94-100623s
4
It.
ITY
FEDERAL WAY
335300First Way South MEC—H--A—'.'.,ICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:4712 SW 325TH PL
NO.: 873219-0070
PROJECT DESCRIPTION: HVAC - INSTALL GAS HOT MATER HEATER.
OMNER
MARJORIE APPLEGATE
4112 SM 325TH PL
FEDERAL MAY MA 98023
874-5337
CONTRACTOR --
NORTHWEST MATER HEATER
8201 DURANGO ST SM
TACOMA, WA MA 98499
NORTHXHI07R2
LENDER
9ef-/00 (13
PERMIT NO: BL_D94-0253
ISSUED: 03/31/94
BY: FL_F
EXPIRES: 09/27/94
FUEL TYPES.:GAS
FANS :
0
BDILERSlCOMPRESSORS
FEES
GAS PIPING.: 0 ft
HOOD.- .......:
0
0-3 SP..,._.:
_C F,;MT
:ISSUANCE...
$ 20.00
FURN<10OK..: 0
DUCT WORK--:
0
3-15 HP.....: �
FC T?PL3Aa,^c
FEES.x
S 6.50
GAS HMT....: 1
MOOD STOVES...:
0
15-30 HP...:: 0
CONY BURNER: 0
FURN>100rK.....:
0
30-50 HP....: 0
BBQ......... 0
M_SC...........
0
5+ 'HP.... 0
GAS DRYER—: 0
AIR HANDLING 14ITIS
=UF TANKS --------
RANGE......: 0
<:10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,1000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES
$ 26.50
Does the coater supply
system contain a
Pressure
Reduction Device or Check valve? () Yes
() No (If 'Yes' then coater expansion tank
is required
on Hot Mater Tank)
Inspection Record
Mater Line OK
Mechanical Inspection Notes:
GAS PIPING OK
Date By
PERMITS EXPIRE 180 DA S AF R IS AN E IF NO WORK S`[ARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INtORMAT ON N RN ED BY ME I TRUE AND CO$RECT TO THE BES'( OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS MILL BE MET.
NNER OR AGENT T �,�1 1
------------------------- --- _ i1 --------------------------------
FILE
---------------- ------
FILE COPY
Y OF FEDERAL WAY
BUIL
DIN PERMIT APPLICATI N
— Please Print —
TENANT NAME
OWNER CU) SITE LOCATION L -L) 1"L–
OWNER'S ADDRESS l (�CITY W PHONE –
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGL MARRIED \,Z PARTNERSHIP CORPORATION
CONTRACTOR'S NAME tali l l a) _� o n� CONTRACTOR'S REG. # NOP,74Wf InNQ
_ Card. MUST be presented
CONTRACTOR'S ADDRESS 1 "S�'CITY (C Q PHONE a�.L.040'1
EXPIRATION DATE is
—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 5�. PHONE
0
I SEWER DISTRICT WATER DISTRICT
i ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
i PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(if necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
B ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMM ERC IAL/INOUSTRIAL TOTAL AREA OF PROPERTY SQ FT
9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE S
NO. WATERCLOSETS
GAS PIPING, FEET U6�
S
BATHTUBS
NO. FURNACE, ELEC. GAS
S
SHOWERS
_GAS HOT WATER HEATER
S
LAVATORIES
CONVERSION BURNERS
SINKS
BOILER, SIZE BTU
S
DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS �.
AIR COOLING UNITS, SIZE
S
DRINKING FOUNTAINS
COMMERCIAL HOOD
S
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
S
DRAINS
S
OTHER
$
TOTAL FIXTURES
$
TOTAL MECHANICAL FEE
$
ITIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BESTOF MY KNOWLEDGE
FURTHER THAT I AM AUTHORIZED BY THE OWNER OFTHE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
IE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
i INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
CERS AND EMPLOYEE$, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
JER/AGEi`IT
DATE:
AMPO09 3190
,CITY OF FEDERAL WAY
ZZSZO First Way South MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
0EL
FANS ......
ADDRrSS:4712 SW 325TH PL
GAS PIPING.:
NO.: 873219-0070
PROJECT DESCRI PT ION NVAC - INSTALL GAS NOT WATER HEATER.
ONNER
CONTRACTOR
HARJORIE APPLEGATE
NORINESI NATER BEATER
I
4712 SN 125TH Pt
8261 DURANGO ST SV
0
FEDERAL NAY VA 98023
TACONA, *A NA 984"
BBQ.......,,
0
871-5337
0
AIR
OF -4
mg,
FUTYPES.:GAS
0EL
FANS ......
I LOS /CO*$WO
GAS PIPING.:
0 ft
FURN000K..:
0
GAS SNIT.....
I
"o
40014
CONY BURNER:
0
K
J0,
BBQ.......,,
0
GAS DRYER..:
0
AIR
RANGE......:
0
<:109
ABOVE GROUND: 0
GAS LOGS...:
0
> 10,001,M: 0
UNDERGROUND.. 0
- tENDER
TOTAL FEES
PERMIT NO: BLD94-0253
ISSUED: 03/31/94
BY: FLF
EXPIRES: 09/27/94
KE... $ 20.00
FFIS.1 S 6.50
S 26.50
Does the water suppli systen contain a Pressure Reduction Device or Check valve? Yes No (If *Yes" then water expansion tank is required on Not later lank)
Inspection Record later Line 01 serhanical Inspection Notes:
{SAS PIPINI; 0K DdL. qxil by,9---
Pimus Expipt im DABS AF R IS If NO NORK . STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISAIANCE.
'JR IS on
I CERTIFY THAT THE IFORMNA ON F RK ED BY AF I TRUE APO COIRECT TO THE REST Of NY XNOVLEOGE AND THE APPLICABLE CITY Of FEREML MAY REQUIREMENTS #ALL A Nts
�.
04HEP UP AGENT
---------- DATE
FIELD COPY