94-100180CITY FEDERAL
335300Firstt Way South MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:32760 29TH AVE SW
NO_: 951090-0640
PROJECT DESCRIPTION: INSTALL FIREPLACE INSERT AND ADD ABOUT 65 FEET OF GAS PIPING
OWNER
CLARENCE HEISER
32760 29TH AVE SN
FEDERAL WAY WA 98023
838-0972
CONTRACTOR —
WESTERN FURNACES INC.
P.O. BOX 11145
2901 SOUTH TACOMA WAY
TACOMA NA 98411
206-474-8401
NESTEF=372NO
LENDER
9 y-/01) Sv
PERMIT NO: BLD94-0053
ISSUED: 01/21/94
BY: FLF
EXPIRES: 07/20/94
FUEL TYPES.:GAS ?
FANS...........
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.:
65 ft
HOOD..........:
0
0-3 HP......: 0
NEC PRMT ISSUANCE... t 20.00
FURN<100K..:
0
DUCT WORK.....:
0
3-15 HP.....: 0
NEC APPLIANCE FEES.1 = 9.50
GAS HNT....:
0
WOOD STOVES...:
0
15-30 HP....: 0
CONY BURNER:
0
FURN>100K..... :
0
30-50 HP....: 0
BBQ........:
0
MISC..........:
1
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 $ 29.50
the mater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then coater expansion tank is required on Not Water Tank)
Inspection Record Water 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 FURNIS D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT C�- «_.? DATE __ -----------------
FILE
___z
FILE COPY
c31Z310 07
k Permit # � � cl L/ _ )a3 J
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1
TENANT NAME:
BASIC FEE $
N0. WATERCLOSETS
OWNER CLARANCE HEISER SITE LOCATION 32760 29TH AVE SW
$
OWNER'S ADDRESS SAME CITY FEDERAL WAY
PHONE 838-0972
$
DESCRIBEJOB INSTALLATION OF GAS FIREPLACE INSERT
GAS HOT WATER HEATER
$
THE PROPERTY IS OWNED BY: SINGLE/MARRIED YES PARTNERSHIP
CORPORATION
BOX 2
CONTRACTOR'S NAME WESTERN FURANCES INC CONTRACTOR'S REG. # WESTEF*372NO
BOILER, SIZE BTU
$
Card MUST be presented
AIR HANDLING UNITS
CONTRACTOR'S ADDRESS PO BOR 11145 CITY TACOMA
PHONE 1-800-441-8401
HEAT PUMPS, SIZE
EXPIRATION DATE 12/31/94
LAUNDRY WASHER OUTLET
UNIT HEATERS
—OR—
URINALS
AIR COOLING UNITS, SIZE
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
DRINKING FOUNTAINS
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
$
BOX
CONTACT PERSON KATHY STEVENS
PHONE 1-800-441-8401
BOX 4 SEWER DISTRICT WATER DISTRICT
1 FIREPLACE INSERT
BOX 5
ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
(1 OUTLET)
BOX 6
PROPERTY TAX ACCOUNT NUMBER 951090-0640
$
LEGAL DESCRIPTION
TOTAL MECHANICAL FEE
$
(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
( X) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES —
BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET ## 65
$
BATHTUBS
N0. FURNACE, ELEC. GAS
$
SHOWERS
GAS HOT WATER HEATER
$
LAVATORIES
CONVERSION BURNER
$
SINKS
BOILER, SIZE BTU
$
DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
1 FIREPLACE INSERT
$
OTHER
(1 OUTLET)
$
TOTAL FIXTURES
$
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, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
ANP -008 3/90
CITY OF Way South MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:32760 29TH AVE SW
NO.: 951090-0640
PROJECT DESCRIPTION:INSTALL FIREPLACE INSERT A#9 ADD ABOUT 65 FEET Of 05 PIPIGG
ONNER
CLARENCE REISER
32160 74Th AVE SN
FEDERAL NAY NA 980''3
838-0977
FUEL TYPES.:GAS ?
GAS PIPING.: 65 ft
f UR0000K ..: 0
6AS NOT,...: 0
CONY BURGER: 0
880 ........ . 0
GAS DRYER..: 0
RANGE......: 0
GA,R LOBS...: 0
FANS...........
NIHH3...... .. 0
DUCT
NOOD gTQVES n
FtiRG>I�t _
M1C ...
AIR Ht<NDL 1 N!. UNI `
10,000 Cf W.
N 0190 k, fN
CONTRACTOR
NESTERN FURNACES TNC.
P.O. BOX 11145
2401 SWIM TACOMA NAY
TACOMA NA 48411
706-474-8401
fS fiI.Fa.,
0-. MP n
V%'uVf :TPU# t2
LIPID
PERMIT NO: BLD94-0053
ISSUED: 01/21/94
BY: FLF
EXPIRES: 07/20/94
FEES:
AEC PRMT ISSUANCE... 3 70.00
EIEC E FEES) t 9.50
TOTAL FEES f 29.50
the water supply system contain a Pressure Reduction Device or Check valve? () Yes () Go (If 'Yes' then water expansion tank is required on Not Nater Task)
Inspection Record Nater Line OK
fV
GAS PIPING OK
Mechanical I clion Notes:
Oatel'a
I
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NGRK ISS ED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAI TME INFORMATION FURNISED BY ME IS TRUE A - ORRECI TO THE BEST cF MY KKOVIFDGF AND THE APPLICARIE CITY Or FERERAL NAY REQUIREMENTS MILL BE NET.
fii1HLR OR AGEHi /lt _. • f
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FIELD COPY