94-100322CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
Rk,loba3la
MECHANICAL PERMIT PERMIT NO: BLD -01
ISSUED: 02/14/9422
Building Inspection Requests 661-4140 BY: FLF
EXPIRES: 08/10/94
ADDRESS:31635 36TH AVE SW
NO.: 873198-0840
PROJECT DESCRIPTION : GAS HWT TANK TO HWT CHANGE OUT
OWNER CONTRACTOR
MICHAEL OSKER WASHINGTON NATURAL GAS
31635 36TH AVE SW 3130 S 38TH ST
FEDERAL WAY WA 98023 P 0 BOX 11066 TAC WA 98411
TACOMA WA 98405
838-1164 475-6700
WASHING285CB
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HWT....: 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
FANS........... 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC........... 0
AIR HANDLING UNITS
<-10,000 CFM: 0
> 10,000 CFM: 0
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
LENDER
FEES:
MEC PRMT ISSUANCE... $ 20.00
&,k7 MEC APPLIANCE FEES.* $ 6.50
TOTAL FEES
$ 26.50
s 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
GAS PIPING OK
Mechanical Inspection Notes:
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 INFORMATIO FL' NIUBYM TRUE ND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
GWNER GR AGENT ------ ,- -- ------------------------------------- DATE---�--�/
r
FILE COPY
02/11/94 11; 57 4J. H. G TACCII`41 EXEC. �J I NG 473-2,,415 ��
0cq
?_
Permit
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
-- Please Pint --
BOX 1 TENANT NAME:
OWNER �'yj_.1C,:°)e�`}:�'',,, jjSITE L0000 L F .la ..
OWNER'S ADDP.ESS � � _. ,. .. .:T._, _.m� [dam— CITY PHONE,u . 2 _.TI
DESCRIBE JOB ____. _—_
THE PROPERTY IS OWNED BY: SINGLEAVARRIED PARTNERSHIP _ _ CORPORATION
bf,)X 2 CONTRACTOR'S NAME CONTRACTORS REG. #
-; Card MUST be presented
CONTRACTOR'S ADDRESS. S 5 CITY- 1 ,r i7YZ1, PHONE&60
EXPIRATION DATE
—OR --
I HAVE READ CHAPTER 19.27.010 RELATING TODEFINI•TIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18 27.110 WHICH PROHIBITS iSSUiNG PERMITS WITHOiUT PROOF OF REGISTRATION.
BOX 3 CsONTACT PERSON
BOX 4 SEWER DISTRICT~
WATER DISTRICT
BOX 5 EST IMATEC PROJECT COST --EXISTING
BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUM6ER
LEGAL DESCRIPTION
(it necessary; pie -ase submit a separate page with the legal kwription.)
K.C. Plat Recording #
BCX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLOOR —I 2ND
FLOOR
3RD FLOOR_—BASEMENT 1 DECK __J_ __
GARAGE l
BOX $ ( ) SINGLE FAMILY
( ) NEW GON5THUCTION
( ) MULTIFAM]Lf (NO. OF UNITS = _—)
( ) EXI5TING STRUGTUBE
( ) COMMERCIAUINDUSTRIAL
TOTAL AREA OF PROPF9TY
__512 FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
— MECHANICAL APPLIANCES — BASIC FEE S
NO. itiATERCLOSETS
CAS PIPING, FEET _ C
$
BATHTUBS
NO.. --_—FURNACE, ELEC.r
GA$ $
—SHOWERS
___,__GAS HOT WATER HEATER
$
__ LAVATORJES
— CONVERSION BURNER
$
,MINKS
--BOILER, SIZE BTU $ ... ..,
_ Di$HWASHERS
—AIR HANDLING UNITS
$
— ELECTRIC HOT WATER HEATER
—.,.----HEAT ,,.__—HEAT PUMPS, SIZE
$
.,__. LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
COOLING UNITS, SIZE
—_ _ $
__—_—DRINKING POUNTAINS
COMMERCIAL HOOD
$
SPRINKLER VACUUM BREAKERS
0i HEli
_ .. ._ ..._. $
DRAINS
$
OTHER- -------
$
TOTAL FIXTURES
_ _ --_
.___ ._..- — $
TOTAL MECHANICAL FEE
$
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BESTOF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OFTHF ABOVE PREMISES TO PERFORM THE WORKFOR WHICH PERMIT APPLICATION IS
MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
� IFS IW;URREU IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHIC14 MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINSTTHE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INC' DOING ITS
OFFICERS AND EMPLOYEES, 4PON THF AC URACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: Irk DATE,
ANP -006 3/w
W
fCITY OF FEDERA[- WAY First Way South MECHANICAL PERMIT PERMITSSUED: 02/11/9422
33530
', -Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 08/10/94
ADDRESS:31635 36TH AVE SW
NO.: 873198-0840
PROJECT DESCRIPTION : GAS NMT TANK TO HMT CHANGE OUT
OWNER
MICHAEL OSKER
31635 36TH AVE Sl
FEDERAL WAY WA 98023
838-1164
CONTRACTOR
WASHINGTON NATURAL GAS
3130 S 38TH ST
P 0 BOK 11866 TAC WA 98411
TACOMA WA 98405
475-6700
LENDER
FEES:
s the water supply system contain A Pressure Reduction Device of Check valve? () Yes () No (If `Yes' then water expansion tank is required on hot Water Tank)
Inspection Record
later Line OK Mechanical Inspection Notes -
GAS PIPING OK 3-174100 11e3-�4 rj
PERMITS EXPIRE 180 DAYS AfTER ISSUANCE IF 10 WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE,
I CERTIFY THAT THE INFORMATIO FU NISED BY M IS TRUE ND CORRECT TO THE BEST OF MY KNOWLEDGE AND, THE APPLICABLE CITY OF FERERAL WAY REGUiREMENTS WILL 8l MET.
.
OWNER OR AGENT _i''`-
FIELD COPY
FUEL TYPES.:GAS ?
FANS...........
�1` ctraynneeonoe
GAS PIPING.:
0 ft
HOOD..... .. „ u
O IsP. n
iURN0 00K..:
0
DUCT CW., n
3 ` H`, u
GAS HIT....:
I
WOOD SIOYra-..: 6
1� _0 •;'
CONY BURNER:
0
Ff1'R"X . ..
3( ".O !'
no.........
0
l.P,
GAS DRYER..:
0T
AI t;'
i
F0 LAN : --------
RANGE.......
0
c-, X00 O
•I
AOE ��RD: 0
GAS LOGS...:
0
> > i X10 Fki I
;►Nig,Ohl
LENDER
FEES:
s the water supply system contain A Pressure Reduction Device of Check valve? () Yes () No (If `Yes' then water expansion tank is required on hot Water Tank)
Inspection Record
later Line OK Mechanical Inspection Notes -
GAS PIPING OK 3-174100 11e3-�4 rj
PERMITS EXPIRE 180 DAYS AfTER ISSUANCE IF 10 WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE,
I CERTIFY THAT THE INFORMATIO FU NISED BY M IS TRUE ND CORRECT TO THE BEST OF MY KNOWLEDGE AND, THE APPLICABLE CITY OF FERERAL WAY REGUiREMENTS WILL 8l MET.
.
OWNER OR AGENT _i''`-
FIELD COPY