94-100789 9940157 ge)
CITY OF
FEDERAL WAY
South MECHANICAL PERMIT PER 34
ISSUED: 04/22/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 10/19/94
ADDRESS: 1800 SW 317TH PL .
NO. : 179010-0070
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE, HOT NATER HEATER, & PIPING.
ONNERiii — CONTRACTOR — LENDER
PATTY BRAUN NORDIC HEATING, INC.
1800 SN 317TH PL 3401 C ST. NN BAY I
FEDERAL NAY NA 98023 AUBURN NA 98002
874-4041 931-0503
HORDIHI0998J
—
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 6 ft HOOD • 0 0-3 HP......: 0 NEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT NORK • 0 3-15 HP - 0 HEC APPLIANCE FEES.* $ 19.50
GAS HNT • 1 N00D STOVES...: 0 15-30 HP 0
CONV BURNER: 0 FURN>100K - 0 30-50 HP 0
BBQ • 0 MISC • 0 5+ PP 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <:10,000 CEM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 18,000 CFM: 0 UNDERGRO AD.: 0
STOTAL FEES $ 39.50
Does the eater supply systes contain a Pressure Reduction Device or Check valve? () Yes O No (If 'Yes' then eater expansion tank is required on Hot Nater Tank)
Inspection Record Nater Line OK Mechanical Inspection Notes:
1 GAS PIPING OK , Date By I
L _ -_ _ I
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 ME IS TRUE AND CORRECT TO THE BEST OF MY KNONLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS NILL BE MET.
OWNER P — --� /
- "� DATE !
FILE COPY
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CITY
335300First Way South F FEDERAL WAY MECHANICAL PEI :MIT PERMITISSUED: 04/22/9434
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 10/19/94
ADDRESS: 1800 SW 317TH PL
NO. : 179010-0070
PROJECT DESCRIPTION:HYAC - INSTALL GAS FURNACE, NOT MATER NEATER, & PIPING.
OM _ .. _._ __,_.__.__ ____. --. COIITRACTt�B = =- __ _ ._.� � ___ ___.
PATTYNER BRAUN NORDIC HEATING, INC.
1800 SW 317TH PL 3401 C ST. NM BAY I
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FEDERAL NAY WA 98023 AUBURN NA 980{12
814-4041
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FUEL TYPES.:GAS FANS....., „:, 0 IU11(R! 4' FEES:
GAS PIPING.: 6 ft HOOD 0 ° 4-3 NP ir �, �� ISSUANCE... $ 20.E
FURN(100K..: 1 DUCE Nom0 ° 3-15 NP. .. : D �� l l ��'r1�r
P CE FEES t 19.50
GAS HIT • 1 STS;" : 0 1540 . ea ''a ,, "4.21 ,,-, . "
* 000;1000.g.. l�h��i�°a��,t �..W J9r ,,, a,, S"`i�p�°„�i`��sw ” �a '�i�
CONY BURNER: 0 E1 RN>t00( : 0 3000 11‘7,4i#1
6-40i-,,• 0 $LSC 4,. .,.: 0 lIPl',!"'- ,7,:::„,,,-1' �
GAS DRYER..: 0 AIR :MLTs UEL T a� a
RANGE 0 1R fFMa: ABO* 1011MD: a
'"
GAS LOGS...: 0 ) 10,004 GLI: 4)---v UNDERGROUND.: 0
TOTAL FEES $ 39.50
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_- _ .�, .. =—.�.5!y`C."'.C.... ..... ............ _.s--.. ..___.... ..... _ _. -....avwxr ._3.....«.u.._....__.__....a.+a�.r._..--2----,-,..",.=....
Does the water supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (If Yes' then water expansion tank is required on Hot Water Tank)
Inspection Record Mater Line OK _____ Mechanical Inspection Notes:
GAS PIPING DK 1
_ ,�/fj� � �
ails )tkpr,
_____ _ . . _ .......____ _. „____ . „.
. _
. . _ ... _ _
, 7... ... . .4... ......,_____________„.
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AILD GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY NE IS TRUE. AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS MILL BE NFT.
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ONNEI' OR A6Et#? 1 :,„-$,.:- ....._._____._ ___ ..___,-- -J_.. .. ELATE _yr_ ___�`� J V
_ no , A
/zyFIELD COPY
41, it # ( �/)4�� 33C„
CITY OF FEDERAL WAY *"
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER L3 RA v ki / P.9T i SITE LOCATION
OWNER'S ADDRESS / kOO 3/ 7 ?L CITY CeeD e 4A-L 14-Ay PHONE 17el — ‘-/CP-1
DESCRIBE JOB GAS — G-4s fc„:M -- 6' t -c-4s 6c.0 I4
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME A/0 R pig -eA r /it CONTRACTOR'S REG. # A/ore D 1191 0?9/7 Vr
Card MUST be presented
CONTRACTOR'S ADDRESS 3'/0/ er, Sr A/la A- / CITY -(-) L' h PHONE 4'?/-C'3 .S'c:
EXPIRATION DATE / /7 i
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON Dec 3'(-c-itupt i PHONE 7 31-0 5 ci 3
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST /SOC).C'v EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (>0 SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANIC,AL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET 7 $
BATHTUBS NO. I FURNACE, ELEC. GAS X $
SHOWERS I 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 $
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.
OWNE AGE�I j: � `� `�
l94 0 it We. I",., Lti DATE:
ANP-008 3,90