94-100807•
CITY FEDERAL
335300Fi First Jay South MECHANICAL PERMIT
Federal Way, WA 95003 Building Inspection Requests 661-4140
661-4000
ADDRESS:32811 28TH AVE SW
NO.: 894520-0650
PROJECT DESCRIPTION: HVAC - INSTALL GAS FURNACE AND GAS WATER HEATER
OWNER CONTRACTOR LENDER
KURT WESTERDAHL AMERICAN HEATING SERVICES INC.-
32811
NC:32811 28TH AVE SW 7503 PORTLAND AVE STE.IB
FEDERAL WAY NA 9BO23 TACOMA WA 98404
874-3418 539-1702
AMERIHS083M5
CI y.10 0 k6 7
PERMIT NO: BL_D94-0339
ISSUED: 05/11/94
BY: FC
EXPIRES: 11/07/94
FUEL TYPES.:GAS ?
FANS..........:
0
80T'ERSICO�PRESSORS
"-
FEES:
GAS PIPING.: 2 ft
FURN<100K..: 1
HOOD.........,:
DUCT MORK.....-
0
0
3 P 0
15 i}
., ��� � 1
r°
M€C Dam ISSUANCE...
1P�ANCE FEES.*
20.00
t 19.50
GAS HOT....: 1
WOOD STOVE" ... :
0
,�
:5 30 -P..... J
�
..
.
CONV BURNER: 0
F0RN>100K.....:
0
30-50 y�.... ;
BBQ........: 0
RISC.... .....:
0
5* HP..... 0
GAS DRYER..: 0
AIR HANDLIRsa UNITS
FUEL TANKS ---------
RANGE ...... : 0
'-10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...: 0
> 10,000 i;FM:
0
UNDERGROUND.: 0
TOTAL FEES
E 39.50
Does the water supply
system contain a
Pressure
Reduction Device or Check valve?
0 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
I CERTIFY THAT THE INFONKT—IOLMAISEI
r OWNER OR AGENT
IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
FILE COPY
DATE'=11___ 'I ---
A 0
5318E-96 P.02
toe rrf&tf
IATY OF FEDERAL WAY ���u-o���
BUILDING PERMIT APPLICATION
Please Print —
ROX i I RNANT NAME:
r:bA Iq _SITE LC AT OWNER I .j
I ., 1 P
OWNER'S ADDRES CITY HO
DESCRa Joe
THE PAOPFRTY 115 OWNED BY: SINIGLFiMARRIEO PARTNcpsHip CORPORATION
8 - OX 2 04TRACTOR'S NAME/?/ 1c, iNTRACT OR'$ REG,
card MUB f pro5finted
-2
CONTPACTQR'S ADDRESS —A
EXPIRATION DAIE 72 —
OR -
1 HAVE READ CHAPTER 18.27,010 RELATING TO GErrI)T ION'S OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 10,27.110 WH! CH PRONI91 TS ISSUING PERM WITPOUT PROOF OF RLGI,STRAT ION,
S CoNTACT PERSQN?MONA
WX 4 $EVIER UISTRIC"T W T>wFl DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING SUILOM9 VALUATION
go?( 6 PAQPERTY TAX ACCOUNT NUMBE
LEGAL DESCAjIFTION
(1 Fneces's?;ry, pIC&SM �UbMlt a separate page With the 1001 dogoription)
K.G. Plat Recordliltd, #1
OU 7 BUILDING SQUARE FOOT AGE, (ExI.Aling/Proposed) I$T FL00R___J__ 2ND FLOOR
GARAGE --J..
BOX 8 SINGLE FAMILY NEW GONSTALICTION
MULTIFAMILY (NO. OF UNITS EXISTING STRUCTURE
COMMERCIALIINDUSTRIAL' TOTAL AREA CPPAOPERTY FT
BOX 9 P1L. UMBING FIXTURES (including rough -IAS) MECHAN�JAL APPLIANCES — BASK FEE
W. FEET $
NO ...... -WATSACLOSETS 13AS PIP!j
----.--BATHTUBS NO, I FURNACE, ELEC,—.-- GAS
__.—SHOWERS --=GAS HOT WATER HEATER $
_--i'AVATORIES CONVERSION BURNER
slNxs —BOILER. SIZE __ BTU
_A'R HANDLING UNITS
--ELECTRIC HOT WATER HEAT , I --NEAT PUMPS, SIZE
WASHER OUTLET UNIT HEATER'; S
---URINALS -A:;Ft COOLING UNITS, SIZ5
__01INKING FOUNTAINS _GakAMERCIAL HOOD
----SUMPS' SPRINKLER VACUUM 3REAKERS -----OTHER
_UTH E19
---TOTAL FIXTURES
TO -TM. MECHANICAL FEE
I
SHED BY KAEISTflijQ ANIOGOARECTTOTHE RESTOF mY KNOWLEDGE
CZATIPY UNO�R PENALTY Of Plr'RJURY TRAT THE INFORN`iATIONI FURN
OWNEROFTHE ABOVE PREMISES TO P511FORMTHu WORK FOR WHICH PERMIT APPLICATION IS
NjAoeI FURTHER A.0E-t 10 SAVEHARMLESS THE CITY OF FEDFRALWAY ASTI)ANYCLAINA, (INC LCIDING COSTS, EXPENErzS; ANDKI-TURNEYS,
FEES INCURRED IN INVESTIGATION AND DEFENS9 OF S1.110H CLAiM), WHICH MAY BE MADE BY ANY PIERSON, INCLUDING THE UNDEP61GNED,
AND FILED AGAINST THE CITY OF FI DCRAL WAY, I;IJT ONLY WHERE SUGH CLAIM ARISESOtj OF THE RELIANCE OF THE CITY, INCLUDING 118
OFF'tCERS ANDAMPI OYES$, UPON THL ACCURAGY OF THE IN50RIMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION,
eWNM/AGENT:1j: DATE:
ANVM 140
IX53°Fra
EERL WAY30ist Wy South MECHAN ICAL PERMIT
`Federal Way, WA 98003 Building Inspection Requests 661-4140
`661-4000
ADDRESS:32811 28TH AVE SW
NO.: 894520-0650
PROJECT DESCRIPTION :HVAC - INSTALL GAS FURNACE AND GAS WATER HEATER
OWNER CONTRACTOR __--
KURT NESTERDAHL AMERICAN HEATING SERVICES INC.
32811 28TH AVE SN 7503 PORTLAND AVE STEAB
FEDERAI, KAY NA 98CI23 TAM *A 98404
874-3418 549-
i44RINS408A
FUEL TYPES.:GAS '
GAS PIPING.: 2 ft
f URN(1001. .: I
GAS NWT....: t
CONV BUPNER: 0
884........: 0
GAS DRYER.,: 0
RANGE....... 0
GAS LOGS...: 0
FANS... 0
A I P"I"NA FtlAw,"UR I
4
0
A
UNDERGROUND.: 0
LENDER
PERMIT NO: BLD94-0339
ISSUED: 05/11/94
BY: FC
EXPIRES: 11/07/94
..ISSUANCE._. B 20,00
; Tw
NCZ FEES 19.50
jl:R_
TOTAL FEES S 39. SO
Does the vater supply systes contain a Pressure Reduction Devic- or Check valve? Yes No (If 'Yes' then rater expansion tank is required on Not later link)
Inspection Record Water Line 0 Heti;,, 4 d , tes:
GAS PIPING OK - Ak -1 031 6)
PERMITS EXPIRE 180 DAYS AFTER ISSUANCElj-.IW WORK IS STARTED. RESIDENTIAL AND GRADING PFRNITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE,
I CERTIFY THAT THE INF TIO
NANISE((BYRE IS TRUE AND CORRECT 10 THE BEST Of MY XNONUDGE AND THE APPLICABLE CITY Of FERIERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT 1, A T E
FIELD COPY
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