94-100533CITY FEDERAL
335300Firstt Way WAY MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:4458 SW 313TH ST
NO_: 211650-0050
PROJECT DESCRIPTION: HVAC - INSTALL GAS HOT NATER HEATER (CHANGEOUT)
ONNER — CONTRACTOR LENDER
RANDALL TAYLOR NASHINGTON NATURAL GAS
r58 SN 313TH ST 3130 S 38TH ST
EDERAL NAY NA 98023 P 0 BOX 11066 TAC NA 98411
TACOMA NA 98405
838-3257 475-6700
WASHIIC285CB
/0 025,33
PERMIT NO: BL_D94-0217
ISSUED: 03/21/94
BY: FC
EXPIRES: 09/17/94
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 HP......: 0
MLC PRMT ISSUANCE... 3
20.00
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....: 0
MEC APP!IANCE FEESJ S
6.50
GAS HNT....: I
NOOD STOVES...:
0
15-30 HP....: 0
CONV 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 $
26.50
Does the mater supply
system contain a
Pressure
Reduction Device or Check valve?
() Yes (} No (If 'Yes' then mater expansion tank is required on Hot
Nater Tank)
Inspection Record
Nater Line OK
_
Mechanical Inspection Notes:
GAS PIPING OK
Date __. BY ------.,_—
_
PERMITS EXPIRE 180 DAYS AFTER ISVANCF IF NO WORK I STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION F RNI D BY ME S E AND ORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS KILL BE MET.
OWNER OR AGENTDATE
------- ----- ------ - - -- -------------------------------
----------------
FILE COPY
03/21✓94 11:05 W.N.G TACOMA EXEC. WING 473-8415 082
r
Permit
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
- Plesse Print —
BOK 1 TENANT NAME
OWNER 10 SITE LOCATiN a
tIWNER'S ADDRESS 1.' CITV - PHONE
DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP— � ^ORPORATION
BOX 2 CONTRACTOR'S NAME CONTRk^uTOR'S REG #Lt
X1317 Card M ST ns omso" dI
CONTRACTORS ADORESS��- ,� ��
EXP'IRATE0N DAiTI:
_ on r
I HAVE READ CHAPTER 15.27.010 RELATIN3TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 79.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON !
BOX 4 SEWER DISTRICT _._- - _ WATER DISTRICT -- --.
BOX 5 ESTIMATED PROJECT COST _— EXISTING BUILDING VALUATION -
BOX 5 PROPERTY TAX ACCOUNT NUMEIER 1AI-�6—
LEGAL_ DESCRIPTION
(II necessary, please Submit a Separate page with ;fie legal descriptlon.l
K,G. Plat Rcurding #I
BOX 7 BUILDING SQUARE FOOTAGE, (.FxIsfingtProposed) 1ST FLOOR__f 2ND FLOOR r.
AHC' FLOOFt-- '-- BASEMENT_ -.. ---..__l-.- -- REGIS r GAR,AGt:___J.—
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
MULTIFAMILY (NO. OF UNITS - _..�) ( } EXISTING STRUCTURE=
( 1 lJi3tVlitliERC1ALIINOUSTftiAL TOTAL AREA 0;; PROPERTY SO FT
BOX 9 PLUMBING FIXTURES (inCitlBlrs) rough-inS)
MECHANICAL APPLIANCES — BASIC FEF $
ND.-_ _WAT';;RCLOSETS
GAS PIPING, FEET
$ �-
-BATHTUBS
N0._FURNACE, ELEC.— GAS---- ...-
—
.
- - SHOWERS
=OAS HOT WATER HEATER
$
—LAVATORIES
_0ONVERSION BURNER
$
_SINKS
BOILER, SIZE - BTU
$
_-.DISHWASHERS
--- AIR HANDLING UNIT'S
$
_ _EE.EI,TRIG HOT WATER HEATER,
—HEAT .. HEAT PUMPS, SIZE __ __
$
LAUNDRY WASHER OUTLET
_—UNIT HEATERS
$
,._._,._,.,_URINALS
__,_AIR COOLING UNITS, SIZE
$
- -.--.-DRINKING FOUNTAINS
—COMMERCIAL HOOD
$
._ SUMPS, SPRINKLER VACUUM BREAKERS
.,OTHER ----...-._
$
_ DRAINS
- _ $
----OTHER - --
— --
— $ —
_TOTAL FIXTURES
_._..__
$
TOTAL MECHANICAL LE'
$
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME 15 TRUE AND CORRECT TO TME BEST OF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZES) SY THE OWNER OIF THE ABOVE PREMISE5 TO PERFORM THE WORKFOR WHICH PEFIMIT APPLICATION IS
MADE, I FILIRTHEF� AGREE TO $AVE HARMLESS T HE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, ANDATTORNE d5'
FEES !Nr
URMPF) IN INVE-5TWATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANT PERSON, INCLUDING THE UNDERSIGNED,
M14D FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY IV11 �E SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS hNQ EIu1PLOYFES. VPOrjTHF ACCURAC (OF TtivINF MATION SUPPLIED TO THE GITY AS A PART Of THIS APPLICATION-
-
PPLICAT ION-
I;WNERr:' GENT: � _ .� l� L� `��4 � BATE: _—.�' � - 7 211
..
4
• , CITY OF FEDERAL WAY MECHANICAL
PERMIT
33530 Fi r-st. Way South
Federal Way, WA 98003 Building Inspection RequeStS 661-4140
661-4000
ADDRESS:4458 SW 313TH �;T
NO.: 211650-00+0
PROJECT DESCRI PT ION : HVAC - INSTAR GAS NOT NATER NEATER (CHANGFOUT)
ONNER
RANDALL TAYtOR
458 :,N 313TH ST
EDERAL MAY NA 98023
838-3251
FUEL TYPES.:GAS FARS.......
GAS PIPING.: 0 ft 0000-, m
FOR#(IOOK..: 0 !? .
05 HNT ...: 1
CONY BtNt1IER: 0 f
BBQ......... 0 NI
GAS DRYER..: 0 AIR
RANGE.......: 0 <:10,
GAS LOGS...: 0 > 10,000
1, .
0
CONTRACTOR -
NASHINGTON NATURAL GAS
7130 S 381H ST
P 0 BOX 11066 TAC NA 98411.
E 0
.. 0
PERMIT NO: BLD94-0217
ISSUED: 03/21/94
BY: FC
EXPIRES: 09/17/94
- LENDER_-�.�-�-.
W11— $ 20.00
fEES. A $ 6.50
TOTAL FEES $ 26.50
Does the rater sepptY systes contain a Pressure Reduction Device or Check vaive? 0 Yes () No (1f 'Yes' then rater expansion tank is required on Hot Mater Tank)
Inspection Record Nater line OK A^rh3nil-a1 Tns'pp;'ir�n Notes:
6;i5 PIPING OK
>O 40
PERMITS EXPIRE 180 DAYS AFTER IS MC If NO NOR% I STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION f NI D BY NE/(S. ME AND RRECT TO THE BEST Of MY KNINN106E AND THE APPLICABLE CITY Of FFRERAt NAY REOUIRFRENTS HILI BE NET.
r OWNER OP VAN ___.... _ __.....__ R?E
FIELD COPY