93-102826g3-loa8a-�
CITY 0Firstt Way South MECHANICAL P F FEDERAL WAYPERISSUED: 1MIT NO:11/04/9396
33530
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/03/94
ADDRESS:31308 41ST PL SW
NO.: 873199-0720
PROJECT DESCRIPTION :HVAC - (2) FIREPLACES 6 PIPING
OWNER
LEA CARAWAN
31308 CST PL SW
FEDERAL WAY WA 98023
838-0223
CONTRACTOR
NORDIC HEATING, INC.
3401 C ST. NW BAY 1
AUBURN WA 98002
931-0503
NORDIHI099BJ
LENDER
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 40 ft
HOOD..........:
0
0-3 HP......: 0
MEC PRMT ISSUANCE... $
20.00
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....: 0
MEC APPLIANCE FEES.* t
16.00
GAS HWT.... : 0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER: 0
FURN>1OOK.....:
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...: 2
> 10,000 CFM:
0
UNDERGROUND.: 0
TOTAL FEES $
36.00
Does the water supply
system contain a
Pressure
Reduction Device or Check valve? () Yes () No (If
'Yes' then water expansion tank is required on Hat
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 FURNISED 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 AG _ E — t
--------------------------------------------------
q
FILE COPY
Perro# ��� 3'' ����A 3
CITY. OF FEDERAL WAY
BUILDING PERMIT APPLICATION - L,
— Please Print — 41/V 0114)
BOX 1 TENANT NAME:
OWNER ke,& - AV, 4AWA SITE LOCATION `' 4-15-2 7L . "
OWNER'S ADDRESS 3/:' 41 ! rrPAL <'04' CITY f -'c ilegccI 1Y PHONE LlYa,)-3
DESCRIBE JOB Cc .4.S P; a e– GQ,) t r E r� laC w
THE PROPERTY IS OWNED BY: SINGLE/MARRIED hiAre oro_ 1:�k_ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 1-44' P A i C 14 4 (— CONTRACTOR'S REG. # A11'P° 11t't) `1 c1 87
A II Card MUST be presented
CONTRACTOR'S ADDRESSA/C–l�c�"+, / CITY AkbQ,u PHONE 2 3
EXPIRATION DATE
—OR—
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. _
BOX 3 CONTACT PERSON ibi'Ck d 1, 11PHONE
BOX 4 SEWER DISTRICT _ WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER SIf l �>
LEGAL DESCRIPTION
(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 -------J-- GARAGE /
BOX 8 ( ) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS = )
( ) COMM ERCIALANDUSTRIAL
( ) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY
SO FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES
— BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET 40
$
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 CAS
DRAINS
$ _
_OTHER _
_
$
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 OFFEDERAL 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
DFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
DWNER/AGENT: _ 7;1(` DATE:
ANP -008 3/90
CITY OF FEDERAL WAY MECHANICAL33530 First Way South PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:31308 41ST PL SW
NO.: 873199--0720
PROJECT DESCRIPTION: HVAC - (2) FIREPLACES 6 PIPING
OWNER
LEA CARAVAN
31308 41ST PL SV
FEDERAL WAY WA 98023
838-0223
FUEL TYPES.:GAS
GAS PIPING.: 40 ft
FURN<104K— : 0
GAS HVT....: 0
CORY BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 2
CONTRACTOR --T=
NORDIC HEATING, INC.
3401 C ST. NV BAY 1
AUBURN WA 98002
931-0§03
LENDER
FEES:
PERMIT NO: BLD93-1196
ISSUED: 11/04/93
BY: FC
EXPIRES: 05/03/94
PRMT ISSUANCE... # 20.00
WE FEES.$ K 16.00
��t"L FEES 35.Gv
roes the rater supply system contain a Fressure Reduction Device or Check valve? (i Yes i+ No (if 'Yes' -41 ft water a pa cion tank is required on Hot Water Tank)
Inspection Record Nater Line OK Mechanical Inspection Notes: _ �\
Ad
GAS PIPING OK/ Date/%y�Y . A
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 FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL 8E MET.
OWNER iR AGEy; ------------ ------ - T`
�L
FIELD COPY ` IM
FANS......
HOOD...........
0
DUCT WORK.....'
N00� SI�IIES,,..
i� 1
O
AIR #Aptil t III
P
> i9,Qi1 CTS: "
UNi�,rhL'
LENDER
FEES:
PERMIT NO: BLD93-1196
ISSUED: 11/04/93
BY: FC
EXPIRES: 05/03/94
PRMT ISSUANCE... # 20.00
WE FEES.$ K 16.00
��t"L FEES 35.Gv
roes the rater supply system contain a Fressure Reduction Device or Check valve? (i Yes i+ No (if 'Yes' -41 ft water a pa cion tank is required on Hot Water Tank)
Inspection Record Nater Line OK Mechanical Inspection Notes: _ �\
Ad
GAS PIPING OK/ Date/%y�Y . A
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 FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL 8E MET.
OWNER iR AGEy; ------------ ------ - T`
�L
FIELD COPY ` IM