94-100361 -
CITY
F
RAL WAY
MIT NO:
335300FirstEWay South MECHANICAL PERIVIIT PER ISSUED: 02/22/9442
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 08/21/94
ADDRESS:30225 8TH AVE S
NO. : 515260-0090
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE
OWNERfo
-- CONTRACTOR LENDER
WILLIAM AVERY NORTHWEST MATER HEATER
30225 8TH AVE S 8201 DURANGO ST SW
rEDERAL WAY NA 98003 TACOMA, MA MA 98499
941-2144 984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS..........: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 PEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT MORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 10.00
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 FUE!. TANKS
RANGE • 0 <710,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 30.00
IIIoes the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then mater expansion tank is required on Not Mater Tank)
Inspection Record Mater Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK 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 _ DAT_ ___„2,-A/*__
FILE COPY
CITY
RAL
AY
MIT NO: EILD94
335300FirstEWay South ■MECHANICAL PERNII T pERISSUED: 02/22/9442
Federal. Way, WA 98003 Building inspection Requests 661-4140 BY: FC
' 661-•4000 EXP I RES: 08/21/94
ADDRESS:30225 6TH AVE S
NO. : 515260-0090
PROJECT DESC R I PT ION:11VAC - INSTALL GAS FURNACE
(INNER ....... _. .a.,�.._ _ - CONTRACTOR -.•=,•,.......- ------=-------- a .......,=TENDER ----
WILLIAM AVERY NORTHWEST MATER NEATER
30225 - 8TH AVE S 8201 DURANGO ST SN
EDERAI NAY WA 98003 TACOMA, NA NA 98499
941-2144 984-6404
-,.
-41112.
-,,---]
�f-., sL
.__ _„„....._______
FUEL TYPES.:GAS roc, .°: U BERSfCitPfSSQ FEES:
GAS PIPING.: 0 ft HOOD ,,w,: 0 -3 ! NEC PROT I ''' °NCE... $ 20.00
fURN<1tlOt(._: I DUCT WORK. ..;= I� b 3 0 - .: z_ � -41 ..'4`1.11 , : 'fit' ',' ,; ES. $ 10.00
l MOO.
� .
GAS iNIT • 0 �� • s 3 HP..-.t " ml ; �=
COW/ BURNER: 0 FURN>t011 .. >. 0 HP :
: .'' '1 T __ � ;< tea,
BBQ 0 MTSG. ,,.,... 0 3 PP... ... 0 -L
GAS DRYER..: 0 AIR �1E ISEL k - �� �
RANGE 0 < 10,E li:" � i., \-----
\
- '�
GAS LOGS. : 0 > 10000 011- ERG" D.: 5 �_
TOTAL FEES _-__- .$ 30.00
-- _ _�.�.__ ate._.w .._.. -
Does the water supply system contain a Pressure Redut:Lion Device or Check valve? () Yes () Ho (If 'Yes' then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line 01 _________ Mechanical Inspection Notes:
GAS PIPING 01( 1/_��" Oak 2,'Z _ 's
PERMITS EXPIRE 1'30 DAYS AFTER ISSUANCE IF 00 WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY NE IS TRUE AND CORRECT TO THE REST OF NY KNOMLEDGE AND THE APPLICABLE CITY OF FERERAL NAE REQUIREMENTS MILL BE NET.
J
OWNER OP AbENT ------
/ll . __.._._. ._ .. .._____. .__.._ "frT` _....2 !`/ _ V
jy4r
FIELD COPY
rcr 11111 tt
C• OF FEDERAL WAY
BUILDING PERMIT APPLICATION F AX
_,E
—Please Print— ®OO
D .
TENANT NAME:
OWNER IL i ( r L(asir) autru i SITE LOCATIONC25 8`" Pu S,
OWNER'S ADDRESS ,-3.64A5 R HUS • CITY • , PHONE cl_4i-ai`iJ
DESCRIBE JOB it1S-1blkk ) . ,ILA 1.5)51/3 CS__
THE PROPERTY IS OWNED BY: SINGLE/MARRIED .- PARTNERSHIP CORPORATION
CONTRACTOR'S NAME NI'(.1) LiJC . D Il,. CONTRACTOR'S REG. # N1a L 4I,�E1n312,
_ Card MUST be presented
CONTRACTOR'S ADDRESS Sa)1 0---1-0 C151-1 Cr1 S+SL'UCITY 161'-CIY-Na PHONE Lit.--(..4714:01/1
EXPIRATION DATE is G lq/-1 _
— 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.
CONTACT PERSON 1_J' - 0 PLA-R_ Lr PHON — •
SEWER DISTRICT WATER DISTRICT
5 ESTIMATED PROJECT COST IA(.1%50 EXISTING BUILDING VALUATION
3 PROPERTY TAX ACCOUNT NUMBER 9 (onCXC ,-)
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording T
7 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
9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE S
NO. WATERCLOSETS GAS PIPING, FEET a� $
BATHTUBS NO. t FURNACE, ELEC. GAS . $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU S
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALSAIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS S
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
iTIFY 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.
JER/AGE VT: J ' -kivAc)SI �( DATE: ,:\)A C ILI
ArW.001 110