94-100660 x
w -
9q,
Jit& 6'613V-2.,
CITY OF
33530 First Way South MECHANICAL PER1VIIT PERISSUED: 04/06/946
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 10/03/94
ADDRESS:2419 SW 322ND ST
NO_ : 932431-0080
PROJECT DESCRIPTION:GAS TO GAS HNT REPLACEMENT
OCONTRACTOR - LENDER
ROBERT PATTERSON
1111
I NORTHWEST WATER HEATER
2419 SW 322 ST 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
927-3666 984-6404
NORTHWHIO3R2
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD - 0 0-3 HP • 0 MEC APPLIANCE FEES.* $ 6.50
FURN<100K..: 0 DUCT WORK - 0 3-15 HP • 0 MEC PRMT ISSUANCE... $ 20.00
GAS NWT - 1 WO00 STOVES...: 0 15-30 HP - 0
CONV BURNER: 0 FURN>100K - 0 30-50 HP....: 0
BBQ - 0 MISC..........: 0 5+ 4P . 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 $ 26.50
0
Does the mater supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then rater expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
i
PERMITS EXPIRE 180 DAYS AFTER .DANCE IFN WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE 4FOR�fATIO BRIBED B E I5 TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGEN (� i DATE LI --6— '414
FILE COPY
IDD-( , 0
CITY
33530OFirsstt Way South F FEDERAL WAY MECHANICAL PERMIT PERMIT NO: BLD94 ISSUED: 04/06/9476
Federal Way. WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 10/03/94
ADDRESS:2419 SW 322ND ST
NO. : 932431-0080
PROJECT DESCRIPTION:GAS TO GAS HMT REPLACEMENT
OWNER �-- - - CONTRACTOR -.....=--------- -------. LENDER . . -4.4.----=...-.,--�_�_.._,_w�..�___._ �s-
R08ERT PATTERSON NORTHWEST WATER NEATER
11111
2119 SM 322 ST 8201 DURANGO ST SM
FEDERAL MAY WA 98023 TACOMA, WA MA 98499
927 3666 ;"9!I 604
MttRTMIMi1 tt*
.._ ...e�;. _ . .,..-�__.»....,.,-�. axs _ ---_,....•_M - _ __.-_ .oases _.._.. -„;:a�x:,�.-_.....,..,.:.. Y__ .�......
FUEL TTPES.:GAS ? FANS ..1.0040 8t11L SfCOMT' , 1 epta, I -
GAS PIPING.: 0 ft .. *�� :
� 1! I 0-i) HP ,;4 0FUR _ NC FEES.* $ 6,54
(AS INT
00K1 #000 0 T STO ,),.,4 ,e44.0;11
dd ”t ON I h , ' .. SS7,-P- . t ?0 00
CONY BURNER: 0 FURN400K ,
0
Bpm • 0 MISC .444i 0 lif; $ A 0
GAS DRYER..: 0 ' AIRLiiV MILTS 1141
RANGE 0 ( IG,000 CEll: Ay, a A.,ID: 0
GAS LOGS...: 0 ) 10,00O,CFM: f0'-' UNDERGROUND.: 0
TOTAL FEES ; 76.50
D+oec the water supply systei contain a Pressure Reduction -0:7� -• Ch
-i eck valve? () Yes () No (If 'Yes' then water expansion tank is required on Not Mater Tank)
Inspection Record Mater Line OK ___. __ Mechanical cti , ie otes:
GAS PIPING OK Aril j dy tg
U`-
3"-_,,/-'J
PERMITS EXPIRE 180 DAYS AFTER DANCE IF NO WORK IS STARTED. RESIDENTIAL. AND GRADING PERMITS EXPIRE. ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE 0 TIO FURNISED B F IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND IHE AI'PLICALE CITY Of FERERAI NAY REQUIREMENTS WILL Of. MET,
- / - ILL
OW0EP OP ;,6Fti. /- �I (7
FIELD COPY
GlOY OF FEDERAL WAY • �-fi� q .f
BUILDING PERMIT APPLICATION ( 1 .
—Please Print—
02 - 23yg&l,.(r N
TENANT NAME: � 6-°r!i
OWNER • %r _ I !_• U , 1 SITE LOCATIONa4(tel S Uu - c). - L f_,,
OWNER'S ADDRESS a� I SLv 3a0 i CITY t-- lL,, PHONE Q(4- 'L'Ce 26'
DESCRIBE JOB it'l�-�-ft L( r A u til ,_l'Laci i I J l
THE PROPERTY IS OWNED BY: SI GLE/MARRIED t PARTNERSHIP CORPORATION 31//yy
CONTRACTOR'S NAME Nli.1) l 1 )f7)::D1L iO . CJ1 CONTRACTOR'S REG. # toRT14Lii In kQ.
_ Card MUST be presented/
CONTRACTOR'S ADDRESS S l Q U.5 —)
1( er S-SL CITY (GLC 1Q PHONE � `-r'�'407
EXPIRATION DATE to as lqtf
— 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.
I CONTACT PERSON ,
1U''� �v-- 0 n Ai U PHONE qy — (Q�OY
SEWER DISTRICT WATER DISTRICT
i ESTIMATED PROJECT COST '`� PIo EXISTING BUILDING VALUATION
5 PROPERTY TAX ACCOUNT NUMBER '-\:2) -)1:3\(DOW:"
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
T BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
3 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
3 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE S
NO. WATERCLOSETS GAS PIPING, FEET t(-)e-- $
BATHTUBS NO. FURNACE, ELEC. GAS S
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 S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS $
OTHER S
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
1TIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
E.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
3 INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
CERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
l I ER/AIT: T DATE: Lj 'i"1 fCju/
ANP-001 190