94-100176r
cry- !vo176 cCITY a
OFirstt Way South MECHANICAL PERMIT F FEDERAL WAYPERISSUED: 01/21/9458
MIT NO:
33530
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FL.F
661-4000 EXPIRES: 07/20/94
ADDRESS:29823 23RD AVE SW
NO,: 012103-9105
PROJECT DESCRIPTION: HVAC - INSTALL WALL FURNACE, INSERT, 6 PIPING.
OWNER
ROBERT GAGE
29823 - 23RD AVE SW
'EDERAL MAY WA 98023
830-9369
CONTRACTOR
KORTHNEST WATER HEATER
0201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404 SOB-0393
MORTHWH103R2
LENDER
FUEL TYPES.:GAS
FANS..........:
0
BOILERSICORPRESSORS
FEES:
GAS PIPING.: R ft
HOOD..........:
0
0-3 HP—....: 0
NEC PRNT ISSUANCE...
20.00
FURN(IOOK..: 1
DUCT WORK.....:
0
3-15 HP.....: 0
NEC APPLIANCE FEES.i
S 19.50
GAS NWT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER: 0
FURN)I00K..... :
0
30-50 HP....: 0
B90......... 0
MISC...........
1
5+ HP--.: 0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0
(=10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 CFN:
0
UNDERGROUND.: 0
TOTAL FEES
S 39.50
Does the water supply
system contain a
Pressure
Reduction Device or Check valve?
{] Yes No (If "Yes' then water expansion tank is required
on Hot Water Tank)
Inspection Record
slater Line OK
Mechanical Inspection Notes:
GAS PIPING OK
Date By
PERMITS EXPIRE 100 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 HE IS TRUE AND
/CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE NET.
1�00
OWNER OR AGENT _ _� ���__— GATE � •�'� ���
FILM COPY
BAN-20-94 THU 16:47 NW WATER HEATER TACOMA FAX NO, 206 688 0363 F, Oi
` ■ r■ �.... rr
CITY OF FEDERAL WAY bupq i - 00.
BUILDING PERMIT APPLICATION
Please Prini —
i TENANT NAME:
OWNER SITE LOCATION 917 7f�
OWhi5FV,3 A3L)RI=5§ _ ' CITY PHONE
DESCAIBE 413 1 V1 i4 i. yl� E2
THE PROPERTY IS OWNED BY: 1N3LaiMARR1 O AARTNERSHIA—_CORPORATION-- -
P CONTRACTOR'S NAME j CONTRACTOR'S REG. m tICRT In'�.
ftd WISi hD presenEd
CONTRACTOR'S .AgGRESS 1 1T1'_ `\ PHONE �Q
EXPIRATION OATS
OR _
I HAVE READ CHAPT1=11 18,27.414 RELATING TO oeVINITIONS OF GENFRAL CONTRACTORS AND SPECIALTY CONT IACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION,
3 CONTACT PERSON. Pt+ON — f
¢ SE W5t DISTRICT _ WATER DISTRICT
_5 ESTIMATED PROJECT COST '� 1 � -- EXISTING 8UILDINO VALUATICN
S PROPERTY TAX AGGOiJNT NUMBER r ,�, 1.
LEGAL CESCIRiPTION 4 03 1
(it necessary, Piaui submit a saparats page with the leoi! descrlptlar►•)
K.C. Plat Reedrding A ---
i BUILDING SQUARE FOOTAGE: (ExlstlnUJPropo$ee,
iST FLOOO AND
FLOOR �J
3RD FLOOR , 1 9ASEMCNT_--_►�.- D5CK I ------
GARAGE _►
: 8 [ ) SINGLE FAMILY
( I NF.W CON$TPQCTION
( } MULnFAMILY (NO. OF UNITS = -1
( ) EXISTING STRUCTURE
( ] COMM ERG IALIINDUSTRIAL
TOTAL AREA OF PROPER i Y --
5O F7
—
9 PLUMBING FI7C7UIRES (including I•aUgh,In$)
MECHANICAL APPLIANCES
-- RASIC � E $
NO.—WATEACLOSETS
GAS PIPING, F£Cf )
f ly} S
—.BATNTUSS
NG.__._.�,_.,fUANACE, ELEC.______
GA$ - ' s
SHOWERS
GAS HIOT WATBR HEATER
S
_r_LAVATORIES
,,...CONVERSION BURNER
$r
,_,,,,SINKS
_-BOILER, SIZE; BTU 3
DISHWASHI:RS
—AIR HANDLING UNITS
3
_ELECTRIC HOT WATER NEATER
HEAT PUMPS, SIZE
$
—LAUNDRY WASHER OUTLET
_UNIT HEATERS
3
-- URINAO
_ AIA COOLING UNITS, SIZE
__ 3
DRINKING FOUNTAINS
_COMMERCIAL HOOD
$
_.SUMPS, SPRINKLSR VACUUM BREAKERS
__i —OTHER
—CRAINB
$
—OTHER
___r__rTOTAL FIXTURES
TOTA4 MECHANICAL FEE
$
;RTIFY UNDER PENALTY OF PERJURY THAT THE INNAMATION FrURNISHEO SY ME IS TALE AND CORRi CT TO THE BEST OF MY KNOWLEDGE
a FURTH€R THAT I AM AUTFIO' IZf O SY THS OWNER OF THE ABOVE PREMISES TO PERFORMTHE WORK FOR WHICH PERMIT APPLICATION IS
0E;, I F1111THER AGREE tC SAVE KARMLESS THECITY OFFEDERALWAY ASTOANYGLAIM (INCLUDING COSTS, EXPENSES, ANDATTORNEYS'
_S INCURREC IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE ST ANY PERSON. INCLUDING T H15 UNDERSIGNED,
D FILED AGAINST THE CITY GFFEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ANISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
=10ERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION 5UPPIUED TO THE C17Y AS A PART OF THIS APPLICATION.
d1N2A1AG'I:N7:
OATI '.
a k
5
r ,
CITY
F FEDERAL WAY
335300First Way South MECRANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:29823 23RD AVE SW
MO.: ;012103--9105
PROJECT DESCRIPTION:NYAC - INSTALL MAIL FURNACE, INSERT, A PIPING.
DNNER
ROBERT GAGE
;!943 23RD AVE SO
ikDERAL MAY MA 98023
830-9369
FUEL TYPES.:GAS
rANS...,...... : 0
I GAS PIPING.:
30 ft
lIDi1D.......... : 0
FURNt100K.. I
1
DWI 0RK...... 0
fM INRT....:
0
wry 914YfS. , . 0
CDNY BURNER:
0
FURNA00E...... 0
8110.........
0
HISC........... I
GAS DRYER-:
0
AIR i::+Ncl iN6 UKIT�
COMTRACTOR -- -
N1RTHfRI:ST MATER NEATER
8201 DURANGO ST SM
TACONA, MA MA 984"
'134:.404 5MI-0393
ft+ll L = ilS�CiillpifE55DftS
30•,4 AP..... 0
51
(Vri IiA1 s— .. ---0
PERMIT NO: BLD94--0058
ISSUED: 01 /21 /94
BY: FLF
EXPIRES: 07/20/94
LENDER - - -- -- =----------- =- =-
FAN; ISSUANCE... 20.00
APPIIAKf FEES.a { 19.50
i
RANGE......: 0 CA0,000 fFIP: 0 AiaCz'I tmi6 0 II
GAS LOGS ... : 0 10.064I (4; 0 UEURGA09D.- 0
TOTAL FEES R 39.50
Ooes the Hater supply systo contain a Pressure Reduction Device or Check valve? Yes () No (If 'Yes' then rater expansion tank is required on Not later lank) #
Inspection Record (later line OK � Nechanical Inspection Notes:
CAS PIPING Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If NO MDR1 IS FFT TED. RESIDENTIAL AND GRADING PERMITS EXPIRE HARE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORPATION FURNISED BY NE TS TFPlj AND CORRECT TO THE BEST OF NY lSPFALEDGE AID THE APPLICABLE CITY Of FEREML MAY REQUIREMENTS HILL RE MET.
0410 OR ALE hT r f r - -- - - PATEPJA
�1�
r FIELD COPY •