93-102723I(,
CITY OF FEDERAL WAY "h ffEC 1 AL PERMIT'
,33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRE SS : 620 S 301ST ST
NO.: 515200-0090
PROJECT DE:SCRI PTION : HVAC - IMSTALI .GAS FUMCE
OMMER
DAVID FAIRM
620 S SOISI ST
FEDERAL MY MA 98403
946-4815
CONTRACTOR -�-
MORTMEST VATER NEATER
8201 DURANG'O ST SN
TACOMA, 114 MA 98699
5DB-0393 .
LENDER-
PERMIT NO: BLD9 1140
ISSUED: 10/28/93
BY: FC
EXPIRES: 04/26/94
FUEL TYPES.:GAS
GAS PIPING.. 0 ft
FURM09O[... 1
FANS...... <;E EiR$E p�S z'� r
�.,
IiEM.......4 t� �3 pt.... 0
��y _.u,"" _
FEES:
C Or ISSIkiMCE... $
E FEES. Y
20.00
10.00
GAS IXTT..... fl
COMP BIIRMER: fl
..::._
S1n'.,.:w.
w �1 -3
�" a '' f 13 <:r,-'eZ7<.;'it�`.`.4`"�_".'�.,.;.. T its::... ,..J
FlfRlik�,:��,:u,�,"-y�, i- w�-5�':IR'.�,.;�::��::."�.,� � .�u��>;�' E.�:,:::c�<:� �"��`
3`�'�:'
11 Ia*'v3fi`' '1. ml -
l —
� t, ry.
Rea
RBD......... 0
q
GAS DRYER—: 0
AIR S --
RANGE ...... : 0
<--I
GAS LOGS.... 0
> Ifl, •. 0
TOTAL FEES I
30.00
Ones the eater supply
systes contain a Pressure Reduction Device or Check valve? {) Yes {) No (If 'Yes" then water expansion tank is required on Mot Maur Tart)
Inspection Record
Dater Line 09 Neecchanical Inspection Motes:
GAS PIPING OR y ate�i'�Sy
J
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If NO MDRA IS STARTED. RESIDENTIAL AN GRADIRG PERMITS ERIK ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAT THE IMfORMATION FURMISED BY ME IS TRUE AND CORRECT TO THE REST Of MY ENOIILEDGE AND THE APPLICABLE CITY OF FERERAL MAY REDUIPEMEMTS DILL BE NET.
OWNER OR KENT
I
CITY OF FEDERAL WAY
ME1 CPERMITICAL,
PER
33530 First Way South
HOOD.......':..:- 4, 0
ISSUED:
10/28/9340
Federal Way, WA 98003
Building Inspection Requests 661-4140
BY:
FC
661-4000
�
EXPIRES:
04/26/94
ADDRESS:620 S 301ST ST
NO.: 515200-0090
PROJECT DESCRIPTION: HVAC INSTALL GAS FURNACE
DINER
DAVID FAIRBURN
620 S 301ST ST
FEDERAL MAY NA 98005
CONTRACTOR
NORTHIEST RATER HEATER
8201 DURANGO ST Sl
TAMNA, VA MA 984"
946-4815 984-6404 588-0393
7 7
LENDER
FUEL TYPES.:GAS
FANS.......,»:c 0 --
W -
FEES:
GAS PIPING.: 0 ft
HOOD.......':..:- 4, 0
NEC PROT ISSUANCE... 20.00
FURN(100K..: 1
DUCT NW. -4 15 111P.,
�
`
FEES.* t 10.00
GAS HNT....: 0
�
� ` � '.{
— :.E ..!
C0NV BURNER: 0
, .
36-56:NP :.�r _W � _ { �
i
BBQ........: 0
GAS DRYER..: 0
RANGE....... 0
AIR
(:1
GAS LOGS...: 0
> 10, ERG
N
TOTAL FEES 30.00
the mater supply
systes contain a -Pressure Reduction Device or Check valve? Yes
Q No (If 'Yes' then water expansion tank is required on Hot later Tank)
Inspection Record
later Line OK Mechanical Inspection Notes:
GAS PIPING OK Date _ By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS STARTED. RESIDENTIAL AND GRADING PERNITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORNATION FURNISED BY HE IS TRUE AND CORRECT TO THE BEST OF BY KNOILEDGE AND THE APPLICABLE CITY OF FERERAL RAY REQUIRENENTS HILL BE NET.
OWNER OR AGENT DATE
FILE COPY
OCT -20-93 WED 14:45 NW WAJ; HEATER TACOMA FAX NO, 206 588 0363 P,01
Pern&
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
Cl*ata Prin! —
13OX I TENANT NAME: (Z.
OWNER ' f +► SITE LOCATION
OWNER'S ADDRESS CIYY :w• RON rm 9 My 7
DESCSI3E,108 ' (21 60 419MU
THE PROPERTY IS OWNED BY: INCLFAIARRIEn +1' PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG,
CONTRACTOR'S ADDRESS WA L2+L CITY :=�
EXPIRATION DATE to
—OR—
I HAVE READ CHAPTER 18, 27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND 3PEGIALTY CONTRAGTORB AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUIN8 PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON
80X 4 SEWER DISTRICT WAM DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX S PROPERTY TAX ACCOUNT NUMBER 515, 200 00400- (P
LEGAL DESCRIPTION'
(11 necessary, please submit a separate page with the Iegai description.)
K.C. Plat Recording If
BOX T BUILDING SOUARE FOOTAGE: (Existing/PmPosed) IST FLOOR f 2ND FLOOR
3RD FLOOR_ BASEMENT_) DECK_____J_ GARAGE_ �Y
BOX I ( ) SINGLE FAMILY j ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS r_) ( ) EXISTING STRUCTURE
( ) CCMMERGIAUINDUSTRIAL TOTAL AREA OF PROPERTY _ __ ____ __ __ ._ aQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECH NICAL APPLIANCES -- BASIC FEE S
NO. WA i ERCLOSETS
GAS PIPING, FEET '
$
—BATHTUBS BATHTUBS
_
NO.—. -FURNACE, ELEC. GAS
$ �..�
SHOWERS
AS HOT WATER HEATER
S
—LAVATORIES
CONVERSION BURNER
S
SINKS
BOILER, SIZE BTU
$
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
3
SUMPS, SPRINKLER VACUUM BREAKERS
_..OTHER
$
GRAINS
S
...._OTHER
$
TOTAL FIXTURES
$
TOTAL MECHANICAL FEE
8 .,�.�._.
I CERTIFY UNDER PENALTY OF PFFIJURY THATTHE INFORMATION FURNISHED BYME 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 PERMITAPPLICATION 1$
MADE, I FURTHER AGREE TO SAVE HARMLESSTH9 CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, ANIS ATTORNEY$
SGS INCURRED IN INVEESTICIATION AND DEFENSE OF SUCH CLAIM), WHICH MAY SE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY, OUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUOtNB ITS
OFFICERS AND EMPLOYEES,, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNERIAGENT: - . - -`_'1_
- ., ._ 4xvujj 1 DATE: _ _ to I dq 3 _