93-10267143 71
Y
CITY OF FEDERAL_ WAY MECHANICAL33530 First Way South PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4ddd
ADDRESS:29823 23RD AVE SW
NO.: 01 21 d3-91 a5
PROJECT DESCR I PT ION : HVAC - INSTALL GAS HOT WATER HEATER, FURNACE, I PIPING.
OWNER
ROBERT GAGE
29823 - 23RD AVE SW
FEDERAL WAY WA 98023
83B-9369
FUEL TYPES.:GAS
GAS PIPING.: 70 ft
FURNO ODL .: 1
GAS HWT.... : I
CONY BURNER: O
BBQ........ . 0
GAS DRYER.,: 0
RANGE......: 0
GAS LOGS...: O
FANS........... 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURR>100K...... 0
MISC.......... D
AIR HANDLING UNITS
<=1O,D00 CFM: 0
> 10,000 CFM: 0
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404 588-0393
NORTNIH10392
BOILERSICOMPRESSORS
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
LENDER
PERMIT NO: BLD93-1117
ISSUED: 10/21/93
BY: FC
EXPIRES: 10/19/94
FEES:
MEC PRMT ISSUANCE... = 20.00
NEC APPLIANCE FEES.9 # 19.50
TOTAL FEES $ 39.50
Does the water supply system contain a Pressure Reduction Device or Check valve? t) Yes D No )If 'Yes' then rater expansion tank is required on Hot dater Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT —_ _-- DATE %l
e I-E Copy
OCT--18-93 MON 9 � 35 KW WATER HEATER TACOMA FAQ{ NO, 208 588 0353 q 3-E00�v./ P, 01
~ Porn.
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION �
— Phase Print —
BOX 1 TENANT NAME-. IL .
OWNER K
OWNER'S ADDRESS cr0-'
DESCRIBE JOB J6 Cl-. S
THE PROPERTY IS OWNEDy: tNGLE/IXAAF1IED
BOX 2 CONTRACTOR'S NAIVE Ij 1, 1. 1 11 a
SITE LOCA T IO
CITY_
PH
PARTNERSHIP CORPORATION
CONTRACTOR'S AEO-
GEM MUUT N o'7
0
CONTRACTOR'S ADDRESS 1 s 3,2 iY1t�n TY_ 70LGD <:� PHONE— 'R -
EXPIRATION DATE U -
—OR —
I HAVE READ CHAPTER 18,27-010 RELATING TO OEFINITIONS OF GENERAL CONTRACTORS ANO SPECIALTY CONTRACTORS AND
CHAPTER i8.27A 10 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON I PHONE 11 �
BOX 4 SEWER DISTRICT -- WATER, DISTRICT _—
BCX 5 ESTIMATED PROJECT CDSTiCQ EXISTING BUILDING VALUATION
ACX B PROPkATY TAX ACCOUNT NUM8IF -�
LEGAL DESCRIPTION
(it mockioary, please submit a Separate paoB With the 10991 dev!Ptiom)
K.G. Plat REcording # - -- -_
BOX 7 51,I11-QING SQUAWE FOOTAGE: (ExISVrIglpropc.s%-w) 1ST FLOOR l 2ND FLOOR 1�
3RU FLOOR 1- $ASIMENT i_ DECK' GARAGE 1
sox B ( y SINGLE FAMILY ( } NEW CONSTRUCTION
[ } MULTIFAMILY (NO. OF UNITS = ,] [ } EXITING STRI GTURE
I ) CQMMERCIALJINIDUSTRIAL TOTAL AREA OF PROPERTY - - — _-SO FT
BOX 9 PLUMBING FIXTURES (includlq rough -Ins) MECMNICAL APPLIANCES -- RASIC FEE $
NO,_._.--.-WATEFICLCSET5 GA5 PIPING, FEE? -,C0J � $
._BATHTUBS N0. ? . F1j;1k4ACi:, ELEC.— GA5 ..— S _
SHOWERS GAS HOT WATER HEATFR $
--LAVATOPLIES _ CONVERS10k, BURNER $
-_SINKS —BOILER, _BOILER, SIZE - IGTU $
....._-01$ vvASHERS IA HANOL!NG UNITS $
_ Y._,EI;PCTRIC HOT WATER HEATER _HEAT PUMPS, SIZE $
_—LAUNDRY WASHER OUTLET _UNIT HEATERS $
_, .URINALS _----AIR COOLING UNITS, 917E 8
—DRINKING FOONTAINS COMMERCIAL HOOD $
_---SUMPS, SPRINKLER VACUUM BREAKERS OTHER
__DRAINS $
_—OTHER
____TOTAL. FIXTURLB $
TOTAL MECHANICAL FEE $
I CERTIFY UNOER PENALTY OF PEF,.IUFIY THAT THE INFORMATION FURBISHED OY ME IS TRUE AND CORRECTTOTh E BEST OF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISESTO PERE09M THE WORK FOR WINCH PEHMITAPPLICATION IS
MADE, I FURTHER AOREE TO SAYE HARMLESSTHE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
-FES INCUPPE-D IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE 9Y 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 ITT
OFFICERS ANO EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SOPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
cj.0
�?.T �a 10OWNERIAGENT' 3A;
AHP-M Me
1
R 3—Lo2.(e-1 ]
353°FSouPERISED0/21 130itt FEDERAL South fOECHANICAL PERMiT PERMIT NO:
11/93
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661--4000 EXPIRES: 10/19/94
ADDRESS:2932:3 23RD AVE: SW
NO.: 012103-9105
PROJECT DESCR I PT ION : HYAC - INSTALL GAS Hof VATER HEATER, FURNACE, A PIPING.
OWNER — =
ROBERT GAGE
29823 23RD AVE SO
FEDERAL WAY WA 98023
838-9369
FUEL TYPES.:GAS
GAS PIPING.: IO ft
FURN000L .: 1
GAS HIT....: 1
COKY BURNER: 0
9H4......... 0
GAS DRYER..: 0
RANGE ...... : 0
GAS LOGS—: 0
FANS.......:.: 0
HOOD...,... ....: 0
DUCT WORE-- ..: 0
WOOD STDVE$... O
FURN?iDOIY.....� 4
AIR NANDLY 6 UNITS
C=10,00 CFM: 0
> 14,406 CFIh 0
CONTRACTOR
NORTHWESTWATER HEATER
8201 DURANGO ST SW
TACOMA, INA WA 98499
984-6404 588-0393
::ORTHWHID592
i!C ILLRSJECMPRE5SOES
0-3 RP......: 0
3-15 HP.....: 0
t5-34 HP....: 0
30-50 HP....: 0
5t HP.......: 0
FUEL. IUKg__
ABOVE r-ROUND:
UkDFRGRCURD- 0
LENDER
{
-- - - t
J FEES:
! NEC PRMT ISSUANCE...
I IIEC APP) IANCE FEES.
20.40
� 19.50
$ 39.50
Floes the rater supply system contain a Pressure Reduction Device or Check valyey t) Yes i1 No (if 'Yes' then rater expansion tank -is required on Hat Water Tank)
inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK//44-10 tsa,^II��fT D•
PERMITS EXPIRE in DAYS AFTER ISSUANCE If NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
i CERTIFY THAT THE INFORMATIONFURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERFRAL WAY REQUIREMENTS 'MILL GE WIT.
OW iER CIF. AGER ``3—
FIELD DOPY