94-100408MIT NO:
33S30OCITY F EWay South MECHANICAL PERMIT RAL WAYPERISSUED: 02/28/9455
Firstt
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 08/27/94
ADDRESS:31518 41ST AVE SW
NO.: 873198-2460
PROJECT DESCRIPTION: HVAC - INSTnLL GAS HOT WATER HEATER.
OWNER --
BRUCE HUBBARD
31518 - 41ST AVE SW
FEDERAL WAY WA 98023
814-2786
CONTRACTOR
WASHINGTON NATURAL GAS
3130 S 38TH ST
P 0 BOX 11066 TAC WA 98411
TACOMA WA 98405
475-6700
VASHING285CB
LENDER
FUEL TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 0 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
$ 6.50
GAS HNT....: 1
HOOD 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
$ 26.50
Does the coater supply
systes contain a
Pressure
Reduction Device or Check valve?
{) Yes O No (If 'Yes' then coater expansion tank is required
on Not Nater Tank)
Inspection Record
Water Line OK
Mechanical inspection Notes:
GAS PIPING OK _
Date __ By
PERMITS EXPIRE 180 DAYS AFTER ISSUAkC1f WO WORK S STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FU BYWESUE AND ORR CT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CCITTYY OOf FERERAL WAY REQUIREMENTS KILL BE MET.
OWNER OR AGENT ---- ----------- --------------------------------------- DATE ---�------------ix
FILE COPY
02/28/94 09: 38 lJ. N. 8 TAC_CNA EXEC. IW I I fi 473-9415 002
Permit #�
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
�- Memo Print --
BOX 1 TENANT NAM
OWNER . SITE LOCATION
OWNER'S ADDRESS, fi _
DESCRI8E JOB _^G . -2fi c�'r�+ ' e &-I=r.t
THE PROPERTY IS O MED BY, SINGE JM1ARRIED_.,,,._k PARTNE9SHll;'-_-- _ C,013PORATION_— .
BOX 2 CONTRACTOR'S NAME �f ;r`, _>4 ^:, ,:.,' r � ...��'�.�' — CONTRACTOR'S SEG. #A`_������'�,�
Gard MUST he presented
CONTRACTOR'$ ADDRESS ( >4 CITY,_ ,(�_ 12' ____ PHojI r-
EXPIRATION DATE
�OR—
IHAVE114CADCHAPTER t$?.,7.010 RELATING TODFFINITiONSOf GENERALGON7RACTGR5AND SPEC IALTYCON TRACTORS AND
CHAPTER 13.27.t1�3 WHICH PtROHiBITS i`5SUING PERMITS WITHOUT PROOF OF REGISTRATION.
noxoNTAr;T RI:I?saN_ " 7 ' � (3 _— _ pHUNEo?�
BOX 4 E;5V1°EF1 IIS'IPIG7..,...,- _ WATcR DISTRICT.-
_BOk s ESTIMATED_PROjECT COST _—_ EXISTING! BUILDING, VALUATION
BOX'S PROPERTY TAX ACCOUNT NUMBER—
LEGAL
UMBER—LEGAL DESCRIPTION --
(If necessary, please sub, -nit a separate page with tine legal description.)
N.C. Plat Recording #
BCX7 BUILDING SQUARE FOOTAGE' (Existing/Proposed) 15T FL00ti !_ 2ND FLOOR
3RD FLOOR-_.. _ BASEMEN�/ DECK_ . J— GARAGE__... _/
BOX S (L-)- SINGLE FAMILY
I ) NEW CONSTRUCTION
f } MULTIFAMILY (140. OF UNITS = _ )
( EXISTING STRUCTURE
_ ( } COMMERCIAL/INDUSTRIAL
10TAL AREA OF PROPERTY
BOX 9 PLUMBING FiXTURE:S (inClu;ding rotgh-ins)
� MECHANICAL. APPLIANCES -- BASIC FEE $+
��=%.<�
NO, _WATERCL03ET5
GAS PIPING, FEET$
-_.__.._BATHTUBS
NO. FURNACE, E:LEV, GAS_—,.__
$
_. _.-SHOWERS
._,GAS HOT WATER HEATER
$
___LAV,AT0f9iE3
CONVERSION BURNER
aINKS
-- BOILER, SIZE __ _ B' U
$
_--
___DISI,WASi#ERS
AIR HANDLING UNITS
$
__— Eii CTPIG HOT WATER HEATER
—,-...,.,.,_,HEAT PUMPS, SIZE
$
-_LAUNDRY WASHER OUTLET
_ UNIT HEATERS
-.--URINALS
--_AIR COOLING UNITS, SIZE _ —
$
—DRINKING FOUNTA;NS
�._CpMMERGIAL HOOD
$
___. SUMPS, SPRINKLER VACUUM BREAKERS
_,..OTHER---__� , �
$
DRAINS
- — --- - --
— $
--
- -_OTHER - ..-� _— —.
------
—
.-- -.__TOTAI. FIXTURB—
S
TOTAL MECHANICAL FEE
S
i CER" IFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED 9Y ME 13 TRUE AND CORRECT TO THE BEST OF MY KNOVILEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLIGATiON IS
MADE. IFURTHERAGREE TOSA'/E HARMLESS THE CI TY OF FEDERAL WAY AST'0ANY CLAIM (INCLUDING COSTS, EXPENSES, ANU ATTnNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING T;',E UNDERSIGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT +OF THF RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, PPOP THE ACCURAr-Y OF Ttik INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
DWNER/AGENT: fs_J_i t,A aATE..
CITY
F FEDERAL WAY
335300First Way South MECH-A-NICAL PERMIT
Federal Way, WA 98003 Building Inspec;tiori Requests 661-4140
661-4000
ADDRESS:31518 41ST AVE: SW
NO.: 873198-2460
PROJECT DESCRIPTION:NYAC - INSTAtt GAS HUT NATER NEATER.
OWNER
BRUCE HUBBARD
31519 - 41ST AVE SN
fEDERAI. NAY NA 98023
874-2786
FUEL TYPES.:GAS
GAS PIPING.: 0 ft
FURN000X..: 0
GAS NNT..... i
CONY BURNER: 0
880......... 0
GAS DRYER..: 0
RANGE......: 0
GAS LAGS...: 0
FANS..........:
NODD..... ,... a
DUCT WiP;' r:
AIR #ASM IWe. 41111
CONTRACTOR _ -
WASHINGTON NATURAL 6AS
3130 S 38TH St
P O 8OY 11066 TAC NA 98411
TACOMA NA 98405
475-6700
fir. R
-W ' 0
�+ E.P. ....
Fb TAN!., _
e �sdyf a ROVIW* - 11, i�
don[RURtkItu,. u
LEDER
PERMIT NO: BL.D94-0155
ISSUED: 02/28/94
BY: FC
EXPIRES: 08/27/94
TOTAL FEES26.50
dies the water supply
GAS
system contain a
Pressure Reduction Device or Check valve?
() Yes () No (If 'Yes' then water expansion
bank is required on Hot Nater Tank)
Inspection Record
Nater line OK
Mechanical Inspection Notes:
_T( 3. Z���
—
-<--
GAS PIPING OX Date By
PERMITS EXPTRE 180 DAYS AFTER ISS NCE It NO NORX STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUAKE .
I CERTIFY THAT THE 1NfORMATIOM EU IS By MA�S�f E AND ORR T TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY Of fERERAL NAY REWIIREMENTS MILL BE NET.
OWNER OR A6EM1 DATE qL
-------------------------
FIELD COPY