93-10302611
g3.X030j6
CITY 0Firstt Way South MECHANICAL PERMIT F FEDERAL WAYPERISSUED: 161/29/9366
MIT NO:
33530
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 05/28/94
ADDRESS:32619 46TH CT SW
NO.: 873218-0080
PROJECT DESCRIPTION: HVAC - INSTALL GAS HOT NATER HEATER i PIPING.
OWNER
MARY BROWN
32619 - 46TH CT SN
iEDERAL WAY NA 98023
838-9332
CONTRACTOR
NORTHWEST NATER HEATER
8201 DURANGO ST SN
TACOMA, NA NA 98499
984-6404 588-0393
NORTHNH103R2
LENDER
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 2 ft
HOOD..........:
0
0-3 HP......: 0
NEC
PRMT ISSUANCE... =
20.00
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....: 0
NEC
APPLIANCE FEES.v $
9.50
GAS HMT....: 1
WOOD 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 $
29.50
Does the Mater supply
system contain a
Pressure
Reduction Device or Check valve?
() Yes () No (If 'Yes' then rater 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 ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL -AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT ------------
_________ �-� � �--� __________ DATE
_1l -1�__ = y3
FILE COPY
NAV -24-93 DIED 14!39 N41 WATER HEATER TACOMA FAX N0, 206 588 0053 / z?z :l P. 01
r�•"
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
)X 1 TENANT NAME: --
OWNER JU
OWNER'S ADDR
DESCRIBE JCB
THE PROPERTY
IS OWNED 8Y:
SITE LOCATION
CITYG
r PAR'7NERSHIP
-
PHON
CORPORATION
:TY 1bj-' ± -"9- -•_
-OR—
I NAVE READ CHAPTER 18,27.010 RELATING TO DEFiNITiONS OF 3ENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18,27,110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
OX G CONTACT PERSON
OX 4 SEWER DISTRICT WATER DISTRICT
OX 5 ESTIMATED PROJECT COST t90_ EXISTING BUILDING VALUATION
OX S PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION -
(it necessary, please submit 3 separate page with the legal description.)
K.C. Plat Recording P
OX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 18T FLOOR— I 2ND FLOOR -
3RD FLOOR—_—1 BASEMENT.�J - DECK -JGARAGE------/--
'OX
ARAGE-J -.,'OX 8 { ! SINGLE FAMILY ( ) NEW CONSTRUCTION
( ; MULTIFAMILY (NO, OF UNITS = ._.�� EXISTING STRUCT URE TOTAL AREA OF PROPERTY SQ FT
( ) COMMERCIAL/INDUSTRIAL
M��ICAL APPLIANCES — BASIC FEE S
IDX S PLUMBING FIXTURES (including rough-ins)3NO. `WATERCLOSE�PS GAS PIPING, FEETBATHTUBS NO. --FURNACE, ELEC.— GAS -
-SHOWERS
SHOWERS ,_4 GAS HOT WATER HEATER S ��
LAVATORIEESCONVERSION BURNER S
—SINKS BOILER, SIZE — OTU $
DISHWASHERS ___.--AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER —HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET _ _UNIT HEATERS 3
URINALS __-----AIR COOLING UNITS, SIZE 3 —
DRINKING FOUNTAINS ,COMMERCIAL HOOD 3
—_SUMPS, SPRINKLER VACUUM BREAKERS OTHER 3
--DRAINS S
OTHER $
-TOTAL FIXTURES 3 ---
TOTAL MECHANICAL FEE S
CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TMJ THE BEST OF MY KNOWLEDGE
kND FURTHER THAT I AM AUTHORIZED BY THEOWNER OPTHE .ABOVE: PREMISE570 PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
,RADE.! FURTHER AGREE TOSAVE HARMLESS THE CITY OF FEDERAL WAY ASTO ANY CLAiM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
;EES INCUAREO ',N INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON. INCLUDING THE UNDERSIGNED,
%NO FILED AGAINST THE CITY 0=FEDERAL WAY, BUT ONLY WHER5 SUCH CLAIM ARISES OUT OFTHE RELIANCE OFTHE CITY, INCLUDING ITS
)FFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
)WNERIAGENT'J U�� X DATE:
Ad�•00� YIO
F FEDERAL WAY
CITY OF
MECHANICAL
PERMIT
PERMIT NO:
LD93-12
33530 First Way South
ISSUED:
ISSUED:
11/29/9366�
Federal Way, WA 98003
Buil-ding Inspection Requests 661-4140
BY:
FLF
661-4000
EXPIRES:
05/28/94
ADDRESS:32619 46TH CT SW
NO.: 873218-0080
PROJECT DESCRIPTION: HVAC - INSTALL GAS NOT NATFR HEATER & PIPING.
I
';HONER
CONTRACTOR . .. . . . . . ----
MARY BROWN
NOUNNEST WATER HEATER
32619 - 46TH 0 SN
8201 DURANGO ST SN
EDERAI NAY #A 98023
TACOMA, NA *A 984"
38-9332
984-6404 588-0393
FUEL TYPES.:GAS FAN, FEES:
GAS PIPING.- 2 ft 11000-- 0 0- hil ^ NEC PIRNT ISSNKE... 20.0
FURN000K..: 0 DUCT 1109 - - - - - - - - - -
1110 E FEES. 9.50
A
GAS ANT.-,: I NOOO 'ff"FS 0 A
le-
CONV BURNER: 0 Y 0
8811.... 0 111,19
5f ::P,
GAS DRYER—: 0 AIR-'*js, j uf
w- 4,
RANGE.. _ .... 0 4),JVF JOPP
'gift
GAS LOGS...: 0 > 10* T,
TOTAL FEES
the water supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (If les' then water expansion tank is required on Not Nater lank)
Inspection Record later Line OK mechanical Inspection
—
GAS PIPING OK , 111
Notes
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE If NO WORK IS STARTED. RESIDENTIAL A#P GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAT THE INFORMATION FURN15ED BY PIE 15 TRUE AND CORRECT TO THE REST Of 4Y XWMIEDGE AND THE APPLICABLE CITY OF fERERAt, NAY REQUIREMENTS WILL BE NET.
OWNER OR AUNT
;05
J -e
FIELD COPY