94-100264 a.. 9Y-100d&
5/
CITY OF
33530 First Way South 11/IE CHAN I CAL PERMIT PERMIT94
ISSUED: 02/03/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 08/02/94
ADDRESS:3O213 5TH AVE S
NO. : 064310-0060
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE, HOT WATER HEATER, & PIPING.
OWNER — CONTRACTOR — LENDER
WAYNE MORITI NORTHWEST WATER HEATER
30213 - 5TH AVE S 8201 DURANGO ST SW
FEDERAL WAY NA 98003 TACOMA, NA NA ;4499
111141-0354 984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 5 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 19.50
GAS HMT • 1 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 • 0 <:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 39.50
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Water Tank)
•spection 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 INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ DATE _ _ _
FILE COPY
j ''I ,., n , ;/
MIT NO:
33530CITY 0FiF FEDtEWay RAL SSouth AY .MECHANICL PERN11 1 PERISSUED: 02/03/9494
Federal. Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 08/02/94
ADDRESS:30213 5TH AVE S
NO. : 064310-0060
PROJECT DESCRIPTION:MVAC - INSTALL GAS FURNACE, NOT WATER NEATER, & PIPING.
OWNER .�.. ...:�.�...�.. _ . �____ � . ___. _ _. _ CONzRACTORLENDER --.r-- ------,.-=. �- ,--. .MT.-.===._.y._._- .,_m_
WAYNE MORITZ NUMBEST WATER HEATER
30213 - 5TH AYE S 8201 DURANGO ST SW
FEDERAL NAY NA 98003 TACOMA, NA NA 98499
411354 984-6404
NORTHNN103R2
---.w,^=.___,.....� _ �__ _�. .. ;� r.- -- ter_
, ..- .� . . .. .. _ti W �,_ r.. �.__»„- t,fl.:: ..t4 ..-.^,..."...1.7412.....7,..421... .. .. ,
FUEL TYPES.:GAS fAl.S.. 0.. 61:10;3
OILS ' FEES:
GAS PIPING.: 5 ft HOOD • 0 3 •...._TI :itte:4401.1NEC PART ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK...,..: 4 -I5 ##...,..0°0; : NEC APPLIANCE FEES,' $ 19.50
GAS HNT 1 MOOD STOVES...: 0 1"0: 0
CONY BURNER: 0 EUI?N>)44K..,..: f! M 51i HP....: ®a F
BBQ 4 MIS, ... .' 0 H . .*" " 1
GAS DRYER..: 0 AIR HANDLING UNITS F! TANKS 47 s��. ;;C:;: � � o
RANGE 4 1Q oo a YAG (
GAS LOGS...: 0 >' ,* C : 0' ,U1 �
',° `i- TOTAL FEES $ 39.50
Does the water supply systea contain i(Pressur Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Nater Tank)
spection Record Nater tine OK __. ___ _, Mechanical Inspection Notes: ____....__'V.
GAS PIPING OK Date ___ By __. / cLf- _ TYi ( 1tI (I
O‹
_ ._._.._. _ ,.... . _ . _- :. _�� ��
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AIN) GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THf. BEST OF MY KNOWiEDGE ANI) THF. APPLICABLE CITY OF IIRERAL NAY REQUIREMENTS HILL BE NET.
OMNEP, OP AGENT
4 ,___��_---.__..._______-______ DATE __ ,
;:1-1----
FIELD COPY
FEB- 3-94 THU 9:48 NW WATER HEATER TACOMA FAX NO. 206 588 0363 P, 01
•
CITY OF FEDERAL WAY bi/ qC(
"r;V0/ t
BUILDING PERMIT APPLICATION
—Phase print
TENANT NAME:
OWNER _ # !. 1&.! SITE LOCATION .3+r L,3 r A _
OWNER'S ADORE . - _ilii ► .�CITY PHON r -.
•
DESCRIBE JOB 1 c' .Q _ ' k
THE PROPERTY IS OWED BY: 'NGLE/M `RIED. ✓ PARTNERSHIP CORPORATION
CONTRACTOR'S NAME --1llt l 1_ Cl'�� �. CONTRACTOR'S (SES. t# 1445 '
Card MUST no proeented
CONTRACTOR'S ADDRESS l Q t jC1._r ,0 S�-S'-` ITY T� Q PHONE - 46V
EXPIRATION DATE _ 1 U
—OR ---
I HAVE READ CHAPTER 16,27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 16.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION,
CONTACT PERSON � _ � PPHON •
• SEWER DISTRICT WATER DISTRICT
ESTIMATED PROJECT COST P EXISTING DUILOING VALUATION -
i PROPERTY TAX ACCOUNT NUMBER a le •
•
LEGAL DESCRIPTION _
-
(It necessary, please submit a separate page with the legal description.)
KC, Plat Recording# _ -
' BUILDING SQUARE FOOTASE: (ExleingJPropaaed) 1ST FLOOR. --./ 2ND FLOOR _I
3RD FLOOR—,_J___.- _ BASEMENT / DECK / SARAGE 1
3 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTON
( ) MULTIFAMILY(NO. OF UNITS = _ -.- ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY - SQ FT
3 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES -- BASIC FEE$
NO, _ WATERCLOSETS CAS PIPING, FEET —all_ S
BATHTUBS NO I FURNACE, ELEC. _GAS L/ S
_T_SHOWERS GAS HOT WATER HEATER S
_LAVATORIES _CONVERSION BURNER S
SINKS ,____._BOILER,SIZE BTU S
DISHWASHERS __,—AIR HANDLING UNITS
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE S
LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS AIR COOLING UNITS, SIZE— $
DRINKING FOUNTAINS _COMMERCIAL HOOD
SUMPS,SPRINKLER VACUUM BREAKERS OTHER _ S
DRAINS S --. --
_OTHER - • $
.TOTAL FIXTURES - S
TOTAL MECHANICAL FEE $ —..--
ITIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE REST OF MY KNOWLEDGE~
FURTHER THAT l AM AUTHORIZED BY THEE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOP 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'
INCURRED IN INVESTIGATION AND OEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON; INCLUDING THE UNDERSIGNED,
OILED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF T11E CITY,INCLUDING ITS
CERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
4ER/AMT; .� I l �� ` DATE: -
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