94-100883CITY F FEDERAL WAY
33530OFirst Way South MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:29020 7TH PL S
NO.: 515290-0030
PROJECT DESCRIPTION: HYAC - INSTALL GAS HATER HEATER
ONNER
GARY JOHANSEN
29020 7TH PL S
FEDERAL NAY NA 98003
839-3693
CONTRACTOR
WASHINGTON NATURAL GAS
3130 S 38TH ST
P 0 BOX 11066 TAC NA 98411
TACOMA NA 98405
475-6100
WASHING285CB
LENDER
9y./aoss3
PERMIT NO: 8LD94-0366
ISSUED: 05/05/94
BY: FC
EXPIRES: 11/01/94
FUEL TYPES.:GAS ?
FANS..........:
0
SOILERSIC PREMRS
FEES:
GAS PIPING.:
0 ft
HOOD..........:
0
0 3 HP......: 0
NEC, PART ISSUANCE... 20.00
FURN<1OOK..:
0
DUCT WORK.:...:
0
3-15 HP.....; 0
NEC APPLIANCE FEES.* $ 6.50
GAS HNT....:
1
'WOOD STOVES...:
0
15-30 vp_ .: 0
CONY BURNER:
0
,FURW>IOOK.....;
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.: 4
TOTAL FEES t 26.50
Does the pater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then xater expansion tank is required on Hot Nater Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
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 INFORMATI N FUR TR TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS KILL BE MET.
00ER OR AGENT ---- ---- ---- ---------- DATE �����
FILE DOPY
BOX 7 BUILDING SQUARE FUUTAGE; (Existing/Proposed) 1ST
3RD flLU0K /—,„.,._-- BASEMENT.„ —
BOX 8 ( ) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS -..)
( ) COMAIIFRCIALIINDUSTRIAL
BOX 9 PLUMBING FIXTURES (Including rough -Ins)
NO.—.. ,...-_—WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
--^-SINKS
—DISHWASIJERS
ELECTRIC HOT WATER HEATER
------LAUNDRY WASHER OUTLET
URINALS
. DRINKING FOUNTAINS
_SiIMi'S, SPRINKLER VAGUUM BREAKERS
...DRAINS
--OTHER
_ TOTAL FIXTURES
05/05i94 08: 39 W. N. G TACK EXEC. WING 473-8415 003
Pert # - -
CITY OF FEDSPAL WAY
BUILDING PERMIT APPLICATION
w- plosse Print —
BAx 1 TENANT NAME:
OWNER SITE LOCATIP.
OWNER'S ADDRESS. _CITY PHONE
DESCRIBE JOB
_ THE PROPERTY IS OWNED By SINGLEIM I3 IED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S BEG. # and "Usy e preseffie'
CONTRACTOR'S ADDRESSI CITY PH°NE -O
EXNAATION DATE — -
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENEFIAI_ GONTRAGTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27,110 WHICH PROHIBITS ISSUING P RMITS WITHOUT PROOF OF REGISTRATION. -ten r rr Af7 11
BOX 3 CONTACT PERSONICN--
BOX 4 SEWER DISTRICT —
BOX 5 ESTIMATED PROJECT COST
BOX $ PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION -.
PHONb2!f(2 (�4y
WATER DISTRICT _
EXISTING BUILDING VALUATION
(if necessary, please submit a separate page with the legal description.)
K.G. Plat Recording # -
FLOOR2ND FLOOR 1 ......--
Di"CK GARAGE.__) .__
( ) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY
__SO FT
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET _ NO, FURNAGE, ELEC. -.- QAS
—GAS HOT WATER HEATER �
,.-CONVERSION BURNER �
BOILER, SIZE .,. BTU
HANDLING UNITS S
.HEAT PUMPS, SIZE $
UNIT HEATERS $
_—AIR COOLING UNITS, SIZE $
_CQMMERCIAL HOOD $
- OTHER _,
TOTAI IVIRNANICAL 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 PREMIGECTO 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 EMPLOYEE4,WN,THE ACCUI1ACY OF THE INFORMATION SUPPLIED TO TH[ CITY AS A DART OF THIS APPLICATION,
- ELATE �7 p u
OWNER/AG>=NT: -- — - - -
AtV-voe e1eo
CITY EDERAL WAY
+ 335300First Way South MECHANICAL PERMIT
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS : 29020 7 T H PL< S
NO.: 515290-0030
PROJECT DESCRIPTION:HVAC - INSTALL GAS WATER HFATER
OWNER CONTRACTOR
GARY JOHANSEN WASHINGTON NATURAL GAS
29020 11H PL S 3130 S 38TH ST
FEDERAL NAY WA 98003 P 0 BOX 11066 TAC WA 98411
TACONA NA 98405
839 368.3 41T °_ }
qy,/D 6 ?&3
PERMIT NO: BLD94-0366
ISSUED: 05/05/94
BY: FC
EXPIRES: 11/01/94
LENDER
FUEL iYPES.:GAS ? FANS, 0 Alt FEES:
GAS PIPING.: 0 ft {NI00....�.°.» 40 SNP �� SSU NCE... TR 20.04
FURNt100K.._ 0 OKI W6& .,: E -�� 3 ,� �, r n� P NCEAfEES.s t 6.50
GAS INIT..... 1 MFV�`�1DY�. 0 150 Q �� � � r��ra
CONY 81IRWER: 0 URblOO 0 30 0
BBQ......... 0 ww a � IP �� w
GAS DRYER... 0 AI�U,
RANGE....... 0 < O UND: .
a
GAS LOGS...: 0 > 10, UNDERGROUND.: 0
TOTAL FEES S 26.50
Does the rater supply systes contain a Pressure Reduction Device or check valve? () as () No (If 'Yes' then rater expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK ____ Nec:l,anical Inspection Notes:.
GAS PIPING OK Dz :e �'� By
PERNITS EXPIRE 180 DAYS AFTER ISSUANCE: If NO WORK IS STARTED. RFSIDENTIAL AND GRADING PEP14ITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFOtNATION FURNISE#►,N'I-11E I TRUE AND CORRECT TO THE BEST OF NY 114rWIDGE AND IHt APPLICABLE CITYY Of FERERAL WAY HE.QUIRENENTS WILL BE NET.
6l1NEP rF, AGENT _ - GCC /-/j..---------- DATE
FIELD COPY