92-102040 CITY OF FEDERAL WAY IV! E C H A N I CA L P E R M I T PERMIT NO BL 92y2 452 V
33530 First Way South BUILDIIVG INSPECTION - 661-4140 ISSUED: 12/02/92
-Federal Way, WA °8003 BY: FLF
661-4000
SITE ADDRESS: 30834 20TIi AVE S
PARCEL NO.: 053700-0610
PROJECT DESCRIPTION: IN3TALL GAS FIIRNACE & HOT WATER HEATElt
OWNER CONTRACTOR LENDER
BAYARD HOADLEY NORTH4IEST WATER HEATER
30834 20TH AVE S 8201 DURANGO ST S41
FEDERAL WAY WA 98003 TACOMA, NA 41A 98499
839-7196 984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS..........: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 20 ft HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... S 20.00
FURN<100K..: 1 DUCT 1JORK.....: 0 3-15 HP.....: 0 MEC APPLIANCE FEES.* E 18.50
GAS HWT..... 1 HOOD 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 HANOLING UNITS FUEI TANKS---------
RANGE......: 0 <=10,000 CFM: 0 ABOVE GRWND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES S 38.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
S PIPING OK 3=--=� i3 ,� Date L�iy y-�sY r7"�
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
1 CERTIFY THAT THE INFORMATION FURNIS Y 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 � C� � Z � `-'�2"�
b!d_mech 07/01/92 1�,��
1� 4�� / �
� i�,
�� I �
�
.
� f i -
J _1
J �}
Y °° z �° 's °° \
� ; ° '' w i e
� v i � ! �
o � w ;
z � a o i
� � ' z `. �
O Z Q e
� ! Q � � � V
C3 U d �
Z � Z I m �
m Q �.1
� w v w J w �
~ W ~ a ~ � •
a o � o � o
' ( �I i � �
� �
� I � I I o � I
� � �
� I ( � j a
z ►,
� m I m -�
Q
0
Z I i ; �
� ,
O I Y
� � Q � � M
w
O � J z � I �
a a �- � �
°C a Q •\
O F � � � � o I
0 0 � c`�.7 z o 0
� � i i
I
� i � I
� ' I i
� ; �
cn I C7
(3 j Z
z � r � r �
� m m Q m a m
O ? ' '
a = � w 'il � I ,�l i
Y
C7 ' '
Z � , I
`L I � I O i � I U
I �
� Z W I Y ; �, .
�i i m O ' Q I �„�
m w � w F' w Q w
� � � � Y � Z � Z J
cWn o a o O a � o -•
�����'�E� , Permit �
C�Lr)�2- �� 52
NOV 1 61992 �ITY OF FEDERAL WAY
�r��aYBUILDING PERMIT APPL( CAT(ON
— Please Print —
:GX 1 TEt�'ANT N',f."E:
0'�'�h'ER ' `> � SITE LOCATIOy�1. ` � -`�
0�`�NER'S ADDnESS �-'`'- �- -� � CITY � '� �-'cz.-
`� D"cSCRIBE JOB 'L- 1 ` ` ` -;.-,_,y PNONE '3`� --
� ^°t� i _
`I'r'E PROPERTY IS 01",''NEO BY: SI'dGLEi�,!„-",R EO__�' PARTNERSHIP CORPORATIOdJ
30X 2 CONTi�,,:CTOR'S N,4�ti�,E Northwest wa t-Ar uP�tpr CONTR,ICTGR'S REG. �_NORTHWHIO�R
Card MUS7 De presented
CONTFc�CTOR'S ADDRESS 8201 Dt,ran�� St, SW CITY Tacoma PHONE 984-6404
EXPI;ATION DATE 12-22-92
— OR —
I i-!A1�E RE�D i,H.4P I ER i 8.27.Q i 0 nEL.a I'iP;G I 0 D�FINITIOh'S OF GcNEr�AL CONTRACTORS,SND SPcCIA�TY CONTRhCTORS AND
CH�PTER 18.27.110 �'>>HICH PROHIcITS ISSUItJG PERI�ITS 1�'lTnOUT PROOr Or REGISTRAT10���.
3GX 3 CO"�TACT PERSON Angel Foster
- PHONE9R4-6c��4 �
3�X 4 SE'�'+'ER DISTRlC i ��JATER DISTRIC I ��
30X S ES i ItJAi EO PnOJECT COST 1 EXISTING BUILDING V�LU�i IQN
3uX 6 PRO?ERTY TAX ACCOUNT NUt�'��R �`��_'����C�-- r� `<
LEGAL D�SCRIPTION � �
.. � - - � . .
(If nece�sary, pleas� subnit a separa2e pa��e with the (egal description.) . _ _ .
K.C. Plai Recording �`
SQX 7 BUILDfNG SQUARc FQOTAGE: (�xistirg/Proposec} i�T� rL00� / 2�ti� F�OOR / - �
��D � F�00� / B,�S���1ENT / - - pECK / G„R,;CE / -
lOX 8 ( ) SINGLE FAtJ�ILY � O h`cW GONSTRUCTION
( ) MULTIFAMiLY(N0. OF UtJIT� _ ) ( ) EXIS i IN� STRUCTURE
( ) COM�MERCIAVINDUSTR(AL TOTAL AREA OF PROPERiY SQ �
OX 9 PLUfv15lNG FIXTURES (including rough-ins) � � ��� �� f�ECHANICAL APPLI�NCES — B�SIC FEE S --� ��
��'0. � � �'dr^,i ERC�OS�TS - GAS Pi?ING, FEC I ��'� -:_ . s..._ .
_ 6A;H i UBS NO.�_FURNACE, ELEC. GAS�_ $
_ Sn04'�'ERS _ . . - -�'- - GAS NOT W,4 i ER HEATER- � - - - �— S_...._. .--
L�VATOnIES - - - GONVERS`tON BURNER - -- _. _ _.__ S_ _
Sltv;�S BOILER, SIZE BTU $
DISn\ti'ASHERS � � - -�-��� AIR HANDCING UNITS "- g —'-' �-
ELECTRIC HOT ��'ATER HEATER --� - � HEAT PUMr'S, SIZE . _._ $_. . .
_ __ LAUNORY WASuER OUTLET UNIT HEATERS g
_ URfNALS - -- �- AIR COOLING U�'ITS, SIZE " - �-3 � g — - -�
DRINKIN� FOUNTAIhS - C06�iMERCIAL H�OD . S
SUMPS, SPRI�'KLER VACUUM BRF.AKERS OTNER g
DR�,INS . __ ._ - - -
-- - - - OTHER - .. . -- � - -- -- --
-- - S�'-
TOTAL FIXTURES - - - � - -- - - - � -- - -- S �-_--�---.
� TOTAL h"ECHANICAL FEE � $
�E,TiFY UNDER PENALIY OF PERJUn'r THAT THE INFORMATION FURNISHED 6Y ME IS TRUE AND CORRECT TO THE 6EST OF MY KNOWLEDGE
P:D FURTHER TNA I I AM AUTHOnIZED BY THE O�h'��'ER OF THE A6QVE PREh!ISES TO PERFORh1 THE ti4'ORK FOR WHICH PERF�IITAPPLICATION 1S
.'�.DE.I FURTHER,4GREE TO SAVE HMRh'LESS THE CITY OE FEDERAL b1'AY AS TO ANY CLAIM(INCLUDI��G COSTS,EXPEhSES,AND ATTORNEYS'
:ES I�dCU?,RED I�d I�;VESTIGATION r,.ti'0 CEFE�;SE G,SUCH Cl�l�f), 1'��HICH ti?AY BE h"„4DE 6Y AttiY PEnSO�J, Ih'CLUDING THE U'�DERSIGNEO,
�,�FILED�G�,I�;ST THE CITY OF FEDER^;L V;�,�.�f, EUT OrdLY���HERE SUCH CLAIf�I ARISES OUT OF THE REU��,�CE OF THE CITY, I���CLUDING ITS
=FiCE�;S ��dp Er„PLOYEES, UPON T��E �,CCUR�CY GF THE i��FORt�!ATION SUPPUEO TO THE CI i Y AS A F„RT OF THfS APPUCATION.
;,'KE�,irGE'JT: , �--.� C�', ,
_ �' � EATE: t_�
.�..ro, ,,�