94-100131CITY OF FEDERAL WAY
33*30 First Way South MECHANICAL PJ.RMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:852 S 306TH ST
NO.": 174510-0010
PR6JECT DESCRIPTION: HVAC - INSTALL GAS $01 MATER HEATER.
DINER =--
GERALD JOHNSON
$52 S 306TH ST
fLEDERAL NAY VA 98003
FUEL TYPES.:GVj
GAS PIPING.: 0 ft
Fm<I00K..: 0
GAS INIT....: I
COVV BURNER: 0
BBQ........: 0
GAS MFR..: 0
RANGE - .... 0
GAS LOGS.,.: 0
FANS. 0 ROLE
HOOD....
9VCf 41
AIR-4AWJ% 91
'0
CONTRACTOR
VASHINGTON NATURAL GAS
3130 S 38TH 51
P 0 BOX 11066 Ifg *A 984ti
TACW #A 93405
4-115-6100
LENDER
oq- ION
PERMIT NO: bLO94-0025
ISSUED: 01/14/94
BY: FC
EXPIRES: 07/13/94
0
TOTAL FEES 26.50
the water supply systes contain a Pressure Reduction Devic" hKk valve? 0 Yes 0 No (If *Yes' then water expansion tank is required on Not Nater Tank)
Inspection Record Tater Line 01
GAS PIPING OK
hechafticai A, , ) Notes:
Date ( - &'I - 'e --- -1 -- - ---,
4ANITS EXPIRE 180 DAYS AFTER ISSUANCE If NO YORE IS STARTED. RESIDENTIAL AND 6RADI#G PERMITS EXPIRE ONE AAR AFTER DATE Of ISSUANCE,
I CERTIFY THAT THE INFO IO F CORRECT TO THE BEST Of MY INMEDGE AND THE APPLICABLE CITY Of fERERAI NAY REQUIREMENTS #ILL Of NET,
OBER OR AGENT DATE
FIELD COPY
FEES:
NEC PRHT ISSUANCE... 20,00
P.
Jz - dtm to
g 1110, UXN.�'? �WAO
5011 FEES.$ 6.50
,f
Q 45
P
Asa
0
TOTAL FEES 26.50
the water supply systes contain a Pressure Reduction Devic" hKk valve? 0 Yes 0 No (If *Yes' then water expansion tank is required on Not Nater Tank)
Inspection Record Tater Line 01
GAS PIPING OK
hechafticai A, , ) Notes:
Date ( - &'I - 'e --- -1 -- - ---,
4ANITS EXPIRE 180 DAYS AFTER ISSUANCE If NO YORE IS STARTED. RESIDENTIAL AND 6RADI#G PERMITS EXPIRE ONE AAR AFTER DATE Of ISSUANCE,
I CERTIFY THAT THE INFO IO F CORRECT TO THE BEST Of MY INMEDGE AND THE APPLICABLE CITY Of fERERAI NAY REQUIREMENTS #ILL Of NET,
OBER OR AGENT DATE
FIELD COPY
CITY FEDERAL WA
335300Firstt Way South MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:852 S 306TH ST
NO.: 174510-0010
PROJECT DESCRIPTION: HVAC - INSTALL GAS HOT NATER HEATER.
ONNER
GERALD JOHNSON
852 S 306TH ST
FEDERAL NAY NA 98003
CONTRACTOR
NASHINGTON NATURAL GAS
3130 S 38TH ST
P 0 BOX 11066 TAC NA 98411
TACOMA NA 98405
475-6700
VASHING285CB
LENDER
PERMIT NO:
ISSUED:
BY:
EXPIRES:
BLD94-0025
01/14/94
FC
07/13/94
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 HP......: 0
NEC
PRNT ISSUANCE... S
20.00
FURN<100K..: 0
DUCT NORK.....:
0
3-15 HP.....: 0
°� �`
NEC
APPLIANCE FEES.* $
6.50
GAS HNT....: 1
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER: 0
FURN>100K..... :
0
30-50 HP....: 0
BBQ......... 0
MISC...........
0
5+ HP........ 0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... : 0
<-10,000 CFM:
0
ABOVE GROUND: 0
11A61, k
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
26.50
oes the water supply
system contain a
Pressure
Reduction Device or
Check valve? () Yes
0 No (If 'Yes' then water expansion
tank is required on Hot
Nater Tank)
Inspection Record
Nater Line OK
Mechanical Inspection Notes:
GAS PIPING OK
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 INFORMA IO FURNISED 7BYEIS RUE AND CORRECT TO THE BEST OF MY KNONLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS KILL BE MET.
OWNER OR AGENT ,---------------------------------------- DAT`--1_--� —�
FILE COPY
01/13/94 15:45 I JNG — TACOMA / INSTALLATION 102
Permit # .pL_&iq— #02 � �
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
i30X 1 TENANT NAME:,, 1 1 n
OWNER SITE LOCATION
OWNER'S ADDRESS°_--_._. a— —_,.. _.� CITY I= — _. PHONE _
DESCRIBE JOB ,'
THE PROPERTY IS OWNED BY SINGLE fD1 RRIED PAR ERSHIP____ Ttl_ _ CORPORATION M� —
CONTRACTOR'S ADDRESS .�
EXPIRAT ION DATE _....... .
CITY _MI_00te-
— OR ---
I HAVE READ CHAPTER 18.27, 0 t 0 RELATING TC DEFIN ITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS IS5UIN6 PERMITS WITHOUT PROOF OF PEGISTRA T ION.
BOX 3 CD'VTACT PERSON 11L� �. -_ . PHONE
BOX 4 SEWER DISTRICT __-- — �. WATER DISTRICT _--
BOX 5 ESTIMATED PROJECT COST _ EXI$TING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NVM BEA-. ''
LEGAL DESCRIPTION - --
(if necessary, please submit a separate page with the legal description)
K.C. Plat Recording #_--
BOX 7 BUILDING SQUARE FOOTAGE; (Exi5ting/Prapused)
15T FLOOR_______J___ 2Nd FLOUR „!. --
3RD FLDUf3 1_�,,...._ BASEMENT___,,.! DECK—__ 1 GARAGE•,.,.,... :_ I
BOX 8 ( } SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIWAILY (NO. OF UNITS -= )
{ ) EXISTING STRUCTURE
( } COMMERCIAL INDUSTRIAL
IOTAL AREA OF PROPERTY ,
SQ FT
BOX 9 PLUMRINO FIXTURES (InCluaing rough -Ins)
MECHANICAL APPLIANCES —
BASIC FEE $ 6-20.00
NO. _—,.WATERGLOSETS
GAS PIPING, FEET — _
$ m
__ ____._BATHTUBS
NO. FURNACE, ELEC. GAS--
$
_- SHOWERS
� GAS HOT WA -1 EH HEATER
$ C
__.LAVATORIES
CONVERSION BURNER
_._ ... ... —SINKS
BOILER, SIZE BTU
$
DISHWASHERS
_.-__.AIR HANDLING UNITS
$
HOT WATER HEATER
_HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
__...,.----UNIT HEATERS
$
_. ,..,, URINALS
AIR COOLING UNITS, SIZE
$ —
DRINKING FOUNTAINS
__COMMERCIAL HOOD
$
__—SUMPS, SPRINKLER VACUUM BREAKERS
_OTHER __
$
—DRAINS
TOTALEIXTURES
$
TOTAL MECHANICALFEE5
I CERTIFY UNDER PENALTY OF PERJURY THAT THF INFORMATION FUHN16HED BY ME I5 TRUE AND CORRECT TO THE BEST OFMY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLIGATiON IS
MADE, I FURTHER ABREE TO SAVE HARMLESS THE CITY Of FEDERAL WAY AS TO ANY CLAIM (INCLUDING, COSTS, EXPENSES, AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE Of= SUUM 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 THL A� (;VRACIY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION,
_ J )
OWNER/AGENT_ DATE t �/ �L i tl
ATIP'aw am