94-100308is
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CITY 0Firstt Way South MECHANICAL P F FEDERAL WAYPERISSUED: 02/10/9418
MIT NO: BLD4-01
33530
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 08/09/94
ADDRESS:32642 39TH PL SW
NO.: 873195-1640
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE,
OWNER
STANLEY LIGHTY
2642 39TH PL SW
EDERAL WAY WA 98023
927-6985
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404
NORTHWH103R2
LENDER
FUEL TYPES.:GAS
FANS..........: 0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 0 ft
HOOD..........: 0
0-3 HP......: 0
MEC PRMT ISSUANCE... =
20.00
FURN<100K..: 1
DUCT WORK.....: 0
3-15 HP.....: 0
MEC APPLIANCE FEES.* $
10.00
GAS HWT....: 0
WOOD STOVES...: 0
15-30 HP....: 0
CONY 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
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
TOTAL FEES E
30.00
burs the water supply
system contain a Pressure
Reduction Device or Check valve? ()
Yes () No (If 'Yes' then water 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 AFTER ISSUANCE IF NO WORK IS START RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY TH T THE INFORMATI RNISED BY ME IS nUD OR CT TOTHE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGEN ------------ UATE--.--- ------ ------f ---- ��
FILE COPY
FEB- 7-94 MON 1330 NW WATER HEATER TACOMA FAX NO, 206 588 0353 P,O1
CirY OF FEDF-RAL WAY �0
BUILDING PERMIT APPLICATION
Please Print
TENANT NAME:
OWNER C} I " T _ SITE LOCATION
OWNER'S ADORES - �. �.. r Gfi� 1 PHCN
DESCRIBE JOB ti _
THE PF.CPERTY IS OWNED BY: S GI_>1MA RIED_ S _ PARTNERSHIP _—_.—.- - CORPORATION W
CONTRACTOR'S NAME _ MI I ) I -1 -n -j-4 ,11 HOMO ,� --- CONTRACTOR'S REG. ?,TQk74.1j)1� �c`+'���
CONTRACTu"9'S A R �,�U' I _ Card MU&T ba presented
C0R"SS �C1 `'CITY_ Wei I/
EXPIRATION CATS Ila 20 4
OR r
I HAVE 9EA7 CHAPTER 18.27.010 RELATING TO OEFIN171ONS OF GENERAL CONTRACTORS AND SPECIALTY CON?RACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF CF REGISTRATION.
1 CONTACT PERSON � _ PHON
SEWER C'5TRICT _ WATER DISTRICT
i eSTMATED PRO.IECT COSTS EXIST:.NG BUILDING VALUATION
i PROPERTY TAX ACCOUNT NUMBER T
LEGAL 0ESCF;PTION - - - - -
fit necessary... please Sudmit a separate page with We Iegai desc-iplon,)
K.C.. Pial Recording r
r BUILDING SCUARE FOOTAGs - (ExistingjPrapaged)
IST F:rCOR /_ _ 2ND
FLOOR __..^,_J.�
390 FLCOfi_ SASEMENT —J_— DECK—__—J
GARAGE
! (�) SINGLE FAMILY
NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = _,..j
( j EXISTING STRUCTURE
( j COMMERCIALANOUSTRIAL
TOTAL AREA OF PROPERTY
SQ FT
PLUMBING FIXTURES (including-0LQh-Ir.S)
MECHANiCA
PPLIANCI:S
-- BASIC FEE $
tiO._WATERCLOSET5
CAS PIPING, FEE!
BATHTUBS
NO.FURNACE, ELEC.—
GAS kZ S
SHOWERS
—GAS ._ __.GAS HOT WATER HEATER
$
—LAVATORIES
CONVERSION BURNE=R
S
SINKS
BOILER, SIZE BTU
_—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 HOLD
$
.:_.SUMPS, SPRINKLER VACUUM OREAKERS
--OTHER
DRAINS
.-OTHER.- ___
$
_ _ .. -_TCTAL FIXTURES
. $
TOTAL MECHANICAL FEE
$
TIFY UNDER PENALTY OF PERJURY THAT THE INFCRMA71OiN FURNISHED BY ME IS TRUE AND CORRECT TO THE BESET OF MY KNOWLEDGE
=URTHER THAT I AM AUTHORIZED BYTHE OWNER OFT145-A90VE PREMISES TO PGRFCRM THE WORK FOR WHICH PERMIT APPLICATION IS
:-I FURTHER AGREE TO SAVE HARMLESS THE CITY OF P9CERAL',AiAY AS'i 0 ANY CLAIM (INCLUDING COSTS, EXPENSES, ANO ATT08NEYS'
INCURRED iN INVFSTIGATICN AND QEFENSE OK SUCH CLAIM), WHICH MAY GG MADE SY ANY PERSON, INCLUDING THE UNOERSIGNEIO,
I'I _EO ALAI NST THE CITY OF FEDERAL WAY, BUTONLY WHEA.E SUCH CLAN! ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
;ERS ANO EMPLOYEES, QPCN THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION_
EHIA0T,NT
CATE:
"t'" 3100
CITY
F FEDERAL WAY
0Firstt Way South MECHANICAL P PFRIISSUED: 02/10/9418
MIT NO: BLD4-01
33530
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 08/09/94
ADDRESS:32642 39TH PL SW
NO.: 873195-1640
PROJECT DESCRIPTION: HVAC - INSTALL GAS FURNACE.
OWNER
STANLEY LIGHTY
2642 39TH PL SW
EDERAL WAY WA 9803
921-6985
FUEL TYPES.:GAS
GAS PIPING.: 0 ft
FUR00 00K..: I
GAS HIT....: 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
CONTRACTOR -x=�
NORTHWEST MATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
FANS.
0 !.it[ Is'�"`'r "
HO00...........
0-' HF.
0. 6 U
IVft>tU
MISC„
AIR HA#kP
10,000 Cf*:
IINDEiiGR0UN0.; 0
Does the crater supply system contain a Pressure Reduction Device or Check val�e` tl Ye
Inspection Record Water Line UK _ Mechanical Inspection
GAS PIPING OK Datgo'14 B
LENDER
FEES.
MLC TUANCE... 11120.00
A-LitittF rFFC,� 10.00
TOTAL FEES i 30.00
Vale aansion tank is required on Hot Mater Tank)
Notes:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY TOT THE INFORMATIOII 16NISED BY UE IS DOE AID CORRECT TO TNF BEST Of MY KNOWLEDGE AND TOE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS V!, AF VI T.
OWNER OR 4GENT ti,_ .,- >: 6_- 0. .. DATE
FIELD COPY
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