93-102622 CITY OF FEDERAL WAY MECHANICAL PERNIIT PER160/15/9399
' 33530 First Way South ISSUED:
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/13/94
ADDRESS:2412 S 300TH ST 0I'�"A�4' (i?' !/
NO. : 768220-0280 v
PROJECT DESCRIPTION:HVAC - INSTALL GAS HOT WATER HEATER & PIPING. a�. u 'r �
OWNER CONTRACTOR LENDERJEFF66
RSY300THESTIER NORT8201HWEST DURANGOTER ST SWAYER
2412 !
FEDERAL WAY NA 98003 TACOMA, NA NA 98499
941-2758 984-6404 588-0393
aNORTHWHIO3R2
•
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 20 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 9.50
GAS NWT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONY 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 $ 29.50
Does the water supply systea contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Water Tank)
0 Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
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 FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
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OWNER OR AGENT ',..:::::2.; :e4;;"
6�'' —�.-- �' DATE __lc_ .1 �
Ja o"35S
FILE COPY
OCT--14-93 THU 10:04 NW WATER HEATER TACOMA FAX NO. 206 588 # -70(21
_ �<<�G-30353 P. 01
Pert
CITY OF FEDERAL WAY
r
BUILDING PERMIT APPLICATION
— Please Priv;—
SOX 1 TENANT NAME,
OWNER ,-Ant el. 1u ' SITE LOCATION . -
OWNER'S ADDR~"`� .41111140 T CITY F.jkJ , PHONE 9Lfl-.(9'`--.5
DESCRIBE JOB its • (LD mar ,, `"`r_J`_ __
THE PROPERTY IS OWNED BY: SNGLE/MARRIED k--/ PARTNERSHIP_ . CORPORATION
BOX 2 CONTRACTOR'S NAME K11J I ' _au : ira_ + II. CONTRACTOR'S REG. #.NOkT ., .! 3 Q
Card MUST be presented
CONTRACTOR'S ADDRESS cidl CILLLZQ :3f S-'��ITY TC .CnY\p PHONE (:'N-(.c)44
EXPIRATION DATE 11PQ CV2I U. . .
— DR—
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,W
BOX 8 CONTACT PERSON 't.41 .aC PHON.E
BOX 4 SEWER DISTRICT —_ WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 1► 'a _ EXISTING BUILDING VALUATION _
Box fi PROPERTY TAX ACCOUNT NUMBER I . . : .► i •
LEGAL DESCRIPTION
(If neces3ary, pease susmit a separate page with the Iegl description.)
K.C. Plat Recording +
BX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR J 2ND FLOOR , -./�
3RD FLOOR_._,.) BASEMENT.._____./ DECK 1 GARAGE_,J
BOX a ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS ,. .) ( ) EXISTING STRUCTURE
( ) COM mERCIALJINDUSTRIAL TOTAL AREA OF PROPERTY ____ _______SC FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET ;: $
_ BATHTUBS NO. _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 $
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY 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 PERMITAPPLICATION IS
MADE.I FURTHER AGREE TO SAVE HARMLESSTHE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
LEES INCURRED IN INVEST'GATION 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 T)-E CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THEgCITY AS A PART OF THIS APPLICATION.
OWNEAIAGl:NT. `/ c 4_,Q_Art...,. , DATE: il.�'f f 7 93
AHP-OM Lb
CITY OF FEDERAL Way South WAY
33530MECHANICAL P ERM I T PERMIT SSUED: 110 /15/9399
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/13/94
ADDRESS:2412 S 300TH ST
9 �a 6.,j,NO. : 768220-0280
PROJECT DESCRIPTION:HYAC - INSTALL. GAS NOT MATER HEATER & PIPING.
z OWNER -_- ._..._ ,. CONTRACTOR :------..v.._.--___-__- --zt.._—_==,._-;.. - = LENDER - _ _. -.—....,...,—. - --.._,.,�._.._.._..............
JEFFREY HANKENEIEP NORTHWEST MATER NEATER
2412 5 300TH ST 8201 DURANGO ST SW
FEDERAL MAY MA 98003TACOMA, WA NA °8499
941-2758 944-6404 588-0393
NORTHNH103R2
__-- _-..__ ______—...___ ___— _ -.--5--- .._,.--_ w__� _ .._.w.__� n_ .. --. ..a.. _ .. __
__._ ...,.._..._.. ..m_. ._. _.�.__ .- _ _ ,--- _.„--_—__==„-, �._ z-._(�_.. _ _
FUEL TYPES.:GAS FANS........__: 0 lttOmOtttgnOt FEES:
GAS PIPING.: 20 ft BU00 ,..,.., . ' 313H:10,,,, ,..:: 9 NEC PROP. ISSUANCE... S 20.00
fURN<100K..: 0 DUCT WORT( U . a NEC APPLIANCE FEES.* $ 9.50
GAS HNT • 1 MOOD STOVES...: 0
CONY BURNER: 0F!!RN>lt>{1K...,.« 0 > i^ °'`A o,
BBQ • 0 MISC...... ... - )i _.R 0 * , /
GAS DRYER..: 0 ALR Ip1ii* OeIrx I ' 4k, v �—
RANGE • O 010 ,';n PFM' , cOt.'fa 6Rr!
0 0, mg 4 : 1 ERGROUIN1 0 � '
fl' ��` �� TOTAL FEES
1'h h7)
� � t 1 29.51}
. h.S a,N���:
Does the water supply systea t a F aPsiReduet on Device or Check valve? O Yes O No (If 'Yes' then water expansion tank is required on Hot Mater Tank)
Inspection Record Water Line OK Mechanical Inspection Notes: if _g ( 1 IZi
GAS PIPING OK ! Date By
.. ___-_..__ __._. _ _ _ _ _.__-_. u....,w_.___. ._.. _
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 AIN) CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY Of FERERAL WAY REQUIREMENTS MILL BE NET.
OWNER OR AGENT ____._. ..,..,._--:•-.7 DATE DATE __,L1
i
FIELD COPY