93-103076 i ".3
93- lata ?f
CITY OF FEDERAL WAY MECHANICAL PERMIT PERISIT NO:SUED: 62 /06/9388
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 06/04/94
ADDRESS:822 S 308TH ST
NO_ : 174500-0210
PROJECT DESCRIPTION:HYAC - INSTALL GAS FURNACE
OMNER CONTRACTOR .=LENDER
THOM DIETRICH NORTHWEST MATER NEATER
822 S 308TH ST 8201 DUININ60 ST SN
FEDERAL NAY NA 98003 TACOMA, NA NA 98499
29-0471 984-6404 588-0393
10141018312
FUEL TYPES.:GAS FANS • 0 10111 R FEES:
GAS PIPING.: 0 ft HOOD ..: 0 0-3 UP......: NEC PRNT ISSUANCE... S 20.00
FURN(100L,.: 1 DUCT NORK.....:. 0 41•15 HP. 0 F4 3PPLIANCE FEES.* $ 10.00
GAS NIT • 0 WOOD STDYES ..: 0,; 15-30NP..... 0
CONY BURNER: 0 FUMA)100t:...,: 0 30-50 HP...,.: "0 .rtv
810 • 0 MISC. 0 '5 M .....,: 0 .#x €, H ,
GAS DRYER..: 0 AIR HANDLING UNITS #UEt,TORS-----
RANGE
INES-- - ••-RANGE • 0 (:10,000 CSS,,0 ABO; WOW .0 1
GAS LOGS...: 0 > 10,000 09: 0. 1/00180810.: 0
TOTAL FEES $ 30.00
esthe eater supply system contain a Pressers Reduction Device or Check valve? 0 Yes () No (If 'Yes' then eater expansion tank is required on Not Nater Tank)
Inspection Record later Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORE IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY NE IS TRUE , .i CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS MILL BE NET.
OWNER OR AGENT ,ir ..,-, DATE 4-27/4 f)
ALE COPY
9 - Jo 2A•
k CITY OF FEDERAL WAY MECHANTICAL P PERMIT NO:
BLD93- 8t
ISSUED: 933530 Fir_ t Way South
Federal Way, WA 98003 Building Inspection Requests 6t 40 BY: FC
661-4000 EXPIRES: 06/44/94
ADDRESS:822 S 308TH ST
NO_ : 174500-0210
PROJECT DESCRIPTION:PAC - INSTALL GAS FURNACE
OWNER -_._ _..• .._._�_. -_. - CUNTRACTDR . .,—,�.....4..... m
lTHOR DIETRICH NORTHWEST MATER NEATER
822 S 308TH ST 8201 flURANGO ST SW
LEDERA, WAY NA 98003 TACOMA, WA WA 98499
529-0411 984-6404 588-0393
NORIA 3 z
FUEL TYPES.:GAS FANS......... 8 BO ERS N �' FEES:
GAS PIPING.: 0 ft HOOD .: '0 0-3 .... 'fi NEC PRAT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT YORK......;: 0 E5 .. 4 t d E FEES.$ $ 10.00
GAS NMT • 0 $000 STOVES. .: 0 15-30HP ...: t7' p.,� , ��
CONY BURNER: 0 FURA40 `i..**.: 0: 30 50 HP 1 7
_ y "�
BBQ..., 0 MISC..�<...�... 4 ' H �....4.. . ,'� -, � _ � r ��re.�
GAS DRYER..: 0 AM OA�IN1 IIT , U ,-T*NKS -----
RANGE. .. • 0 <:IO FH;y 0 ` 0 i,
GAS LOGS...: 0 > 10000`,,o r 90"°*!.: 0
IOTAL fEES $ 39.00
- w.-.. ._... _
_
s the water supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Nater Tank)
Inspection Record Water Line OK rhanical Inspection Notes: _______________ ______________________
•
GAS PIPING fli.14- -�s3(> te ,Z,2l'�i
_ .__ -------....aa -.,..7M-,7.61. ....V_. .. ... .= ..._..�..._,.._:__�,__..__ ___.._ __.;
PERMITS EXPIRE IS0 DAYS AFTER ISSUANCE. IF NO WORK IS STARTED. RESIDENTIAL AND GING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAI INE INFORMATION FURNISED BY ME IS TRUE CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY Of FERERAL MAY REQUIRENrWTS MILL BE MET
Y /�
OWNER OR AGENT f� . _ 4%J---- TE 14
r /rift /cl
I ,
FIELD COPY
DEC- 3-93 FRC 10:37 NW WATER HEATER TACOMA FAX NO, 206 68_0363+I *mile P. 01
fl t3`-f2e k.
ITY OF FEDERAL WAY f
BUILDING PERMIT APPLICATION �!
•-Ploase Print--
"; TENANT NAME: .�."�
IX
OWNER L ir'+:,. ' . SITE LOCATION S.. 36'. 4.. •
OWNER'S ADDRESS T . Millk• CFTY, -� • PHON _. - C
DESCRIBE JOB __ a ,4 I L I
THE PROPERTY IS OWNED BY: INGLE ARMED _ v .PARTNERSHIP .�,CORPORATION,_..
'X 2 CONTRACTOR'S NAME a,, I.I) 11_(�, La,,, Sa�a, CONTRACTOR'S REG.# !! ., �.
a e preIsented
CONTRACTOR'S ADDRESS c 0 t QXJ�!'�C1JTA at"S4`'ICITY_,TO-C Y'Q PHCNE c$ -LQ�o IJ.�
EXPIRATION DATE 2 . - w _
--OR w-
I HAVE READ CHAPTER 18.27,010 RELATING TO DEFINITIONS OFGENERALCONTRACTQRS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27,110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION,
X 3 CONTACT PERSON * . . M ! ► l L .� PHON *MM.
X 4 SEWER DISTRICT _ . WATER DISTRICT
X 5 ESTIMATED PROJECT COST -.31_95/0..,____ EXISTING BUILDING VALUATION
X 6 PROPERTY TAX ACCOUNT NUMBER = - O i _
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal descrl;tion,)
K.C. Plat Recordin #
X T SLALOM SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR__./I 2ND FLOOR _,_•_/________
3RD FLOOR t BASEMENT r.. DECK" .___./ . GARAGE_..,..
X 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
X G PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES-- BASIC FEE$
NO. ..�,.WATERCLOSETS GAS PIPING,FEET $ _
BATHTUBS NO. 1 FURNACE, ELEC. GAS $ _ _
_SHOWERS GAS HOT WATER HEATER 5
LAVATORIES CONVERSION BURNER $
- ...SINKS BOILER,SIZE,.. . w BTU $
_DISHWASHERS LIAIR 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, . _________.._. _ $
DRAINS _ $ _`
OTHER _ $
TOTAL FIXTURES $ -___---
TOTAL MECHANICAL FEE i
EFITI FY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
0 FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
,OE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY ASIC ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS
SS INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON,INCLUDING THE UNDERSIGNED,
O FILED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES CUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
=ICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
kJ
TIER/AGENT: 1 L t I / DATE: -
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