93-102808N
FANS..........: 0
�3-/D�
8o S
CITY OF FEDERAL WAY
MECHANICAL
GAS PIPING.: 0 ft
P
0-3 HP......: 0
PERISSUED:
MEC PRMT ISSUANCE... ;
33530 First Way South
FURN<100K..: 1
DUCT WORK.....: 0
3-15 HP.....: 0
MEC APPLIANCE FEES.* ;
111/02/9381
Federal Way, WA 98003
Building Inspection Requests 661-4140
BY:
FLF
661-4000
EXPIRES:
05/01/94
ADDRESS:33553 36TH AVE SW
NO.: 109960-0490
PROJECT DESCRIPTION :HVAC - INSTALL GAS FURNACE
OWNER
GLENN OLSON
33553 - 36TH AVE SW
FEDERAL WAY WA 98023
661-2718
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA WA 98499
984-6404 588-0393
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
CONV BURNER: 0
FURN>10OK.....: 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 ;
30.00
Ries 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 STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET,
OWNER OR AGENTDATE
_�------------------------------------------
FILE COPY
NOV— 2-93 TUE 10 31 NW WATER HEATER TACOMA FAX NO, 206 588 0353 , P,03
011 Pet# "-Ap113— Iii(
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
-- Pleaoo Print —
BOX 1 TENANT NAME: �j
OWNER , It - SITE LOCA7jON
OWNER'S ADDRESS�i3 �1 ,, Ut _ CITY PNONF lcrc ! – RISE'
1) ESC AI$EJOB ', r'jj rau
THE PROPERTY IS OWNED BY: S GLEIMARRIED of PARTNERSHIP CORPORATION
BOX 2 CONTRACTORS NAME k Ll j ! A J'ja
.4–._..-- _ CONTRACTOR'S REG. # �12T
Lo Card MINT be presented
CQNTRACTCR'S ADORESa L�CITY 1'G_ PHONE
EXPIRATION DATE )_
--OR—
IHAVEREADCHAPTER 1$.27,0 0 RELATINO TO DEFINITI ONS OF GENERAL CUNTRACTORS AND SPECIALTY CCNTRACTORS AND
CHAPTER 13.27,110 WHICH 'ROWSITS ISSUING PERMITS 1N'ITHIOUT PROOF DF REGISTRATION.
BOX 3 CONTACT PERSON
aOX 4 EERIER DISTINCT WATER DISTRICT
BOX 5 E ,T1h1A" ED PROJECT COST__ EXISTING BUILDING VALUATION
SOX 6 P +OPEPTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(I` necessary, please submit a separate page with the legal deaCriptIon,)
K.C. Plat Recording #
14OX 7 BUILDING SQUAB` FOOTAGE: (Existing/Proposed) 1S7 FLOOR ----I 2ND FLOOR
3RD FLOOR ---j_ BASEMENT ----f— DECK j_
GARAGE
.SOX 8 ( ) SINGLE FAMILY ( ) NEW GONSTRUGTIQN
( ) MULTIFAMILY (NO. OF UNITS - �) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY ____SQ FT
BOX 9 PLUMBING FIXTLRES (including rough-irs) MECHAN!CAL APPLIANCES — BASIC FEE $
NQ- WATERCI OSETS GAS PIPING, FEET —t. � $
BATHTUBS NO. FURNACE. ELEC. GAS t� $
SHOWERS GAS HOT WATER HEATER _
LAVATORIES —CONVERSION BURNER $
-----SIKHS BOILER., SIZE — BTU $
—DISHWASHERS— IR HANDLING UNITS S ��
--ELECTRIC HOT WATER HEATER _,HEAT PJM, SIZE_ $ –�
LAUNDRY WASI-ER OUTLET UNIT BEATERS $
—URINALS
DRINKING FOUNTAINS ------AIR COOLING UNITS. SIZE $
�
S,COMMERC;AL HOOD $UMPS, SPRINKLER VACUUM BREAKERS DRAINS —OTHER– $
—_____OTHER S
—T OTAL FIXTURES $--
S
TOTAL MECHANICAL FEE _
I CERTIFY UNDFP RENALTV OF PERJURY THATTHE INFORMATION FURNISHED BY ME IS TRUE AND CORRECTTO THE BESTOFMY KNOWLEDGE
AND FUR T HERTHAT I AM AUTHCRIZED BY THE CWNEROFTHE ABOVw PREMISES TO PERFORM THE WORKFOR WHICH PERMIT APPLICATION IS
MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERALYt'AY AS TO ANYCLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
-EES i 'CURRE!? IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OFFEDERA. WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OFTHE RELIANCE OF THE CITY, INCLUDING ITS
DFFICERS AND EMPLOYEES, UP0141THE ACCURACY OF T�tE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION,
A i
DWNERlAGENT
DATE: (.
-w 'Qw aim
CITY OF FEDERAL WAYMECHANICAL
PERMIT I7ERB1/02/93x1
33530 First Way South ISSUED:
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 05/01/94
ADDRESS:33553 36TH AVE SW
NO.: 109960-0490
PROJECT DESCRIPTION : NYAC - INSTALL GAS FURNACE
OWNER CONTRACTOR
GLENN OLSON NORTHWEST NATER NEATER
33553 - 36TH AVE SW 8201 DURANGO ST SW
0EDERAL WAY WA 98023 TACOMA, WA WA 98499
661-2118 984-6404 588-0393
NORT I0392
--
z
ze
--u-.� -- - -.
FUEL TYPES.:GAS FANS..........; a "WE Rsi,MpF'."uSoil IZ
GAS PIPING.: 0 ft 0000........... 0 0 ? 4P.
FURNO OOK..: 1 DUCT WORK....3-11, OF-- 0 �
GAS HINT....:
0 WOOD,5"I`GYE$;., '' 15-30 Nr-�
CONY BURNER: 0 FUR01009...... 30 ...: �
ae
880........: 0 ... ....
GAS DRYER..: 0 AIR T 1'Ui TAN° )--
RANGE......: 0 <=1
GAS LOGS...: 0 > 10, 0ilN4i,CRtas
,r
LENDER
the water supply systes 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&SS W� 'Date 11-4918y 6!?N
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERFRAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE
—_- ��' - ----------------------------
FIELD COPY To V4 tl