94-100540''1
A
CITYOF FEDERAL WAY
3353 MECHANICAL 7-1
PERMI
�
33530 First Way South
Federal Way, WA 98003 Bu,- lding Inspection Requests 661-4140
661-4000
ADDRESS:4213 SW 317TH ST
NO.: 873198-2990
PROJECT DESCRIPTION: INSTALL GAS FURNACE
OWNER
JAN DEBAY
4213 SW 311TH ST
FEDERAL NAY WA 98023
CONTRACTOR -
NORTHWEST WATER HEATER
8201 DURANGO ST SW
TACOMA, WA NA 98499
984-6404
NORTHNH103R2
LENDER
9 V,/DOSY1)
PFcMIT NO: BLD94-0224
ISSUED: 03/23/94
BY: FLF
EXPIRES: 09/19/94
FUEL TYPES.:GAS ?
FANS..........:
0
BOILERS/CDMPRE550RS
FEES:
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 HP......:
0
NEC PRMT ISSUANCE...
3 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
CONY BURNER:
0
FURN>100K.....:
0
30-50 HP....:
0
j
BBQ........:
GAS DRYER..:
0
0
MISC..........: 0
AIR HANDLING UNITS
5+ HP.......:
FUEL TANKS ---------
0
f
RANGE ...... :
0
<:10,000 CFM:
0
ABOVE GROUND:
0
GAS LOGS ...;
0
> 10,000 CFM:
0
UNDERGROUND.:
0
TOTAL FEES
S 30.00
es the mater
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:
_
1
GAS PIPING OK
Date __ By
1
PERMITS EXPIRE 180 DAY AFTER T SUANCE IF NO WORK 13 STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT T IN NATION !RNISEO 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 AGE'r _ _ _-�/� D9TE
FILE COPY
■ V! roman% TT
CIO OF FEDERAL WAY .
BUILDING PERMIT APPLICATION
— Please Print —
TENANT NAME
UL j . 312).
OWNER SITE LOCATION Ej
OWNER'S ADDRESS CITY t= • l� _PHONE
DESCRIBE JOB '
THE PROPERTY IS OWNED BY: SINGI 914ARAlb PARTNERSHIP CORPORATION
CONTRACTOR'S NAME
CONTRACTOR'S REG. # !!iQ
CONTRACTOR'S ADDRESS 1 S+'s ITY (�Q
EXPIRATION DATE i
—OR—
Card. MUST be
Rio —I" Lf
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.
i 77-7
I CONTACT PERSON =(4
I SEWER DISTRICT WATER DISTRICT
i ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
i PROPERTY TAX ACCOUNT NUMBER '
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
r BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK_____—J— GARAGE_____J
3 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
1 COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
3 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE S
N0. WATERCLOSETS
GAS PIPING, FEET ikV
$
BATHTUBS
NO.FURNACE, ELEC. GAS
S
SHOWERS
GAS HOT WATER HEATER
S
LAVATORIES
CONVERSION BURNER
S
SINKS
BOILER, SIZE BTU
S
DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS �,
AIR COOLING UNITS, SIZE
S
DRINKING FOUNTAINS
COMMERCIAL HOOD
S
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
S
OTHER
$
TOTAL FIXTURES
S
TOTAL MECHANICAL FEE
$
ITIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
FURTHER THAT I AM AUTHORIZED BY THE OWNER OFTHE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
E. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
i INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
CERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
IER/AGENT: 1 �,��� � DATE: 3 I�
Apalow Lb
CITY OF FEDERAL WAY MECHANICAL
P
33530 First Way South
Federal Way, WA 98003 Building InsE)ection Requests 661-4140
661-4000
ADDRESS:4213 SW :17TH ST
NO.: 873198-29140
PROJECT DESCRIPTION:INSTAU GAS FURNACE
OWNER
JAN DEBAY
4213 SN 317TH ST
FEDERAL NAY NA 98021
FUEL TYPES .:GAS ?
GAS PIPING.: 4 ft
FORNt100R..: I
GAS HNT..... 0
COPY BURNER: 0
880......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
FABS j
WjQ sTevi ,.,,
ME
Atti`,ROLIr t�ILG
CONTRACTOR --- ---
MORTOEST NATER HEAT:R
8101 bURAKGO ST SN
TACOMA, NA NA 98499
984-6404
6+7I1f R k *. 'r#.sw
LENDER
PERMIT NO: ULD94-0224
ISSUED: 03/23/94
BY: FLF
EXPIRES: 09/19/94
FEES:
NEC PRAT ISSUANCE... = 20.00
t -WE FEES.• 1 10.00
TOTAL FEES ; 30.00
the water ;upply system contain a Pressure Reduction Device or Check valve? () Yes () No (if 'Yes' then water expansion tank is required on Not Nater Tank)
inspection Record Nater tine OK Mechanical Inspection Motes:
GAS PIPING
PERMITS EXPIRE Iff DAY AFTER IffiUA#CE If MO WORIt IS STARTED. RESIDERTIAL AND GRADINE PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY TMT IN TION RNISED BY ME IS TPUE AND CORRECT TO THE REST Of MY KMtiM!EDGE AND THE APPLI .ABLE CITY OF FFRFRAL RAY REQUIREMENTS HILI BE NET.
OWNER OR 4GEN DATE
FIELD COPY /y 1,
IN
C
■
Aft
Aft
SETBACKS & FOOTINGS
— lj/LS
l 7 d
Date
FOUNDATION WALLS
By
izi t O e
�/ G (--t
C
r
Date
By
v S
L C4
PLUMBING GROUNDWORK
Date
By
UNDERFLOOR FRAMING
Date
By
SHEAR WALLS
Date
By
PLUMBING ROUGH -IN
Date
By
GA.$ PIPING
Date
By
MECHANICAL ROUGH -IN
Date
By
MECHANICAL (OTHER)
Date
By
FRAMING
Date
By
INSULATION
Date
By
GWB '1ST LAYER
Date
By
GWB - 2ND LAYER
Date
By
SUSPENDED CEILING
Date
By
PLANNING FINAL
Date
By
ENGINEERING FINAL
Date
By
FIRE FINAL
Date
By
BUILDING FINAL
Date
By
OTHER
Date
By
OTHER
Date
By
CD0193