94-100424 9y-10ay,1y
}
CITY OF FEDERAL WAY MECHANICAL PERMI T PERMIT NO:
03/03/9468
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 08/30/94
ADDRESS:31213 8TH AVE S
NO. : 858800-0010
PROJECT DESCRIPTION:HVAC - INSTALL GAS BOILER.
ONNER CONTRACTOR LENDER -- —
NARY SHAHED NORTHWEST NATER HEATER —
31213 8TH AVE S 8201 DURANGO ST SN
FEDERAL NAY NA 98003ill
TACOMA, NA NA 98499
838-4855 984-6404
NORTHNHIO3R2
FUEL TYPES.:GAS FANS . 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD 0 0-3 HP - 1 MEC PRMT ISSUANCE... $ 20.00
FURN(100K..: 0 DUCT NORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 9.00
GAS HNT • 0 NOOD 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 t:10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 ) 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 29.00
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 Nater Tank)
Inspection Record Nater Line OK Mechanical Inspection Notes: -
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO ORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORM ION NISED BY IS TRUE AND CORRECT TO THE BEST OF MY KNONLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS NILL BE MET.
OWNER OR AGENT INF/ORM
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MAR- 2-94 WED 15144 NW WATE1 HEATER TACOMA FAX NO. 206 583 0353 P. 02
CITY OF FEDERAL WAY v
BUILDING PERMIT APPLICATION
— Finnt
TENANT NAMIE:
JOWNER _%l'Q.'L( \ n SITE LOCATION ` ' L
OWNERS ADDRESS f y ► ' CITY _T PF10N +`� '+`.' ' •
--
DESCRIBE MR it7St4 [
THE PROPERTY IS OWNED EY: SINGLE/MA.RRIED PARTNERSHIP CORPORATION
CONTRACTOR'S NAME Lt.! 1 :: )., l_. .Q...- .= CONTRACTOR'S REG.# t `�
tCard MUST be Nnse1ted
CONTRACTOR'S ADDRESS �_A 3� 1 >' - `��Clr . °a PHONE '" r`L2L
EXPIPATICN DATE i `° _ —..
— OR�
HAVE READ CHAPTER 76,2.7.010 RELATING TO OE JNIT;CN5 OF GENERAL CONTRACTORS AND SPECIALTY CONTRA i oRS AND
CHAFTEM 15.27.110 WHICH PROHlEITS ISSUING PERMITS WITHDLJT FROOF OF REGISTR.AT ION:
CONTAOT P ^SCI` _•—I �1117C.' —CLL I — -- PHONE 434.41. -'. el'
SE'P,ER DISTRICT - _ WATER D�STRRICf ---- _
EST:MATED PROJECT COST } , � ,•. __ —�— EXISTING BUILDING VALUATION
3 PROPERTYTAX ACCOUNT WU'MECR. ----
L 3AL DESCRIPTION _ .._ .. _ ._.. . . _.
(it necessary. please submit a Separate page ne Ieg71 r_tecrIpti^ft.)
K.C. Plat Recordiig
r BUILDING SOJARE FOOTAGE: (EXiStIng/PropcSed) 1ST FLOOR -_ J.-._ -- 2ND FLOOR
3RD FLOOR .� AS EM DECK f________ GARAGE r
3 _ .�
( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITE w 1 ( ) EXISTING STRUCTLPE
( ) COMMERCIALANDUSTRIAL TOTAL AREA OF PROPER-7,i -- . _SO FT
3 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES —EASIC FEE'S
NO._-__. WATERCLOSETS GAS PIPING, FEET_Igor S
SAIHTUES NO.. ...,__FURNACE, ELEC._-_._--GAS
SHOWERS _ GAS HOT WATER HEATER • S
LAVATORIES CONVERSION BURNER S
�---SINKS =BOILER, SIZE SQ,42i2 BTU
__DISHWASHERS AIR HANDLING UMTS S
_ELECTRIC HOT WATER HEATER _,_a.__.HEAT PUMPS, SIS_ S
_LAUNDRY WASHER CUTLET _.__.UNIT HEATERS
URINALS AIR AIR COOLING 'UNITS,SIZE- S
DRINKING FOUNTAINS COMMERCIAL HOOD S -
�_ __9SUMPS, SPRINKLER VACUUM BRE.AKE S .OTHER S
R .INSS
_OTHER -_ _ $
-_. TCTAL FIXTURES S
TOTAL MECHANICAL FcE S
TIFY UNDER PENALTY OR PERJURY THAT THE INFORMATION FURN'SH'EC aY ME IS TRUE AND CORRECT TO THE BEST CF MY KNOWLEDGE
=LRTHERTHAT AN1AUTHQRIiED BY THE-OWNER OFTHEABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
E.f FURTHER AGREE TO SAVE HARMLESS T'r+E CITY OF FEDERAL.WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
INCURRED IN INVESTIGATION ANC DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNOERS1GNEO,
FILED AGAINST THE CITY OF FF'CERAL WAY, BLIT ONLY WHERE SUCH CLAIM ARISES OUT CF THE RELIANCE OF THE CITY,INCLUDING ITS
:ERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
ERJA f`s-f: ..... _ "._ ?f1 /' : - DATE: _ � f -t~}