNEYS'
:S ��dCU,-�,ED IN INVESTIGATtON,�!�J DE�Er:SE G=SUCH CL,�It:), �ti�LICH ti�AY BE h",4DE 6Y Ar,Y PERSOrJ, iNCLUOir;G ThE U�;OERSIGNED,
�FILEO�G;I�;ST T��CITY OF FEQER^,L�':.�.'r, EUT G�JLY`'ti HEP,E SUCH CL.41t�1,aRISES OUT OF THE RELI��;CE OF T4E CITY, INCIUDING ITS '
�ICEnS ,^-.td0 E'�PLOI'E�S, UPO�J THE F�CCUnACY CF TH INFOR�,!ATION SUPP�IED TO THE CI i�f AS A P,�,RT OF THIS r^,?PUCATIOtJ.
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�EP,/�GE'JT: �- � DATE:
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