93-102701CITY OF FEDERAL
WAY
MECHANICAL
FEES:
P
33530 First Way
South
��
-`
NEC PRMT ISSUANCE... ffi
20.00
Federal Way, WA
98003
Building Inspection Requests 661-4140
661-4000
ADDRESS:32225 23RD AVE SW
NO.: 873180-0100
PROJECT DESCRIPTION : HVAC - INSTALL GAS NOT WATER HEATER
OWNER CONTRACTOR
WILLIAM JACOBSON WASHINGTON NATURAL GAS
32225 23RD AVE SW 3130 S 38TH ST
FEDERAL RAY WA 98023 P 0 BOX 11066 TAC WA 98411
TACNNA WA 94405
927-9155 415-6700
LENDER
PERMIT NO: BLD93-1132
ISSUED: 10/21/93
BY: FC
EXPIRES: 04/19/94
FUEL TYKS.:GAS
FANS....... ,: 0
FEES:
GAS PIPiNG.. 0 Pt
NOOQ... ���;;�a�, 0
��
-`
NEC PRMT ISSUANCE... ffi
20.00
FURN<IOOK..: 0
GAS NWT..... 1
DUCT WO t :�: 0,15
r
Ff
30i ��'`
IANCf FEES. ffi
-
,
6.50
CONY BURNER: 0��
f�
50
-
BBQ......... 0
NP
GAS DRYER..: 0
RANGE......: 030or
GAS LOSS...: 0
> 0
UN UND..
TOTAL FEES 1
26.50
Does the water supply
system contain a Pressure
Reduction Device or Check valve? (j Yes t) go (it 'Yes' then rater expansion tank is required on Hat
Water Tank)
Inspection Record
Water Line OK
Mechanical yspection Notes:
GAS PIPINS OK
Dat1p � BY
` Q�
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF 10 WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFO TI INISED Y IS TR AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
�WklER np s6EEt; ---- -- ------ - ----------------------------------- DATE
%/ �r--'qV 11ole /yip)
CDO193
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CDO193
10/20/93 12:13 UG — TACOMA / I NSTALL.AT I ON 002
RECEIVE® Permit # Tt/�)e a
OCT 2 1 1995 CITY OF FEDERAL WAY
UILDING PERMIT APPLICATION
CITY OF FEDERAL — Pi9999 Prink —
BUILDING DEPT. I
BOX 1 TENANT NAME: -
1
OWNER
111111.
SITE LflCATIbN
OWNER'S ADDRESS
DESCRIBE JOB
BOX 7 BUILDING SQUARE FOOTAGE: (ExlstirlgtProposed)
THE PROPERTY IS OWNED BY: SING LEIMARIED
PARTNERSHIP CORPORATION.
_
BOX 2 CONTRACTOR'S NAME
1T ,,170 CONTRACTOR'S REG.
{ ) NEW CONSTRUCTION
Cord MUST be presented
CONTRACTOR'S ADDRESS 3I'30 �.5
Zr CITY r r ct_ f P14ONI: W,�e,��3- � 7�
EXPIRATION DATE .�— - — --- —
- - -- ----—
TOTAL AREA OF PROPERTY
OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 CH PROH15lT ISSUING PE MITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON
PHON -
BOX 4 SEWER DISTRICT
WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION _
BOX S PROPERTY TAX ACCOUNT NUMBER
-BATHTUBS
.SHOWERS
LEGAL DESCRIPTION
—_
(11.necessary, please submit a separate page with the legal description.)
_ K.G. Plat Recording
BOX 7 BUILDING SQUARE FOOTAGE: (ExlstirlgtProposed)
18T FLOOR f 2ND FLUOR
...
3RD FLOOR,_ ) BASEMENTS DECK I- . __ ._.. GARAGE t
BOX 8 { ) SINGLE FAMILY
{ ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO, OF UNITS = i
( ) EXISTING STRUCTURE
( ) COMM ERCIALIINDUSTRIAL
TOTAL AREA OF PROPERTY
80 FT
BOX 9 PLUMBING FIXTURES (InCiuding rough -Ins)
MECHANICAL APPLIANCES --- BASIC
FEE $
N0. WATERCLOSETS
GAS PIPING, FEET
$�T-
NO, FURNACE, ELEC. GAS
S
-BATHTUBS
.SHOWERS
_GAS HOT WATER HEATER
$
LAVATORIES
..CONVERSION. BURNER
$
BOILER, SIZE BTU
$
DISHWASHERS
___. _.AIR HANDLING UNIT'S
$
_.._....___..ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
-.__ UNIT HEATERS
$ _
URINALS '
AIR COOLING UNITS, SIZE _.
$
__.__.....__DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
__.__.__UTHER
$
GRAINS
—OTHER
TOTAL FIXTURES
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
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORKFOR WHICH PERMIT APPLICATION IS
MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY ASTO 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
OFFICERS AND EMPLOYEES UP N THE ACC RACY F THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE:
A14P4= 3W
r7.
CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:32225 23RD AVE SW
NO.: 873180-0100
PROJECT DESCRIPTION : HVAC - INSTALL GAS HOT NATER HEATER
OWNER
WILLIAM JACOBSON
32225 23RD AVE SW
FEDERAL WAY WA 98023
927-9155
CONTRACTOR
WASHINGTON NATURAL GAS
3130 S 38TH ST
P 0 BOX 11066 TAC WA 96411
TACOMA IA 98405
475-6700
]WASHI102850
LENDER
PERMIT NO: BLD93-1132
ISSUED: 10/21/93
BY: FC
EXPIRES: 04/19/94
FUEL TYPES.:GAS
FANS........ -.: 0 ;'BOXLERSjCOmPRESSORS--- _-__._ _,
FEES:
GAS PIPING.: 0 ft
H000........,.: 0 p -S HI+:::.-:: --0
NEC PRMT ISSUANCE...
! 20.00
FURNOOOK..: 0
DUCT WORK...,.: 0 -15^:
E PP%IANCE FEES.•
= 6.50
GAS HIT....: 1
WOOD--�i dvFc.::. -0 _ ' ; HP`i .-tv---.0
CONY BURNER: 0
{ G
,. Hf'.�..;- @-
tQUf� .::: --0 SO -50:
t ----
---
BBQ........: D<f . �� •` " .. 5+,' HP.
GAS DRYER... 0 11"'F1 < s
-
--
RANGE....... 0
0'�,ry
> � 0 UK' CURD. "
GAS LOGS.... 0
�
.'°
TOTAL FEES
5 26.50
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 later Tank)
Inspection Record
Water Line OK mechanical Inspection Notes:
GAS PIPING OK Data 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 INFORMATIO F NISED Y IS T AND CORRECT TO THE BEST OF MY KNOWLEDGE'AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS TILL BE MET.
OWNER OR AGENT' DATE /0 o2/ -9I
faL 41%•__17
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
SITE ADDRESS: 32225 23RD AVE SN
PARCEL NO.: 873180-0100
PROJECT DESCRIPTION: HVAC — INSTALL GAS HOT WATER HEATER
OWNER CONTRACTOR
WILLIAM JACOBSON WASHINGTON NATURAL GAS
32225 23RD AVE SW 3130 S 38TH ST
FEDERAL WAY WA 98023 P 0 BOX 11066 TAC WA 98411
TACOMA WA 98405
a
9155 475-6700
WASHING285CB
FUEL TYPES.:GAS
GAS'PIPING.: 0 ft
FURN<TOOK..: 0
GAS -11WT....: 1 _
CONV ,BURNER: 0
BBQ.._.° ..... : 0
GAS'DRYER..: 0
RANGE:.....: 0
GAS LOGS...: 0
Water Line OK
PIPING OK
FANS..........: 0
HOOD. ..... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC..........: 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP. .... 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
Mechanical Inspection Notes:
Date By
LENDER
PERMIT NO.: BLD93-1132
ISSUED: 10/21/93
BY: FLF
(COPY.
FEES:
NEC PRMT ISSUANCE... S 20.00
NEC APPLIANCE FEES.* S 6.50
TOTAL FEES S 26.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY 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
6Id meth 07/01/92