94-101124L
CITY WAY
33530OF Fir5FEDERALt Way South MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:912 S 294TH PL
NO-: 515240-0040
PROJECT DESCRIPTION -HVAC - INSTALL GAS FURNACE & WATER HEATER I/ GAS PIPING.
OWNER
ROGER KNUTSEN
912 S 294TH PL
FEDERAL NAY VA 98003
839-7553
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST 50
11401A,AA #A 984"
LENDER
Ao- It I 17,q
PERMIT NO: BLD94-0455
ISSUED: 06/10/94
BY: FC
EXPIRES: 12/07/94
. . . . . . . . . . . . .
FUEL TYPES.: GAS ? F
GAS
0
SSUhNCE.. 1 PIPING. 65 ft 04 up 20.00
FURN(IOOK..: I
GAS OT ..... q
iWkt
CONY BURNER: 0 FM*> 16
C
goo......... 0 RISC 0
GAS DRYER_: 0 419L I S ----------
RANGE....... 0 (40,O 111" N: 0ABOVF GROUND: 0
GAS LOGS. _.: 0 > 10, N: 0 UN9ERGROUND.: 0
TOTAL FEES $ 39.50 0
Does the water supply systes contain a Pressure Reduction Device or Check valve" si 'i"- 11 Rm Irf *Ym-,' 1hor. mptl" W80510" tank is required on Rol: Water Tank)
Inspection Record Water Line OR Mechanical Inspection Note! Aky
GAS PIPING OX Date By
PERMITS EXPIRE 180 DAYS IFTER I $UANCE If NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUAACI.
I CERTIFY THAT P"NFO TION RVISED BY HE IS TRUE AND CORRECT TO THE REST Of NY KNOWLEDGE AND THE APPLICABLE PTY OF FERERAL WAY REWIRENENTS HILL BE MET,
k4
1 OWNER OR AGENT
FIELD COPY
CD0193
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SETBACKS$ $i FOOTI NGS
_
Date
By
7
.$
FOUNDAT..bN IA/AL1..........
1, - ..........
Date
By
PLUMBING GROUNCIrWO�tK
Date
By
UNDERFLOOR FRAMING
11
Date
By
SHEAR WALLS
Date
By
PLUMBING ROUGH�IN
Date
By
1111 _ ..._ .._ 1111. _
_1111_ ........._ .
GAS PIPING
Date
By
MEHANIGAL ROUGH-IN
__ _ _ .._
__ _.._
............................................ ..
Date
By
11AECHANICAL {OTHER)
Date 7 — " �(
B
FRAMING
Date
By
INSULATION
Date
By
GWB - 1ST 1AYER
_1111__
.... ...._..
1111... _1111...
Date
By
GWB - 2NI KAYE i
Date
By
SUSPENDED CEILING
Date
By
PLANNING FINAL::
Date
By
ENGINEERING FINAI.
Date
By
FIRE FINAL
Date
By
...............................................................................
...................................................................................
BUILDIN_ 1111...
G:FINAL
Date
By
OTHER
Date
By
OTHER
Date
By
_
CD0193
CITY OF FEDERAL WAY
MECHUNICALPERMIT
PS�ISSUED:
65 ft
33530 First Way South
1
06/0/9455
Federal Way, WA 98003
Building Inspec:tion Requests 661-41.40
BY:
FC
661-4000
FURII>I%K. .. 0
EXPIRES:
12/07/94
ADDRESS:912 S 294TH PL
NO.: 515240-0040
PROJECT DESCRIPTION: HVAC - INSTALL GAS FURNACE K NATER HEATER W/ GAS PIPING.
OWNER CONTRACTOR
ROGER KNUTSEN NORTHWEST NATER HEATER
912 S 294TH PL 8201 DURANGO ST SN
FEDERAL WAY WA 98003 TACOMA,,gOA NA 98499
839-7553 ""'-'A04
° NORTHM4,103R2
I
FUEL TYPES.:GAS ?
FAX,-,; .,,....:
GAS PIPING.:
65 ft
-HOOD .... ....
FURN<100K..:
1
DUCT WORT...
GAS HWT....:
I
WOOD' ST'V=C.,.: a
CONY BURNER:
0
FURII>I%K. .. 0
BBQ.........
0
GAS DRYER..:
0
AIR HAMQL1KG1 UMITS
RANGE......:
0
GAS LOGS...:
0
> 10,000 CFM: 0
aUEL SNS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
LENDER
TOTAL FEES
$ 20.00
k $ 19.50
$ 39.50
Does the coater supply syste2 contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then Nater expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS FIER I SUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT T._ NFO ATION RMISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE ITY DF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGEN- t____ _____ DATE
FILE COPY
COY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print
TENANT NAME: 1 _V
OWNER LOU'i SITE LOCATION '` L i -
OWNER'S ADD ESS L CITY PHONE " '2,553
DESCRIBE JOB i r Sta i ( 7 i i 7,T)a dtTTtti,_
THE PROPERTY IS OWNED BY: S GLE/MA RIED L,--' PARTNERSHIP CORPORATION
CONTRACTOR'S NAME til i 1) l ] )CZE ft iAD CONTRACTOR'S REG. # NOP -7 4W4 In3RQ
_ Card. MUST be presented
CONTRACTOR'S ADDRESS 1 C 1 CITY (�Q PHONE �`�–C.y40`'7l
EXPIRATION DATE ja
—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.
CONTACT PERSON _�So�G�, o PHONE
SEWER DISTRICT WATER DISTRICT
ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
PROPERTY TAX ACCOUNT NUMBER S1 3 40 DL
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT_______j_ DECK _-----/— GARAGE /
( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( )
COMM ERCIALANDUSTRIAL TOTAL AREA OF PROPERTY SO FT
PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET _
J
S
S
BATHTUBS
NO. FURNACE, ELEC. GAS_
SHOWERS
✓ GAS HOT WATER HEATER
S
LAVATORIES
CONVERSION BURNER
$
SINKS
BOILER, SIZE BTU
S
DISHWASHERS
AIR HANDLING UNITS
S
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
S
URINALS �,
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
S
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
S
OTHER
$
TOTAL FIXTURES
S
TOTAL MECHANICAL FEE
$
TIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECTTO THE BEST OF MY KNOWLEDGE
=URTHER THAT I AM AUTHORIZED BY THE OWNER OFTHE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
:. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
=1LED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
;ERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
ERIAGciVT
DATE:
A"p-ow W"