94-100528 9y-loo 5.28
CITY 335300F FEDERAL WAY Firstt Way South MECHANICAL PERMIT PERMIT
ISSUED: 03/23/9416
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 09/19/94
ADDRESS:32517 40TH CT SW
NO. : 873196-0070
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE
OWNER - CONTRACTOR - t LENDER
If,
RONALD MOE NORTHWEST WATER HEATER
32517 - 40TH CT SN 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
874-4674 984-6404
NORTHWH103R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 35 ft HOOD • 0 0-3 HP 0 NEC PRNT ISSUANCE... $ 20.00
FURN<IOOK..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APP'.IANCE FEES.* $ 13.00
GAS HNT....: 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP • 0
BBQ • 0 RISC • 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 $ 33.00
Toes the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then pater expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
L
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 , IN)IRMATION URNISED 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 AGEN. /\1/ DATE 2J -411/
FILE COPY
.... . IT
C.' OF FEDERAL WAY 0 Pi( .J(/60
BUILDING PERMIT APPLICATION
—Pfease Print— •
TENANT NAME:
OWNER MOIMI. . %e SITE LOCATION ' siummir :fi
OWNER'S ADDRESS "A-' • CITY F. LU PHON Z 7 '
DESCRIBE JOB v1<,-\-l& CCL) .L.I tn'tel
THE PROPERTY IS OWNED BY: St'NGLE/MARRIED PARTNERSHIP CORPORATION
CONTRACTOR'S NAME Nli.l) ( 1)(I pil (2k CONTRACTOR'S REG. # NioRTEL411M 16)3RQ
_ Card MUST be presented�/
CONTRACTOR'S ADDRESS S O\ Q� (LYY
LS1IOOc1 S-SLCCITY (6�'.6Q(Y� PHONE � L-' 7
' o
EXPIRATION DATE • to 91-i__
— 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.
CT I CONTACT PERSON 1,U'L.,Q _v-_ 0.rUi--Q-0 PHONE qt-I - C?L/O
SEWER DISTRICT WATER DISTRICT
i ESTIMATED PROJECT COST 11 EXISTING BUILDING VALUATION
5 PROPERTY TAX ACCOUNT NUMBER 1 `.(1-3 19LPOC)'}Q
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
3 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
3 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET m $
BATHTUBS NO. I FURNACE, ELEC. GAS k- S
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 S
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL H000 $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS S
OTHER $
TOTAL FIXTURES S
TOTAL MECHANICAL FEE $
ITIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
E.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
i INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
CERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
IERIAT 1T: ftJl x DATE: 3J
I " f
AIN-OO 3190
9 y�4o1J5oB'
CITY OF FEDERAL WAY MECHANICAL PERIVIIT PERISSUED: 03/23/9416
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 09/19/94
ADDRESS:32517 40TH CT SW
NO. : 873196-0070
PROJECT DESCRI PT I ON:HYAC - INSTALL GAS FURNACE
—OWNER ........ - CONTRACTOR
RONALD NOE NORTHWEST NATER HEATER
32511 - 40TH CI SW 8701 0UfiAMO ST SW
EDERAI. NAY NA 98023 TACOMA, WA NA 98499
874-4674 984-6404
unouvilotel
FUEL. TYPES.:GAS ? FANS ..„. P4l ii•Iit to f�'144.) x,3 1 FEES:
GAS PIPING.: 35 ft HOOD ..X 0 i NE PANT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT ISIS ►
. 15 . ... E FEES. $ 13.00
GAS INIT 0 141004 =' , ' ` 3 I' A1 , : Z' t 3
CONY BURNER: 0 fINRN� , � : d -5con ... . "
BBQ - 0 N ' w_
GAS DRYER..: 0 AIR l a S',
N'a.-
RANGE ' 0 <-..i '
r w E � ND'
GAS LOGS...: 0 1001s ' �� 'ERG +' I.
r ''f----,--,-,-21'
: u TOTAL FEES ! 33.00
,4 ' a
...,.......................m.-......--.1=,--- .__._.- , _ _=- .— age.....�. - _ . ........._u.....___.. _-_.........._..-.Y._...._....�.,__-. ._,.........
Does the water supply systes contain a Pressure Reduction Dev ,.+r Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Water lank)
Inspection Record Water Line OK _ ______ Mechani= ,1 tion Notes:
GAS PIPING OK l..p�
J _ - `- cp/ ,
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
1 CERTIFY THAI E IM RMATION UNUSED BY ME IS TRUE AND CORRECT TO THE BEST Of NY KNOWLEDGE AND THE APPLICABLE CITY Of FERERAL NAY REOUIPENENTS MILL BE $
OWNER OR WIEN <1/ - ('ATE ..2 3 {
L
\ P7\ -----
0 JKL--
FIELD COPY