94-100128 iv
9y'Ib0) 18
CITY 335300F FEDERAL WAY Firstt Way South MECHANICAL P E�I T PERMIT
ISSUED: 01/14/9433
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 07/13/94
ADDRESS:32404 29TH AVE SW
NO_ : 873190-1400
PROJECT DESCRIPTION:HVAC - INSTALL GAS RANGE.
OWNER — CONTRACTOR — LENDER
L.D. NADDUX WASHINGTON NATURAL GAS
32404 - 29TH AVE SN 3130 S 38TH ST
EDERAL NAY NA 98023 P 0 BOX 11066 TAC NA 98411
TACOMA NA 98405
874-4379 475-6700
WASHING28SCB
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 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.* $ 6.50
GAS HNT • 0 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 • 1 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 26.50
-------------
es the water supply system contain a Pressure Reduction Device or Check valve? () Yes () Mo (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 WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMAT N RNISE ME S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE NET.
�,j
OWNER OR AGENT /T .it/ . __ DATE ,1 /y-4ia
1
FILE COPY
S
3353OOF First Way AL South AY MECHANICAL PEIZIVIIT PEWIiSSUED: 01/14/94 IT MO: BLD94 33
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 07/13/94
ADDRESS:324O4 29TH AVE SW
NO. : 873190-1400
PROJECT DESCRIPTION:11VAC - INSTALL GAS RANGE.
OWNER -,..-w_.__ CONTRACTOR ----- -—..,_.__- --:�_...�,.-..._._._-._,....a.__--.: i.F.NDER .ar.,-. _ --- -- . __,_.__ .._.._..---.. _- _-
L.O. NAOOUX WASHINGTON NATURAL GAS
32404 - 29TH AVE SI 3130 S 38111 ST
FEDERAL WAY WA 98023 P 0 BOX 11066 TAC NA 98411
TACOMA WA 98405
814-4319 415-6100
10111131,411
._
FUEL TYPES.:GAS FANS 9 80ILfRS!CON SS FEES:
GAS PIPING.: 0 ft N000 ` -0 :a HP..... r _ 1,h NEC PRNT ISSUANCE... f 20.00
FURH<100K..: 0 DUCT WORE :..: 0 la HP. 0 , �
..Pro e r E FEES. i 6.50
GAS iRfi • 0 11477,.
1100D STOVES...: 0 I.S 30 NP --..,
CONY BURNER: 0 FUNN)I')OX • 0 30 ;G HP.. i, ���� -:411 116
�
BBQ • 0 HP...
GAS DRYER..: 0 AI a .-, 1#4,18,\,4, ., ' EL K« -
RANGE • 1 < ` AA ` ,
1 ,`.
= ?;0 r
GAS LOGS...: 0 > 10, 11, '. t ,_ 1.: 0
,,, ' TOTAL FEES S 26.50
_____ . _. _ :Sr - .. ..........o..-.-...... :- ._- __ __,_...__ti._,..-.<..__>. _..., .�___=___ ,.__,_ =.,....____,_-_,=,,,----_-=
s the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then eater expansion tank is required on Hot Mater Tank)
Inspection Record Water One OK _ Nechanica I gctii .
GAS PIPING OK ? '
Oate (a t
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 INFORMAT N RNISE ME TRUE AND CORRECT TO THE BEST Of NY KNOWLEDGE AND THE APPLICABLE CITY Of FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT //
VOL-2----
FIELD COPY
• it #
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--7 • `� '1'- ccc) �
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:OWNER .
,,��; y yk
OWNER'S ADDRESS � ' 4 heatL SITE LOC TYIO1''.��' �L�, E I.
DESCRIBE JOB _
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
,, , PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME /fU /U�r �/�.� �`U CONTRACTOR'S REG. #
pardMUSTbe presented
CONTRACTOR'S ADDRESS 3/3 �$ �� S CITY / C � PHONE,2O T 1‘75—
‘7 — (p/00
EXPIRATION DATE
— 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.
BOX 3 CONTACT PERSON VLORC1\I `J. 1,1/fi ffiAck PHONE Coi -
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER / 174.20
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE I
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $ � r
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 COOLING UNITS, SIZE $
DRINKING FOUNTAINS _ COMMERCIAL HPOD $
SUMPS, SPRINKLER VACUUM BREAKERS I OTHER COOK K 1 $
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ ;2,4, 5U
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 PREMISES TO 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 EMPLOYEE , ON THE ACC RACY T INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
/4' ‘
OWNER/AGENT: <Lik DATE:
ANP-008 3/90