93-102586 F
RAL
MIT
335300FirstEWay Sout�, MECHANICAL PERMIT PER ISSUED: 100/159383
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/13/94
ADDRESS:3611 SW 328TH PL
NO. : 873213-1020
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE.
r OWNER CONTRACTOR LENDER
RAY GERVAIS NORTHWEST WATER HEATER
3611 SW 328TH PL 8201 DURANGO ST SW
FEDERAL MAY NA 98023 TACOMA, WA NA 98499
• 838-7652 984-6404 588-0393
NORTHWHIO3R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 NEC PRMT ISSUANCE$;f I 15.00
FURN<IOOK..: 1 DUCT WORK • 0 3-15 HP • 0 NEC APPLIANCE
GAS NMT • 0 MOOD 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 systes contain a Pressure Reduction Device or Check valve? () 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 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 NY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ' DATE
FILE COPY
CITY OF FEDERAL WAY MECI-IANICAL PERIVIT PERMSSU NO:D: 10L/15/90E33
33530 First Way South
Federal Way, WA 98003 building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/13/94
ADDRESS:3611 SW 328TH PL
AO. : 873213-1020
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE.
[OMR _- .,._ __ _ CONTRACTOR -_--_--,_-..---..__,.--.-__—:- -- r LENDER r. -.,------:=------ ------------------
RAY GERVAIS NORTHWEST MATER HEATER
3611 SW 32811$ PL 8201 DURANGO ST SW
FEDERAL MAY WA 98023 TACOMA, WA NA 98499
838-7652 984-6404 588-0393
NORTM111103R2
aw
FUEL TYPES.:GAS FAits.. - . : O p i FEES:
�� �g��p ill qp
FURNGAS <100KK...: 10 ft DUCT WORK ... 0 = •MP 0 NEC IIIAMCE 5.4 O:CO
CppS� • 0 WOOD STOVES.. . 0 0 0P... . 0
ONY RNER: 0 FURN>10OK.... : 0 ��.
BBQ • 0 MI i.-_ _ ,#-
GAS DRYER..: 0 Atf, r€iifrL iel, dwii; � 1k,1_..._. ...
RANGE • 0 <zit) OOt i.e n`. +0 1L GROW: 0 1 4
44,
aa�^�_� .gym.
GAS LOGS0 "-31+0, m) ,m: 1 ' u
TOTAL FEES 1 30.00
a '''', ,� -€- a t wC a g. ,�a
34 'u0` „:k ,$4 \ ^*,' ”. K �
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Does the water supply system ci aPtifil.1 Redu tion Device or Check valve? () Yes () No (If 'Yes' then rater expansion tank is required on Not Mater Tank)
0 Inspection Record Water Line OK flee nical Inspection Notes:
GAS PIPING OK Date By
f . „ ......, _ ---]
;,_ ' 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 FURAISED BY ME IS TRUE AND CORRECT 10 THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS MILL BE MET.
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OWNER OR AGENT - ./""" '"--1°.' /r ' EriT_ ��
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OCT-i1-93 MON 11 :53 NW WATER HEATER TACOMA FAX NO, 206 588 0353 P, 03
0 per. Iv i3O'l)" I__ ,
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—please Prink---
,
BOX 1 TENANT AME; V, V\
OWNER . I . _* 4 SITE LOCATION ti. - —
OWNER'S ADDPE s I - • -`* CITY . L&� : ��
DESCRIBE JOB )1.(1 C ,s .0 PHON' •i�tfi — S
THE PROPERTY IS OVAED BY: SIN • E/MARR!'D !" —PARTNERSRIP __. CORPORATION. .
------------
BOX 2 CONTRACTOR'S NAME fi.!` d i I _ _ CONTRACTOR'S REG, # 7 -sir}i4laa2cD
.,ard 11`UST�bepreser.ted
CONTRACTOR'S ADORE'S 6 AO E C>. 2 . �. :y.S4-u/CiTY OYN PHONE cl`3�'t4 r
EXPIRATION DATE "! `
— DR--
I HAVE READ CHAPTER 18,27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.1 1s0 WHICH PROHIBITS ISSUING PERMITS WITHOJT PROOF OF REGISTRATION.
$OX 3 CONTACT, PERS .r.�
ON n "l._. _PHONE. .dlI
BOX 4 SEWER DISTRICT ______ — — WATER DISTRICT _ _
AOX 5 ESTIMATED P90,1ECT COST ? ,+D EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 9,331`. - O. _ �`m �
LEGAL DESCRIPTION _ •
(If necessary, please submit a separate page with the Lel al des:riDtion.)
- K.O. Plat Recoding #
E 0X 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOUR_. i_.____ 2NO FLOOR 1
3RD FLOOR / BASEMENT----1 DECK__._I GARAGE /
BOX 5 ( ) SINGLE FAN)!IX ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NC. OF UNITS 47, ,.._. ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY _SC FT
BOX g PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET j.QV_ $ _
BATHTU6S NO. . FURNACE, ELEC. — GAS)( 5 __,---
_._.SHOWERs GAS HOT WATER HEATER S
LAVATORIES — _CONVERSID' BURNER $
_^.SINKS BOILER, SIZE ETU $ _
__DISHWASHEPS Alf! HANDLING UNITS 5
_ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE_ $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR AIR C00LNG UNITS, SIZE $
DRINKING FOU'NT'AINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ _
— _` DRAINS $
_OTHEF. $
TOTAL FIXTURES - $
TOTAL ty1EOHAN?CAL FEE $
PCEHTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED 6Y ME IS TRUE AND CORREC T TO THE BEST OF MY KNOWLEDGE
4NDFURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMITAPPL1CATIUN IS
MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
'EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
A:ND 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.
OWNER/AGENT: �. J _ 1-112..A.it .D.,P DATE: E- 1 . __
•• AM►.00(3,90