93-102482 a
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CITY OF FEDERAL WAY MECHANICAL P ER:M I T PERMIT NO:
09/30/9338
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 03/29/94
ADDRESS:32125 9TH AVE S
NO. : 609390-0300
PROJECT DESCRIPTION:HVAC - INSTALL GAS LOG & PIPING.
OWNER — CONTRACTOR — LENDER
GRETA HEWLETT NORTHWEST WATER HEATER
32125 9TH AVE S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, NA WA 98499
941-3687 984-6404
NORTHWH103R2
FUEL TYPES.:GAS FANS - 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 35 ft HOOD • 0 0-3 HP • 0 NEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 NEC APPLIANCE FEES.* $ 9.50
GAS NWT • 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 FUEL TANKS
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 29.50
fill
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)
Inspection 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 �Y — � DATE �I�a ?
FILE COPY
10 ; 1
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isCITY OF FEDERAL WAY MJCHANICAL PERMIT PERBLD93-10
38
3530 First Way South ISSUED: 09/30/93
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 03/29/94
ADDRESS:32125 9TH AVE S
NO. : 609390-0300
PROJECT DESCRIPTION:NYAC - INSTALL GAS LOG & PIPING.
GREIA NEWLETT WORTHIEST WATER HEATER
32125 9TH AVE S h201 DURANGO ST SW
FEDERAL NAY NA 98003 TACOMA, NA NA 98499
941-3687 984-6404
FUEL TYPES.:GAS FANS.. ., .: 0 cOittRS/CONPAK bOR5 FEES:
GAS PIPING.: 35 ft HOOD.._:' : 0 ISSUANCE... $ 20.00
FURN(100K..: 0 0Uti NONg.....: -0 3-I`, HP.. C TANCE FEES.* $ 9.50
GAS INIT 0 V000 STOVES...: i IS ) MP 0
CONY BURNER: 0 FUR171001 .,_.; O -iti NP. 0
BBQ l} *JC . 1a 0 ' HP#7)4�. 0
GAS DRYER0 Tt'UiltS Ft _ _
RANGE 0 (4.40,100rUMO 0,0 GROUND: 4 Tib
GAS LOGS1 > 114B00 I:' UNDERGROUND.: 0
TOTAL FEES $ 29.50
Does the water supply systea contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes. then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
'. '/
GAS PIPING OK J �?:1,Date l/ 7'SjBY
- PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO PORI 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 NY KNOWLEDGE AND THE APPLICABLE CITY OF FEREPAL NAY REQUIREMENTS WILL BE MET.
OMNER OR AGENT �-�"°���` __. _ DATE ___-- f`° �,,, _'
FIELD COPY 4 V
SEP-24-93 FRI 16:37 NW WATER HEATER TACOMA FAX N0. 206 588 0353 P, 02 „ /
0 Perrrp_ L .z� a i I
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Pleaae Print—
reflOX 1 TENANT NAME: i1\, _— —
OWNER -3 re cam MOM .. SITE LOCATION .`_ r -3"- a + r, ----- -
OWNER'S ADDRESS I. 4 , Li. . . CITY ` , 1 - ) ' PHON 'j er
CESCRIBE JOB i C 3-=\Ci t . 00 '�
THE PROPERTY IS OWNED BY: SINGL' 'M.ARRIED `*f J PARTNERSHIP .. CORPORATION
BOX 2 CONTRACTOR'S NAME ' s . 114. t "i a • CONTRACTOR'S REG.# E
Card MUST he prevented
CONTRACTOR'S QaCRESS & 1 �J�;C�_ lf'}�(' ��OjT_Y -C �Y'�Q PHONE I`3P: � Q
EXPIRATION DATE 1 T� f' .
— OR
I HAVE READ CHAPTER 18.27.110 RELATING TO DEFINITIONS OF GENERAL CONTRACTORSAND SPECIALTY CONTRACTORS AND
CHAPTER 18.27 110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON J1 �. PHONE (-0'-K/
Ly
BOX 4 SEWER DISTRICT WATER DISTRICT -
BOX 5 ESTIMATED PROJECT COST . . -_ EXISTING GUILDING VALUATION .
BOX S PROPERTY TAX ACCOUNT NUMBER ri — ' T C:= )
LEGAL DESCRIPTION _ _ y�
(If necessary, please suamt a separate page with the legal description,) --'
K.C. Plat Recording#
BOX 7 BUILDING SQUARE FOOTAGE: (ExistingJPrcpoeed) 1ST PLO OR,___/. 2ND FLOOR
.__ 3RD FLOOR,_ I_.___ EASEMENT_._ 1 DECK____.j- GARAGE /
BOX a I ) SINGLE FAmILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NOV OF UNITS = . ) f ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY _ _
. . .. SO FT
BOX 9 PLUMBING FIXTURES (inciudinp rou®h-Ins) MECHANICAL APPLIANCES— BASIC FEE$
NO .WATERCLOSETS GAS PIPING, FEET $
:-- - BATHTUBS NOV__ FURNACE, ELEC. GAS _ $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES . .CONVERSION SURNEA $
- SINKS _BOILER, SIZE . BTU $ __
DISHWASHERS Ala HANDLING UNITS $
ELECTRIC HOT WATER HEATER ___FEAT PUMPS, SIZE $
_—_wLAUNDRY WASHER OUTLET UNIT HEATERS $ -
URINALS _AIR COOLING UNITS, SIZE _ $
_----. DRINKING FOUNTAINS COMMERCIAL HOOD , $
SUMPS, SPRINKLER VACUUM BREAKERS .__. _.-.OTHER , .lC~'i -- _-_____ $ _
._ DRAINS $
OTHER_ $
TOTAL FIXTURES $ _ i
TOTAL:MECHANICAL FEE $
CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
;.ND FURTHER THAT I AM AUTHORIZED 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 OFFEDERAL WAY ASTO ANY CLAIM(INCLUCING COSTS;EXPENSES,AND ATTORNEYS'
TEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY 8E MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
;ND FILED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
)I FICEFS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPL',ED TO THE CITY AS A PART OF THIS APPLICATION.
JWNER/AGENT: - - G-�' QV f DATE: 7(N)