94-101143 d
99 / )) Y3
CITY
335300Firstt Way South F FEDERAL WAY MECHANICAL PERMI T PERIISSUED: 06/27/94IT NO: 58
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 12/24/94
ADDRESS: 1800 S 340TH ST
NO. : 212104-9042
PROJECT DESCRIPTION:HVAC INSTALL OIL FURNACE.
OWNER - CONTRACTOR — LENDER
MORTON HEATH WESTERN FURNACES INC.
1800 S 340TH P.D. BOX 11145
ERAL WAY WA 98003 2901 SOUTH TACOMA WAY
TACOMA WA 98411
1 927-5660 — 206-474-8401
FUEL TYPES.:01L ? FANS • 0 HE,.ER /COPPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 FP...,.. .: 0 AEC PRAT ISSUANCE... $ 20.00
FURN<IOOK..: 1 DUCT WORK • 0 3-15 HP..,..: 0 h;.: WINCE FEES.* $ 10.00
GAS HNT • 0 WOOD STOVES...: n 15-30 HP • 0
CONV BURNER: 0 FURN>�00K. 0 30-50 HP. 0 ,,,,
BBQ - 0 MISC..._. i' 5t ;?P.... ..: 0
GAS DRYER..: 0 AIR HARDL 'G UNITS F;EL TUE
RANGE • 0 <=10,000 C*1: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFA: 0 UNDERGROUND.: 0
TOTAL FEES $ 30.00
Does the Nater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then mater expansion tank is required on Hot Water Tank)
Inspection Record Mater 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 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 __- ____ - TE�L _
FILE COPY
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CITY 335300F FERAL AY FirsDtEWay South MECHANICAL PERMIT PERMIT NO:ISSUED: 06/27/9458
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 12/24/94
ADDRESS: 1800 S 340TH ST
NO. : 212104-9042
PROJECT DESCRIPTION:HYAC - INSTAL 0I FURNACE.
OWNER ..._...: :- CONTRACTORS-- _� _ . ., �
NORTON HEATH WESTERN FURNACES INC.
S 340TH P.O. BOX 11145
ERAL NAY NA 98()03 2901 SOUTH TACOMA WAY
TACOMA NA 98411
927-5660 206-414-84u1
Ni tt $31Lhti
FUEL TYPES.:OIL ? FANS 0 "71t Ri/%ON S IR FEES:
GAS PIPING.: 0 ft HOOD : 0 0 3 tfP..: , ... 0 In--'''',4 --''
,' ra NCE... $ 20,(X1
FUR$ 100X..: t OUCT ..... G 3 15 >tP. : b --" ,FEE5.a 10.00
GAS NWT - 0 NtN>0 �:..: 0 1 -38 '. „ it ,44,,,,,:,,,,t,
CONY BURNER: 0 FUR4)100 ,....: 0 III-SI, RP. . . 0
BBQ - `0 MISC.., ,....,.` 0 s• HP..," .: +n
CAS DRYER..: 0 AIR NANDLINg INfTs Kt L _----- --:
RANGE • 0 <:10,000 CUM: " MOVE CROW: 0 4\; \,''
GAS LOGS...: 0 > 10,000 i"FH, 0 ONDT }ROUND.: 0
TOTAL FEES $ 30.00
,=„_____-_---....—_______ ._ -_ . _...____ ______._.:. .........._._-__,j-r..___..
Does the water supply systes contain a Pressure Reduction Device ck valve? () Yes () No (IT 'Yes' then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK _ _ Mechanical pect on tes:
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GAS PIPTNI; Of A 1 ..._ _ Dat ' BY __
IDC ..i__ •S�..x..:..,..........a..a m..w..:.....,w.L.Lr....--a.-a.r...._.1....a._-. ....: ..- -._....N.., .—...sT..+-r__..._..r._ a.a.Aaa¢...-......w.ti...`...a.-a..,2e-,-..-': --.._...a...—.........-......+.r_.:.
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO HORN IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. \ +' ✓
I CERTIFY THAT THE INFORMATION FURNISED BY Mf IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENT 11. v
00111 OP i; .ENT --_ ____.- C-------.Z 1c..L.L.Z, --- -- [`p`c _,..1�.s ...- ---f--�
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FIELD COPY
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER 7, inn e SITE LOCATION
OWNER'S AD RD ESS / 00 y',-S/v - t CITY ed9 PHONE 977_..5 e='
DESCRIBE JOB I LJ > _-' L�c � �r.�-xr,r,e7
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 1,"(4,1-a'r. CONTRACTOR'S REG. #1.1/6:56,e1;1---Ac-?7.:_,24/0
Card MUST be presented
CONTRACTOR'S ADDRESS >d ///445- CITY (--4-r',7 - PHONE /-, ,re,— `{y/-47-4e0/
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 , d. ;_ � 6.46ef PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER . /c /0�- —9017/-2--
LEGAL
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 /
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 ``)) $
BATHTUBS NO._ / FURNACE, ELEC. ac. 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 HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ .d
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: .64 .)' .. DATE: ( C/�xt /�` s, /-79-x
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['- ANP-008 3/90