93-102488 OF
If 33130 First Way South MECHANICAL P El�;M I T PERMIT45
ISSUED: 09/30/93
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 03/29/94
ADDRESS:2714 SW 345TH PL g 3 4/da ti g g
NO. : 011460-0250
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE.
= OWNER — CONTRACTOR — LENDER
GERRY ENGELHART NORTHWEST MATER HEATER
2714 SN 345TH PL 8201 DURANGO ST SM
FEDERAL NAY NA 98023 TACOMA, NA NA 98499
956-9882 984-6404
NORTHMH103R2
11110
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD - 0 0-3 HP . 0 NEC PRMT ISSUANCE... $ 20.00
FURN<IOOK..: 1 DUCT MORK • 0 3-15 HP • 0 NEC APPLIANCE FEES.* $ 10.00
GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONY BURNER: 0 FURN>IOOK • 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 $ 30.00
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Water Tank)
• Inspection Record Mater Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK 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 MET.
OWNER OR AGENT DATE -- ° _ —
FILE COPY
CITY
F FEDRAL WAY
r 335300FirstEWay South MECHAN"ICAL PERIVIT PERMIT
D: 09/30/93 5
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 03/29/94
ADDRESS:2714 SW 345TH PL
NO. : 011460-0250
PROJECT DE_SCRIPTION:HVAC - INSTAU GAS FURNACE,
IINNER __.-,.✓.--- — CONTRt�CTOIl __.._. . t.tnv i..�_�— --r__ ,. LENDER �� ..:.�..��.,� :—. ,. . �_�__._.__.. _:
DERRY ENGELHARI 1 NORTHWEST WATER NEATER
2714 SW 345TH PL 8201 DURANGO ST SW
FEDERAL NAY NA 98023 TACOMA, MA NA 98499
956-9882 984-6404
NORTHMH103R2
NEL TYPES.:GAS FANS..........: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 it . ,? 0-3 i1". - 0 NEC PONT ISSUANCE... I 20.00
FURN(100K..: 1 DMCI WORE...... 0 -15 99. .. - +T NEC APPLIANCE FEES.t $ 10.00
GAS HMT • 0 HOOD STOVES...: 0 1S-30 RP A
CONY BURNER: 0 FURR)1001I.,...: 0 30-50 HP....: 0
OBU • 0 RISC..........: 0 Si. HP,.....: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS -
RANGE • 0 <-10,060 CEN: +:r AOJIF GR'EURP- A
GAS LOGS...: 0 > 10,004 rFR: 0 UIIu RG n
TOTAL FEES $ 30.00
_ - .-_ ..:._:..ry - :.;.mss=:'-..�..w�.- _y: 'em..- ._:_.__• ---.4_. ..-oc—_v.--»>. .__..... s-rr.:.c=.:...x:.-sr: ,,_....�..._..,..,............s..,_..____.._.._._�.:
Does the water supply systee Cihtal* a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then eater expansion tank is required on Not Water Tank)
Inspection Record Mater Line OK Mechanical Inspection '''Wes:
CAS PIPING OK Date/454f/8y /1'1
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 NE IS TRUE AND CORRECT TO ENE BEST Of MY KNORLEDGE AND THE APPLICABLE CITY Of FERERAI. NAY REQUIREMENTS MILL BE NET.
OWNER OR AGENT _' LATE
44- I
FIELD COPY (
SEP-24-03 FR[ 16:36 NW WATER HEATER TACOMA FAX NO. 206 588 0353ff�� P. 01 /
• Perm. 13Lo c " i G qS
CITY OF FEDERAL WAY -
BUILDINC PERMIT APPLICATION
—Please Print
;OX 1 TENANT NAME: ,
OWNER . (1364-1* -00' !0 SITE LOCATION 9'7P-1 L! 54a
OWNER'S ADDRESS . V J CITY_. - t a,.- —PHONE "f ,-
DESCRIBE JOB 1 f 1 1 1 il( t .rITHPROPERTY IS OWNED BY: SINGLMARRIED lr` PARTNERShIP CORPORATION -
30X 2 CONTRACTOR'S NAME D) l t )f - _T Oc k i CONTRACTOR'S REG.# MORTH-UO){103 '
Cara MUST be presen
CONTRACTOR'S ADDRESS `3 •1 11' _ 1/. tit s .SLLICITY TGLC \a PHONE `3 - etaV
EXPIRATION DATE 1 a1
-- OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS ANDSPECIALTYCONTRACTORS AND
_ CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION, --
BOX 3 CONTACT PERSON a_4_ _111. _ 1 j PHON 41==.11)
BOX 4 SEWER DISTRICT _ WATER DISTRICT _
BOX 5 ESTIMATED PROJECT COST L., (PC)0 EXISTING BUILDING VALUATION _
BOX 6 PROPERTY TAX ACCOUNT NUMBER . a1 1 • )--s- 5C) --
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—..___J BASEMENT_I___... _— DECK-.. /_____ GARAGE __- /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SO FT
•
BOX 9 PLUMBING FIXTURES (including rough-ins) MECI1 G L APPLIANCES — BASIC FEE$
NO. - WATERCLOSETS GAS PIPING, FEET � $
BATHTUBS NO._ 1. 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 CODLING UNITS, SIZE $
DRINKING FOUNTAINS . -.-COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER . $
_DRAINS - _ $
OTHER- - . -� ._ $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE 3
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED AY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISESTO 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.
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OWNER/AGENT: _ w - / DATE: " -f — _
-- - - ANhOO.3/0O