93-103084 93 -/b3bg y
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO: BLD93
12/06/9395
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 06/04/94
ADDRESS:32141 32ND AVE SW
NO. : 873190-1130
PROJECT DESCRIPTION:RUC - INSTALL GAS FURNACE
rOWNER s CONTRACTOR LENDER
JANICE MARSHALL NDRTNNEST NATER NEATER
32141 - 32ND AVE SW 8201 DURANGO ST SB
`EDERAL WAY BA 98023 TACOMA, WA WA 98499
1-7819 984-6404 588-0393
NORTMON103112
FUEL TYPES.:GAS FANS 0 BOILERSPRESO0NS FEES:
GAS PIPING.: 0 ft HOOD :: 0 0-3 BP......: 0 NEC PRAT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK... 3.15 OP.....• ;y. APPLIANCE FEES.* $ 10.00
GAS HIT • 0 WOOD STOVES. 0 1S-30 HP.. .: 0
CONY BURNER: 0 F1 HOOK.. .: 0 30-50 HP....: 0
8B0 • 0
GAS DRYER..: 0 AIL MAWR AMTS FUn1. JAS r
RANGE • 0 <:1000 CFIN: 0 :, 0
r
GAS LOGS...: 0 ) 10,010M 0 U*ERG .: 0
TOTAL FEES $ 30.00
ees the water supply system contain a Pressure Reduction Device or Check valve? O Yes O No (If 'Yes' then water expansion tank is required on Not Bator Tank)
•pection Record Mater 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 NY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS BILL BE NET.
OWNER OR AGENT = .1/,-7-4--, DATE / G fJ
FILE COPY
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DEC- 6-93 MON 11 :54 NW I R HEATER TACOMA FAX Na 206 5111E5_3_ P< 03
• 111, � ( ��i3� lis'
CITY OF FEDERAL WAY l�
BUILDING PERMIT APPLICATION
—Pieasa Rrint-
)X 1 TENANT NAME=:
OWNER it a S Ae► ! SITE LOCATION ;_321 4I .30 HILLLW
OWNER'S ADDRkSS�w rel .{ 1 S t CITY_ F.. ,LA-) • PHONE ("IP1'ger3
4,..
DESCRIBE JOB f I
-
_THE PROPERTY IS OWNED BY: INGGLE/ 'ARSE) - PARTNERSHIP CORPORATION
1X 2 CONTRACTOR'S NAME ; I _moi 1 4146■_ . 1 CONTRACTOR'S REG. # JIZR-W.
Card MUST be prcontod
S4-CONTRACTOR'S ADDRESS * , >rt 4110 .SL'"CITY {a y\o PRONE E -r,' f
EXPIRATION DATE ta i_ -
Y 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,
7X 3 CONTACT PERSON , A . _ �Elt l._." PHONE q6W - cLIO
DX 4 SEWER DISTRICT WATER DISTRICT
DX 3 ESYINIATED PROJECT COST .$ EXISTING BUILDING VALUATION
•
CX 6 PROPERTY TAX ACCOUNT NUMBER ` 0 it •0t
LEGAL DESCRIPTION
(it necessary, please submit a separate page with the legal description.)
K.C. Plat Recording
DX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR.__ d 2ND FLOOR _ !_
3RD FLOOR___/ BASEMENT_ DECK _. _ J GARAGE___/ _
DX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL INDUSTRIAL TOTAL AREA OF PROPERTY SO FT
CIX g PLUMBING FIXTURES (including rough-Ins) MECHAN CAL APPLIANCES- BASIC FEE$
NO. WATERCLOSETS GAS PIPING,FEET
BATHTUBS NO. t FURNACE,ELEC.__ GAS . $
SHOWERS GAS HOT WATER HEATER S
LAVATORIES _,CONVERSION BURNER S
_SINKS BOILER,SIZE BTU $
DISHWASHERS AIR HANDLING UNITS S
_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
_
DRAINS _ ..
OTHER
TOTAL P1XTURES S
TOTAL MECHANICAL FEE $
CERTIFY UNDER PENALTY OF PERJURY TI-IAT THE INFORMATION FURNISHED SY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
NO FURTHER THAT I AM AUThORIZED Y OWNER QF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMITAPPLICATION IS
1ADE_I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE EY 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
IFFIGERS AND EMPLOY ES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
IWNER/AGENT. . t L( DATE laktO _ ____