93-102167CITY FEDERAL 335300Firstt Way SoAuth MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:31666 36TH AVE SW
NO.: 873198-0370
PROJECT DESCRIPTION: HVAC - INSTALL GAS FURNACE
OWNER
MARVEL SCHMIDT
31666 - 36TH AVE SN
CONTRACTOR
NORTHWEST NATER HEATER
8201 DURANGO ST SN
TACOMA, NA NA 98499
984-6404
NORTHWH103R2
LENDER
C) 3- /a1 /(o7
PERMIT NO: BLD93-0935
ISSUED: 09/02/93
BY: FC
EXPIRES: 03/01/94
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 HP......: 0
NEC PRMT ISSUANCE...
$ 20.00
FURN<100K..: 1
DUCT WORK.....:
0
3-15 HP.....: 0
NEC APPLIANCE FEES.*
$ 10.00
GAS HNT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER: 0
FURN>lOOK..... :
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
Inspection Record
Nater 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 NAY REQUIREMENTS WILL BE MET.
`----
OWNER OR AGENT----'--/�—`--------------------------------------- DATE
` FILE COPY
is Pe 0 t
CITY OF FEDERAL WAY Fae
BUILDING PERMIT APPLICATION D
— Please Print —
BOX 1 TENANT NAME:
OWNER 11 lC I Y SITE LOCATION 331 U i
OWNER'S ADDRESS CITY i"_Cd CUL PHONE - ^' 7
DESCRIBE JOB �I S (l UCC 7 (2
THE PROPERTY IS OWNED BY: SNGI ED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME NIII) l l)OL-rj Il. JAL A CONTRACTOR'S REG. # ►ORT4Wtf IC Q
Card MUST be presented
CONTRACTOR'S ADDRESS 56 FnQi(:� 5+S�-_'CITY 10r(:��0. PHONE q,34-60Lf0
EXPIRATION DATE Iq 3
-
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.
BOX 3 CONTACT PERSON � PHONE LP
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST ��i= i' EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER Li54QSQ — 03aL
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK------/— GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMM ERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
:W
PLUMBING FIXTURES (including rough -ins)
NO. —WATER CLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET z- 1C(L $
N0. FURNACE, ELEC. GAS $
GAS HOT WATER HEATER $
CONVERSION BURNER $
BOILER, SIZE BTU $
AIR HANDLING UNITS $
HEAT PUMPS, SIZE $
UNIT HEATERS $
AIR COOLING UNITS, SIZE $
COMMERCIAL HOODcam, C� $
i OTHER CKI iiN $
$
TOTAL MECHANICAL FEE $
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR 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'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH 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, UiPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY/AS A PART OF THIS APPLICATION.
OWNER/AGENT: 1- 4 QJ��rLQ. nATF �i I�(S M-3
ANP -008 3/90
CITY
F FEDERAL WAY
RMIT NO:
QFirst Way South MECHANICAL PERMIT PE ISSUED: 09/02/35
33530
Federal Way, WA 98003 building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/01/94
ADDRESS:31666 36TH AVE SW
NO.: 873198-0370
PROJECT DECRIPTION:HYAC - INSTALL GAS FURNACE
ONNER
MARVEL SCHMIDT
31666 - 36TH AVE SN
CONTRACTOR
PPORINKST NATER HEATER
81201 DURANGO ST SN
TACOMA, NA NA 98499
�a84-bT0!
LENDER
FUEL TYPES.:GAS
FANS,.......w.'; 0 801IiP jCQNPRE'SORS
FEES:
GAS PIPING.:
0 ft
HOOD.... 0 0-3 ,.P..'
E...
t
20.04
FURNc100I..:
I
DUCT =...H. 0 -ice : a°
�§OK �, FEES.r
S
10.04
GAS HOT....:
0
#ODD STOVFS u ° 5w36 oil ,
CONY BURNER:
0
rum >100!- .. 4
BBQ.........
0
.. «
MISC.,. f 11.. 0
GAS DRYER..:
0
AIR HANDLING UMTS 'JEt AM $-- --_---
RANGE.......
0
<:10,000 (F": s " Wvf "ROUV .
GAS LOGS...:
0
> 10,000 tfM 0 UNDERGRLR#D.: 0
TOTAL FEES
3
30.00
Inspection Record
Nater Line 01 Pechanicai Inspection Notes:
GAS PIPING OX Dat9a� BY
PERMITS EXPIRE
180 DAYS
AFTER ISSUANCE. IF NO NORI IS STARTED. RESIDENTIAL AND GP.ADING PERMITS EXPIRE ONE YEAR AFTER DATE
OF ISSUANCE.
I CERTIFY THAT
THE INFORMATION FURNISED BY NE IS TRUE AND CORRECT TO THE BEST OF MY LNONLEDGE AND THE
APPLICABLe CITY OF FERERAL NAY REQUIREMENTS
MILL
BE NET.
/ bATF
y3
QNNER. OR AGENT
_ _�.
.,.:,:� t?`� `
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--
G
FIELD COPY
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