93-102479CITY OF FEDERAL South
MECHANICAL PERMIT
33.530 First Way SSouth
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:29833 24TH AVE SW
NO _ : 893750-0290
PROJECT DESCRIPTION : NVA - INSTALL GAS FUME
r0
OMNER
JAN ES DAY
298.33 - 24TH AVE SU
FEDERAL NAY KA 9N23
836-2625
CONTRACTOR �----
NORTNNEST MATER NEATER
8201 OUBAN60 ST SM
TACBNA, MA MA 98494
LENDER
PERMIT NO: BLD93-1041
ISSUED: 09/30/93
BY: FLF
EXPIRES: 03/29/94
FU L TYPES—GAS FARE... t�',"",��' �: 0 �_ BDFEES:
GAS PIPING.: 0 ft NO08... ": u 0 1P...... 0 NEC MY ISSUARCE... 13 20.00
FURN000K... 1 @ '; S .. IARCE FEfS.r 10.00
GAS NMT....: 0 r -
CONV BURNER:0 FJW99%, *—"4Z , 4
on ........ . 0 NP
GAS DRYER... 0 - -
RARGF,...... 0 0,
60 LOGS...: 0
TOTAL FEES 11 30.00
Does the Dater supply system contain a Pressure Reduction Device or Creek valve? () Yes () On (Ii 'Yes,' then rater expansion tank is required on Not Mater Tank)
Inspection Record Mater line OK Necbanical Inspection Notes:
GAS PIPING OCI�VAAI 4" Date iy-j -% Pf //
PERAITS EXPIRE 190 DAYS AFTER ISSUANCE IF KU MDRK iS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSIMNCE.
I CERTIFY THAT THE INNFORNATIOM FURNISED BY NE IS TRUE AND CORRECT TO THE BEST Of NY KNENLEOGE AND THE APPLICABLE CITY OF FERERAL MAY REOUIREA EMTS MILL BE NET.
OWNER OR AGENT y .." DATE
�L
'i
FIELD COPY 10'U k
1 r"`
SEP -24-93 FRI 7;17 NW WA R HEATER TACOMA FAX NO. 208 588 0353
Perm �� � t
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— PleHse Print —
3OX 1 TENANT NAME_
OWNER- SITE LOCATION
OWNER`S ADDREgS f CITY •b + . PHONE
DESCRIBE JOB___Mqnejnv
_
CHE PROPERTY IS OWNED BY: SiM1LE1MARR%ED Y PARTNERSHIP -_ -_ -- CORPORATION
30X CONTRACTOR'S NAME htt I l 1 ]1 f1T p � GONTRACTOR'S REG. # k R2RIR 4 Ir7ka
Card MUOT ne pMcnW
h'cQ+
CONTRACTOR'S ADDRESS 1 i a'SLiITY (_ CY'N!2PHONE qw-U40y
EXPIRATION DATE i�l5a IRnL fj
—OR—
I HAVE READ CHAPTER 18,27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON PHO 77!
BOX 4 SEWER DISTRICT WATER DISTRICT ----- -
BOX 5 ESTIMATED PROJECT CO3T 9-M EXISTING BUILDING VALUATION - ---- --
BOX B PROP1297Y TAX ACCOUNT NUMBER ` of 75 —o. -77o
LEGAL DESCRIPTION -- ---
(If necessary, please submit a separate page with the legal description.)
K.G. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (ExistingtWoposed)
13T FLOOR l ___ ___ ___ 2ND FLOOR
3RD FLOOR,._._ .._J_ BASEMENT - - / - DECK l GARAGE l_
BOX 8 ( ) SINGLE FAMILY
( } NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = —�
( ) EXISTING STRUCTURE
( } COMMERCIALANDUSTRIAL
TOTAL AREA OF PROPERTY
FT
BOX 9 PLUMBING FIXTURES (including rough -Ins)
MECHANIC PPLIANCES -- BASIC FEE S
NO. WATERCLOSETS
BATHTUBS
GAS PIPING, FEET �JJ
N0. FURNACE, ELEC.GAS$
S -
TSHOWERS
-GAS HOT WATER HEATER
S
-LAVATORIESCONVERSION
BURNER
S
._._,.____SINKS
_BOILER, SIZE _ ._ _ __ BTU
�
—DISHWASHERS
______AIA -AIA HANDLING UNITS
.ELECTRIC HOT WATER HEATER
HEAT' PUMPS, SIZE
—LAUNDRY WASHER OUTLET
—UNIT HEATERS
�
—URINALS
AIR COOLING UNi-r% SIZE
$ - --
DRINKING FOUNTAINS
.COMMERCIAL HOOD
$ -----
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
>6
------ DRAINS
OTHER
S - --
TOTAL FIXTURES
G - --
TOTAL MECHANICAL FEE
16
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST CF MY KNOWLEDGE
AND FURTHERTHA7 I AM AUTHORIZED BYTHEOWNER DFTHEABOVE PREMISESTO PERFORM THE WORKFOR WHICH PERMITAPPLICA7ION IS
MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANYCLAIM (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
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
y10
CITY OF FEDERAL WAY MECHANICAL PERMIT PERISSUED: 09/30/9341
33530 First Way South -
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 03/29/94
ADDRESS:29833 24TH AVE SW
NO.: 893750-0290
PROJECT DESCRIPTION : RYA - INSTALL GAS FURNACE
ff I
OWNER
JANES DAY
24833 - 24TH AVE SM
FEDERAL MAY MA 98023
836-2625
CONTRACTOR
NORTNBEST MATER NEATER
8201 DURANGO ST SM
TACOMA, NA MA 96499
984-M44
. , '-iNNtT�Ni03R2
LENDER
FUEL TYPES.:GAS
FANS.....,... is 0 BOILERS/COMPRE - -
FEES:
GAS PIPING.: 0
ft HOOD...........: 0 : -- 0 - -- _-- -,. _
___ _ --_-_ _. -- _ _-
_ MEC�1T ISSUANCE... = 20.00
ROk. -.... - 0 15 P., �.: 0 - —
- -- -;
—
-- - IE -APPLIANCE FEES) i 10.00
r -, -
GAS, BMT .. • 0
I STlIYES��,. 0 1.71-30 NP,.. -r: -0
-
CDNY BURNER: 0
FUR HOOL-...:r_
BB1........ : 0
5�,,,•��i�'�j •'� 4..?,•� `may-« 1`"61 �ic(Nt,Ay+'t�N.„£; r.
GAS DRYER... 0
RANGE....... 00;
GAS LOGS.... 0
> -, 0 'i. v> U"mm. s
TOTAL FEES 3 30.00
Does the rater supply system contain a Pressure Reduction Device or Check valve?
() Yes () No (If 'Yes' then rater expansion tank is required on Hot Mater Tank)
Inspection Record
Mater Line OR Bechanical Inspection Notes:
GAS PIPING K Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY NE IS TRUE AND CORRECT TO THE BEST OF NY LNONLEDGE AND THE APPLICABLE CITY OF FERERAL MAT REGUIRERENTS MILL BE NET.
OWNER OR AGENT_ ��.�-� DATE
FILE COPY