93-102946 s 93- /06)9(/ ,
CITY OF FEDERAL WAY MECHANICAL P E�:M I T PERMIT
ISSU D: 61/98/9339
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/17/94
ADDRESS:32604 17TH AVE SW
NO. : 010453-0620
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE, HOT MATER HEATER, & PIPING.
OWNER — CONTRACTOR — LENDER
DONALD OAKLEY NORTHWEST MATER HEATER
32604 - 17TH AVE SW 8201 DURANGO ST SW
EDERAL MAY MA 98023 TACOMA, WA MA 98499
874-6812 984-6404 588-0393
NORTHWHIO3R2
FUEL TYPES.:GAS FANS . 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 35 ft HOOD - 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT MORK • 0 3-15 HP • 0 NEC APPLIANCE FEES.* $ 19.50
GAS HMT • 1 MOOD STOVES...: 0 15-30 HP - 0
CONV 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 $ 39.50
• _.. _ _ .
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 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 MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS MILL BE MET.
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NOV-17-93 WED 17!04 NW WATER HEATER TACOMA FAX NO. 206 5888 0353 L1>o� . 0 ,
ak
CITY OR FEDERAL WAY
BUILDING PERMIT APPLICATION
—P'ease Print
X 1 TENANT NAME;
— OWNER 1 ( fid CO' 1- !f SITE LOCATIi7_—N I p(J 1" j
OWNER'S ADDRESS, • •o "+ CITY >Lia PHONE 74/-02
DE3CRIflE JOB E. i_ ��rr r ��O. .I . + t • .6r% I
THE PROPERTY IS OWNED BY: SI cLE/MA' IED «' PARTNERSHIP... CORPORATION
x 2 CONTRACTORS NAME till ).i>j!� S�i c t CONTRACTOR s REG. # Tr-Lt� I
Card MUST be presented
CONTRACTOR'S ADDRESS . t L_\a_in C) CITY [aCCTI \Q PHONE i -C�LidV
EXPIRATION DATE —� 01 _ — �_ G �f
-..OR...
I HAVE READ CHAPTER 18,27010 RELATING TO DEFINITIONS OF GENERA_CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27 110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION,
X 3 CONTACT PERSON , ;i A � 1 f A 1 • PHONE_ 411MINVO
X 4 SEWED DISTRICT WATER DISTRICT _
X 5 ESTIMATED PROJECT COST T EXISTING BUILDING VALUATION
X 6 PROPERTY TAX ACCOUNT NUMBER f71t? J�W7t' o2�Of _.__
LEGA DESCRIPTION
(If necessary; please submit a separate page with the legal description.)
K.C. Plat Recording #
X 7 BUILDING SOUARE FOOTAGE: (Existing/Proposed) 1S'' FLOOR. / - 2ND FLOOR ! __
3RD FLOOR !_ BASEMENT____I DECK / GARAGE I
X 8 ( ) SINCLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA CF PROPERTY _ . C FT
X 9 PLUMBING FIXTURES(including rough-ins) MECHAANI AL APPLIANCES — BASIC FEE$
NO. ___.WATERCLOSETS GAS PIPING, FEET $
_
BATHTUBS NO.__FURNACE, ELEC. GAS IF $
SHOWERS GAS HOT WATER HEATER S
— LAVATORIES _ CONVERSION BURNER S
SINKS BOILER, SIZE _ __ BTU S
DISHWASHERS __AIR HANDLING UNITS S
E:.ECTRIC HOT WATER HEATER _._HEAT PUMPS, SIZE. _ 5
_LAUNDRY WASHES OUTLET UNIT HEATERS $
URINALS _ AIR COOLING UNITS, SIZE_
DRINKING FOUNTAINS . _ COMMERCIAL 11000 $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER
DRAINS �_���
OTHER _ - — - 5
- TOTAL FIATURES $
TOTAL MECHANICAL FEE $
ERTIFY UNDER PENALTY CF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
I))FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
NDE,I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
ES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
ID FILED AGAINST THE CITY OF FEDERAL WAY.BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE CF THE CITY,INCLUDING ITS
FICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
VNEFt/AGENT; �/ .� �f _. . .r_ DATE: 101/93 -
ANP401 LIQ