95-102893CITY OF FEDERAL WAY PERMIT NO: BLD95-0869
33530 F i. rs t Way South 1`1"1 ff. III A k"41 7A1'i L P f":'. 14". WWII 1 1" ISSUED: 10/26/9.5
Federal Way, WA 98003 Building Inspection Requests 661-41.40 BY: FC2
661.-4000 EXPIRES: 04/23/96
ADDRESS:823 SW 313TH C"r
NO.: 555990-0160
PROJECT DESCRIPTION:HVAC - INSTALL ONE FURNACE AND 40" GAS PIPE.
�= OWNER
AILENE LINDLEY
823 SW 313TH CT
FEDERAL WAY WA 98023
2-2795
CONTRACTOR
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA WA 98499
984-6404
NORTHWH103R2
LENDER===-_==
S;= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 :t=
FUEL TYPES.:GAS ?
GAS PIPING.: 40 ft
FURN<100K..: 1
GAS HNT....: 0
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
FEES:
MEC PRMT ISSUANCE... $ 20.00
MEC APPLIANCE FEES.* $ 13.00
TOTAL FEES $ 33.00
Does 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 IN) IS STARTED. F.. TIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISHED BY S TRUE A THE BES OF MY KNOWLEDGE AND THE APPLIC C TY 0 FEDERAL EMENTS WILL BE NET.
OWNER OR AGENT -------------------- -- --- --_
__-- --- ---------------------- DATE
FILE COPY
e
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
Building Inspection Requests 661--4140
ADDRESS:823 SW 313TH CT
NO.: 555990-0160
PROJECT DESCRIPTION :HVAC - INSTALL ONE FURNACE AND 40' GAS PIPE.
p= OWNER=_________________________________=___=__=__=_=====T= CONTRACTOR
AILENE LINDLEY NORTHWEST WATER HEATER
823 SW 313TH CT 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA WA 98499
52-2795
984-6404
NORTHWH103R2
LENDER
PERMIT NO- BLD95-0869
ISSUED: 10/26/9.5
BY: FC2
EXPIRES: 10/19/96
------------- ....-..--------------.._-..-------------------------------------_ __ __---- _
M CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.21 t:t
----------------------------------------------------- ----------------- ____---------_____-------------------------
* STRUCTURE INFORMATION *
CONST. TYPE.: V -N
OCC. GROUP..:
OCC. LOAD...: 0
SQUARE FEET.: 0
$ COMM. ALTERATIONS *
0-200 AMPS......: 0
201-600 AMPS....: 0
601-1000 AMPS...: 0
OVER 1000 AMPS..: 0
NUM. OF CIRCIUTS: 0
* NEW RESIDENTIAL *
i NEW SINGLE FAM.:
OUT BUILDINGS..: 0
* TEMP SERVICE x
0-100 AMPS....: 0
101-200 AMPS..: 0
201-400 AMPS..: 0
401-600 AMPS..: 0
OVER 600 AMPS.: 0
TOTAL PERMIT FEES.......: 33.00
= MOBILE HOMES *
SERVICE OR FEEDER ONLY: 0
SERVICE AND FEEDER....: 0
SERVICE OR FEEDER (PK): 0
* MISCELLANEOUS *
THERMOSTATS....: 0
LOW VOLTAGE....: 0
SWIMMING POOL..: 0
SIGNS........... 0
TEMP. POLES....: 0
YARD METER LOOP: 0
$ RESIDENTIAL ALTERATIONS *
0-200 AMPS......... 0
201-600 AMPS......: 0
OVER 600 AMPS.....: 0
MAST/METER REPAIR.: 0
NUMBER OF CIRCUITS: 0
* COMM/IND NEW x
0-100 AMPS.....:
1 ... 0
101-200 AMPS...:
0 ... 0
201-300 AMPS...:
0 ... 0
301-600 AMPS...:
0 ... 0
601-800 AMPS...:
0 ... 0
801-1000 AMPS..:
0 ... 0
OVER 1000 AMPS.:
0 ... 0
OVER 600 VOLTS.:
0
MAST/METER RPR.:
0
MUILTI FAMILY NEW *
SEV FEED
0-200 AMPS...: 0 ... 0
201-400 AMPS.: 0 ... 0
401-600 AMPS.: 0 ... 0
601-800 AMPS.: 0 ... 0
801 AND OVER.: 0 ... 0
x INSPECTION RECORD
SERVICE DATE
COVER.. DATE
FINAL.. --------------
DATE
COMMENTS:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO K IS STARTED. TIAL D GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED ME IS TRUE' C TO E ST OF MY KNOWLEDGE AND THE APPPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT DATE
-------------------- _l__ O�-_ ___________________
FILE
COPY
• CITY OF City of Federal Way •
G 33530 First Way South
4or
Federal Way, WA 98003 0 �(�1S rQ I
(206)661-4000 I✓ l
tiro APPLICATION FOR MECHANICAL PERMIT
®C �aP4�P
PARC �.0��,� ( r _
la Single Family Multi -Family ❑ Commercial ❑
SITE LOCATION:
Tenant/Owner: A 1,
Address/City/State/Zip:
Nature of work: j A 4,'T if L 1. ' d / Al!--_-_
APPLICANT:
Name: _E 'i " In. 1,�1
d
ffm
Project Valuation: $ Ys ^--
Address/City/St/Zip: 1��f �- %i (:\/-� {� (S� 111�—/
Contact Person: (__11K1) rF___ Phone:
l Fax:
MECHANICAL CONTRACTOR:
NA!"W'r J r'1TT R HEATER Mr...
Company Name: - Ai- r, n .( nAV110"_ t>;[et
Address/City/St/Zip: SfA I ft i, Y>„i ,, 1 � J
Contact Person: Phone:Fax:,
State L & I Contractor Registration #: A'ii'. --r-i �I I
(Card must be presented) Exp. Date:
MECHANICAL UNIT COUNT:
Fuel Type (gas/other)
Gas Dryer
Air Handling < = Io,000cfm
Fuel Tanks:
Length of gas piping mow_ '>
Range
Air Handling > = 10,000cfm
Above Ground
Furn < 1 OOK BTU's
Gas Log
Unit Heater
Furn > 100K BTU's
Fans
Underground
Boiler BTU/H
Miscellaneous
Gas Hwt
I Hood
Boiler BTU/H
Other
Conv Burner
Duct Work
A/C TONS
Other
DISCLAIMER: I certify under penalty of perjury that the information furnished by m
premises to perform the work for which permit application is made. I furt rise to save f
incurred in investigation and defense of such claim), which may be a by any person, in
out of the reliance of the City, including its officers and employ upon the accura the
t of my knowledge and further that 1 am authorized by the owner of the above
ederal es to any claim (including costs, expensand attorneys' fees
file against the City of Federay Way but only where such claim arises
to t ity as a part of this application.
Owner/Agent: I ( c
Date:._
CITY ofr
®
LLECTHICAL PLIIMIT APPLICATION
33530 First Way South
Federal Way WA 98003
Phone (206) 6614000 r
ELE-
Job Address t
Job Site Phone
Parcel No �/ j �� ��
l v
Lot No
Subdivision Name
Owner
Mail Addres
Phone
Electric q�CoRl/�r�Eo`� T t, Apy 7[ Mail Address Phone �`5o% —Lt /j �Q�
s 11 ft Jl 1 Y ��i License No. H w CY
R NEA
1 1 n�(� /� " k
LATER, 1
[. I.-:,}� AV, t � Expiration Date
Use of ibb gA O��9OAther OMulti OChurch/School Class of Work: ONew OAlteration OAddition ORepair
"" ✓
Describe Work:
-Iles c
Type of Const:
NEW RESIDENTIAL SERVICES
MOBILE HOMES
Occupancy Group:
_ Service or feeder only .... $40
Occupancy Load:
_ Single Family
Service and feeder ....... 65
Square Feet:
(First 1300 ft -$60; Each add'n
_
500 ft2-$20)
MOBILE HOME/RV PARK
If plans are required for review, the fee is
# of service`or feeders
35 % of the permit fee plus $50. Additional
—Each outbuilding or garage . $25
_
(First service/fee4er-$40; Add'n
plan review for other submissions is $60/hr.
service/feeders425 each)
MISC EQUIPMENT/TEW SERVICES
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
—# of Thermostats
(Includes three units or more)
Amps Service or. Add'n
(First thermostat -$30; Add'n thermostats-
Service Feeder
I?�eeder
$10 each)
_ Up to 200 amp .. $ 65 ... $ 20
0 to 100 ...... $ 65 .. $ 40
# of Low voltage fire or burglar alarm
- 400 amp .. 80 .... 40
_
101-200 ..... 80 ... 50
(First 2500 fe-$35; Each add'n 500 fF-$10)
—201
_ 401 - 600 amp .. 110 .... 55
_
201-400 ..... 150 ... 60
_ # of Signs
_ 601 - 800 amp .. 140 .... 75
_
..... 175 ... 70
(Fust sign -$30; Add'n sign -$15 each)
_ 801 and over 200 ... 150
—401-600
601-800 ..... 225 ... 95
_ Progress inspection per hr ...... $60
_
801-1000 .... 275 ... 115
_ Swimming pool, hot tub, spa .... 60
_
over 1000 ..... 300 ... 160
Temporary Pole ............ 35
_
Over 600 volts surcharge ... 50
_ Yard Pole meter loops ........ 40
_
_ Mast or meter repair ..... 55
■ Issuance fee for each permit ..... 20
ALTERED SINGLE- OR
COMMERCIAL/INDUSTRL4L -
Inspections requested before 3:30 will be
MULTI -FAMILY
Altered Service or Feeders
made the following work day, 661-4140.
(When inspected separately from the
0 to 200 ............ $ 65
services.)
_
201-600 ............ 150
I hereby certify that I am the owner (or
Service or Feeder
_
601-1000 ........... 225
authorized agent) of the above named
1 0 to 200 amp .......... $ 55
_
over 1000 ............ 250
property or a licensed contractor (or firm's
_ 201 - 600 amp .......... 80
_
# of circuits
authorized agent) and am making the
_ over 600 ............. 120
_
(First 5 circuits -$50; Add'n
installation or alteration in compliance with
Mast or meter repair ...... 30
circuits -$5 each)
all applicable cit un , and laws.
_
_ # of circuits ............ 40
Temporary Service
(First circuit -$40; Add'n circuit-
0 to 100 ............. $40
Appli s
$5 each)
_
_ 101-200 ............ 50
_ 201 -400 ............ 60
_ 401 -600 ............ 80
_ over 600 ............. 90
Date:
Itz"svD 3/31/95
5 /02FT3
CITY OF FEDERAL WAY P1 RMT NO: BED95--0869
33530 First Way South MEC•Mr NI AL PERMIT ISSUED: 10/26/95
Federal Way WA 98003 Building Inspection Requests '661-4140 13Y: FC2
66.1-4000 EXPIRES: 04/2:3/96
ADDRESS:823 SW 313TH CI
NO. : 555990-0160
PROJECT DF SCRIPTION:HVAC - INSTALL ONE FURNACE AND 40' GAS PIPE.
r_= OWNER '!.nWr=TT=aQ..z. .:TTTanrf ��_,�=4*a arr~:::r�Z- ,44S:r�•-,;:�Wax&Y, CONTRACTOR �:, r�:- Tim=��"-:=d=.:�":_�Y�QM.�Y'=.:TTTxa=b=. QQ yai:a:� K LENDER R'C'G^ACSRW CTd>aYdSO YR DES]iBm WQC QL'i iQe bN4A8mT98Y@QL' BC.'ySGkS�
1 AILENE LINDLEY NORTHWEST WATER NEATER I
f 823 SW 3131H CT I 8201 DURANGO Si SW
r FEDERAL WAY WA 98023 TACOMA WA 98499
952-2795 I 984-6404
1
I 1 '2
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"' CONTIG Ut ! � + ` IN6 SALES TAX FOR PROJECTS CUR Illi CITY OF FEDERAL WAY. TAX RATE ; 8.75 ***
ar ...::_-.xr:,a:�e asmcs:acaa,;. -:atm:arci s »r¢swec erm Jf ;,;a'".a`�a°'.�' ek" trr x,..r..cnr4 maawz_,,.j cccec . .'....-...' _..._,.J 4 ..e.r....4 .a:<::x's� :a.-r.flxr.2.- :s,r.•...„s rr�rdcs:aa2;:'umrtmcaay
I FUEL TYPES.:GAS ? FANS...... . t 0 ).FR FEES: iI
1 GAS PIPING.: 40 ft HOOD : It 0 , H!' a . .SI }NCE... $ 20.00
IFURN'I00K..: 1 DUB T NOKI, ._..: i N . 1 ;f E FEES.* $ 13.00
GAS NI • 0 WOOD SI'V -:. r _
�` 3 $
t CONY BURNER: 0 mow � 03., ,-.0 ,i1 • a +
�.� �a ® � ,�. ,.
I BOO - 0 MISt,. •., 11 :I HP ..... ;, liik.
Aft— 1
I GAS DRYER..: 0 ATF HAlit'lflt, (INTIHit, 10'6— 1 . -4110P' I
RANGE • 0 c:10.00' rff• 0 k;' *WE 10
GAS LOGS...: 0 ) 10,000 '': ' 1 I)HDERGROIWD.. 0
‘n TOTAL FEES $ 33.00
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I Does the water supply systen contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Hot Nater Tank)
I Inspection Record Rater Line OK Mechanical Inspection Notes: fig - 1 7
4,f 1
GAS PIPING OK .__.._ Date _ Dy .__.. .
I
frw OdTC::Yraz.BSF444-S 6LPRC`3 LM1iS::t;.3YYC�;4;!Se4LL^S»R.'#9TS4rti•QY. GH1 S L4'aYXu"«.TCWPS^..IG:tlDtry.•pYJ 4TDGET^s:.era :.4 s,8a.Sb88TTA4•.':'Sfx,nstn,:SiY4�Q'.'d6G`�A`9....'FCi'«6..1"nYiCTY1*j:[.":.S:lnffl44Z::b Y':G.a:t._I-»at ,t j,;W,tr::JSm$�.SIXGtr asrct CSL:....«'1^TSM:fl,4U,G::::4 J
PERMITS EXPIRE 1W1 DAYS AFTER ISSUANCE If IS STARTED. < DEITI L;AWD GRADING PLRMIiS EXPIRE ONE YEAR AFIER DATE OF ISSUANCE.
I CERTIFY ENE INFORMATION FIOtUISNETF By S TRUE r ° y,,, i 'INE DES SOF MY 111O11tE111it AND THE APPLIC -6 C TY FEDERAL ABITIBTUIRERNTS Wll.l. NE MI.
OWNER OR AGENT /
de -�''" 1 DAT - .
FIELD COPY