93-1024853CITY FEDERAL 35300First Way South MECHANICAL PERMIT
"'federal Way, WA 98003 Building Inspection Requests 661 -4140
661 -4000
ADDRESS:3118 SW 319TH PL Unit: #9
NO.: 698000 -0430
PROJECT DESCRIPTION :NYAC - INSTALL GAS NOT (NITER NEATER, GAS LOG, i PIPING.
OWNER
DONALD CLARK
3118 SN 319TH PL #9
FEDERAL MAY NA 98023
874 -6054
FUEL TYPES.:GAS
GAS PIPING.: 30 ft
FURN<100K..: 0
GAS NWT....: 1
CONY BURNER: 0
860......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 1
FANS..........:
0
ROOD...........
0
DUCT WORK.....:
0
N090 STOYES...:,,.
0-
FURNAOOK.4...;_
4
MISC..........:
0
AIR HAN klj UNITS
< :10, ,ft
0
> 10,1000" 4::
0,
Does the rater supply
Inspection Record Mater
CONTRACTOR
NORTHWEST HATER NEATER
8201 DURANGO ST SN
TACOMA, NA NA 98499
984 -6404
NORTHNN103R2
BOILERS /COMPRESSORS
0 -3 HP......: 0
3- 15,HP ...... : 0
GAS PIPING OK Date By
Notes:
LENDER
PERMIT M0: BLD93 -1046
ISSUED: 09/30/93
BY: FLF
EXPIRES: 03/29/94
FEES:
NEC PRMT ISSUANCE... $ 20.00
NEC APPLIANCE FEES) $ 16.00
$ 36.00
() Yes () No (If 'Yes' then rater expansion tank is required on Hot Mater Tank)
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 NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ��`t __ DATE
CITY OF FEDERAL WAY
SEP -27 -93 MON 9 :02 NW W R HEATER TACOMA FAX NO. 206 588 0353 P.02 '
Derr # v v -1 ' to qu
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
r- Please Princ,
BOX 1 TENANT NAME.
OWNER SITE LOCATION 3
OWNER'S ADDRESS 0 ri CITY E,.iw PHON 9 -
DESCRIBE JOB
THE PROPERTY IS OWNED AY: S GLE /MARRIE PARTNERSHIP CORPORATION
BOX R CONTRACTOR'S NAME ht t y t 120 11 }C4ztf a- CONTRACTOR'S REG.
CONTRACTOR'$ ADDRESS ` 1 l iY"1bs[� � vclrY (G 1'Y�C PHONE~
EXPIRATION DATE ia i9a lq3 - -
- - OR ---
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.21.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. _
BOX 3 CONTACT PERSON
BOX a SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER ,
LEGAL DESCRIPTION
(If necessary, pleese submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGI =: (kieting /Proposed) 18T FLOOR------r_ ZND FLOOR
3RD FLOOE3._ I BASEMENT f_ DEaCK—____/___. eARAGE - f�
BOX 8 { ) SINGLE FAMILY { ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS EXISTING STRUCTURE
{ } COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY ____ DSO FT
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
,....rTOTAL FIXTURES
MEC,HA�N�AL APPLIANCES — BASIC FEE $
GAS PIPING, FaT x[[77
$
NO.— FURNACE, ELEC,_eA3_ _ -
$
I GAS HOT WATER HEATER
$
CONVERSION BURNER
_ BOILER, SIZE - BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE ,.
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
TOTAL MECHANICAL FEE $�
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
ANU FURTHERTHAT i AM AUTHORIZED BY THE OWNER OFTHE 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
OFFiC5 R5 AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNERIAGENT: _ J` DATE. Q [ t f r q
ANr -001 3100