94-100487 w - 9y-/Day g"7
CITY 335300F FEDERAL WAY Fi First Way South MECHANICAL PERMIT PERMIT ISSUED: 03/14/9402
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 09/10/94
ADDRESS:31242 8TH AVE S
NO. : 858800-0145
PROJECT DESCRIPTION:HVAC - INSTALL GAS HOT WATER HEATER (CHANGEOUT)
OWNER — CONTRACTOR — LENDER
CAROLINE WHITE WASHINGTON NATURAL GAS
31242 - 8TH AVE S 3130 S 38TH ST
FEDERAL WAY NA 98003 P 0 BOX 11066 TAC NA 98411
TACOMA NA 98405
834 2207 475-6700
WASHING285C8
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD - 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20,00
FURN(100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.' $ 6.50
GAS HNT • 1 MOOD STOVES...: 0 15-30 HP - 0
CONV BURNER: 0 FURN>IOOK - 0 30-50 HP....: 0 •
880 • 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 $ 26.50
es the mater supply system contain a Pressure Reduction Device or Check valve? O Yes O No (If 'Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record Water line OK1,--
_ 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 INFORMATI N RNISED BY ME IS T UE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT yS\.I_.g,1 - DAT J /9-r Y
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Permit # _i./ a c//
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
--Please Pfrn!--
BOX 1 TENANT NAE:
OWNER C ff1 f mar SITE LOCATIO P. L __X A
OWNER`S 'DRESS,` �_ + ��. .�CITY + dr i PHOZV i1tFr ' •-
DESCRIBE JOG
THE PROPERTY IS OWNED BY:SINGLE)/MARRIED ...�___PARTNERSHIP_ �__CORPORATION
BOX 2 CONTRACTOR'S NAME f -- � LJ' J T-
-_�� a. . CONTRACTOR'S IdEG�� C3
--�^ L. Card M' he pretiant0
CONTRACTOR'S ADDRESS • J i �3g _ .,.._�CITY r p 1?
5 4 PHONEA0(O r'/&i -t07 i
EXPIRATION DATE
--OR
I HAVE READ CHAPTER 18 27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18,27,110 WHIC4 PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. —
BOX 3 CONTACT PERSON ' LCL 'AmorPHONE. ° _ p41` _
BOX 4 SEWER DISTRICT „_ WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST ._ EXISTING BUILDING'VALUATION -
BOX 6 PROPERTY TAX ACCOUNT NUMBER { ?C�
LEGAL DESCRIPTION _---- ----.__--
(If necessary. please submit a separate page with the legal deseriptiur
K.C. Nat Recurd+r9#
BOX 7 BUILDING SUUAfi` FOOTAGE: (EXISIIngtPrOPOSed) 1ST FLOOR J,. ___..^. 2ND FLOOR _J
_ 3RD FLOOR __I BASEMENT_/ ____- DECK. / GARAGE__,_.,__)
BOX B ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = _—_—) ( ) EXISTING STRUCTURE
( ) GOMMERCIAI,JIN13US RIAL TOTAL AREA OF PROPERTY . SQ FT
BOX 9 PLUMBING FIXTURES(Including t.Dugn•Irss) MECHANICAL APPLIANCES-- BASIC FEE$
NO. _WATEHCLCSETS GAS PIPING, FEET $
EU1THTUBS NO._ _FURNACE, ELEC. _ _ GAS $
__.,_ SHOWERS —__-. GAS HOT WATER HEATER $ —
__LAVATORIES __. CONVERSION BURNER $
SINKS Y._ BOILER, SIZE BTU $
__DISHWASHERS ___—_--_AIR HANDLING UN'T$ $
•
—ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE__._ $
LAUNDRY WASHER OUTLET _UNIT HEATERS $
v__URINALS ._AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS,SPRINKLER VACUUM BREAKERS . OTHER
DRAINS
OTHER —---- -- 3
_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 AUTIIORIEED 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 All ORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE or 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 UPI THE ACC. 'AO'Oj THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
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OWNER/AGENT:
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