93-102481 Yki
CITY
F FEDERAL WAY
MIT NO:
335300Firstt Way South MECHANICAL PERVIIT PERISSUED: 09/30/9339
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 03/29/94
ADDRESS:29636 10TH PL S
NO. : 515160-0405
PROJECT DESCRIPTION:HVAC - INSTALL GAS HOT WATER HEATER & PIPING.
= OWNER — CONTRACTOR — — LENDER
JOSEPH SCARPELLO NORTHWEST MATER HEATER
29636 - 10TH PL S 8201 DURANGO ST SW
• FEDERAL MAY NA 98003 TACOMA, NA NA 98499
984-6404
NORTHNH1O3R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 25 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN(100K..: 0 DUCT MORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 9.50
GAS NMT • 1 MOOD 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...: 0 ) 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 29.50
Does the water supply system contain a Pressure Reduction Device or Check valve? YesNo (If 'Yes' then water expansion tank is required on Hot Water Tank)
Y Y t) () P 4
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 NY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT lJ DATE
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7SETBACKS & FOOTINGS /OA> //,/,97-"R#7,017
Date By
FOUNDATION WALLS
Date By
.................................
.. .................................
PLUMBING GROUNDWORK
Date By
UNDERFLOOR.FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
C D0193
SEP-24-93 FRI 7:20 NW W R HEATER TACOMA FAX NO, 208 58 9353P, 05
Per i 1�ti _-i v 'I(1
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print--
BOX 1 TENANT NAME:
OWNER . SiTE LOCATION r2 (0 - )1 - .� . ,
OWNER'S ADDRESS 't li' g/ - - CITY 4 Lt-1 ' PHONE__,_
DESCRIBE JOBh C,---i-V10 C . . f , , ) ' ' 0't'. I?,
THE PROPERTY IS OWNED BY: SI CLE/MARRIED - `, PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S ,DAME I '. ' ! I n t . •yr a a _ CONTRACTOR'S RES # RICRT141,0 q I()3R{1
Card MUST be presented
CONTRACTOR'S ADDRESS 'SPR_,, } . Pr1C j s SILs '"CJTY Tc .' PHONE_
EXPIRATION DATE . .PJA U _
— OR —
I HAVE READ CHAPTER 18.27,010 RELATING TO DEFNITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18,27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION, _
BOX 3 CONTACT PERSON (A� _ �_ .1 - _$ - PHONE r O'
BOX 4 SEWER DISTRICT . WATER DISTRICT _
BOX 5 ESTIMATED PROJECT COST : Jr" .
a - EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBERT- r - 75
LEGAL DESCRIPTION _ W
(if necessary, plaa5e submit a separate page with the legal description.) — -K.C. Plat Recording # .
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR - - / 2ND FLOOR I
3RD FLOOR__ ./ BASEMENT____. / -- DECK / GARAGE / _
BOX a ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = �) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY .._ - s FT
BOX 9 PLUMBING FIXTURES (including rougrr-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET _c .' $
___-- BATHTUBS NO. 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 CUTLET UNIT HEATERS $
URINALS ,_.—, AIR COOLING UNITS, SIZE — $ _-
DRINKING FOUNTAINS - - COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER _ $
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
I CERTIFY UNDER PENALTY CF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE @EST Of=MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION 1S
MADE.!FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF 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, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A FART OF THIS APPLICATION.
I
9r, Ci OWNER/AGENT' ' . 1,,,11(,,di__ DATE: t� k`�J/ -- _ _
AHP•OOE 3110