93-102728 1 t
93- /7j •
CITY OF FEDERAL WAY MECHANICAL P Eh:M I T PERMIT
180/28/9339
33530 First Way South ISSUED:
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/26/94
ADDRESS:30002 2ND AVE SW
NO. : 513700-0050
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE, HOT WATER HEATER, & PIPING
OWNER — CONTRACTOR LENDER
KEITH SANIN NORTHWEST WATER HEATER
3002 2ND AVE SW 8201 DURANGO ST SW
FEDERAL NAY NA 98023 TACOMA, NA WA 98499
839-4370 984-6404 588-0393
NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 5 ft HOOD 0 0-3 HP - 0 MEC PRMT ISSUANCE... 8 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP . 0 MEC APPLIANCE FEES.* 8 19.50
GAS HNT • 1 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...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES 8 39.50
Illioes the water supply systes 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 NAY REQUIREMENTS WILL BE MET.
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OWNER OR AGENT ' . '„ �� �i�/ DATE __lG 'v3
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OCT-19-93 TUE 10A6 NW WATER HEATER TACOMA FAX NO, 206 588 0353 P. 01
• Perl # _ i «
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
----------
80X 1 TENANT NAME:
OWNER '_. .I � , 1 _SITE LOCATICN at, ad.
OWNER'S ADORE .S _ Cay F.Li s , PHON VIEN&AM
DESCRIBE JOB ► � K , I
THE PROPERTY IS OWNED BY: 31NGLE/M RRIED X PARTNERSHIP CORPORATION
3CX 2 CONTRACTOR'S NAME ALL l /C' 'a 121 CONTRACTOR'S REG. # mak'-i'I 3
Card MUST be Dresected
CONTRACTOR'S ADDRESS S ) SLSL‘'CITY Tacc\c PHONE 4-4.0g0`�
EXPIRATION DATE Sol
— OR—
I HAVE READ CHAPTER 18.27,010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.11C WHICH PROHI$ITS IS$UIN3 PERMITS WITHOUT PROOF OF REGISTRATION
BOX 3 CONTACT PERSON IALQI 1. "-,.. f it LE PHONE Lo 64/
BOX 4 SEWER DISTR'CT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST di KBO EXISTING BU ICING VALUATION •
BOX 8 PROPERTY TPX AQCOUNT NUMBER 513rI — CaQE-n
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.G. Plat Recording #
BOX 1 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR____/ 2ND FLOOR /
3RD FLOOR _ / BASEMENT_ _j_____ DECK_ __� GARAG
E___.___r�
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = .) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY __SD FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET L7.3 ' $
— BATHTUBS NO. . . FURNACE, ELEC._GAS ✓
SHOWERS 1 GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS _AIR HANDLING UNITS S
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE _ $
LAUNDRY WASHER OUTLET 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 OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISESTO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
'RADE.IFURTHER AGREE TOSAVE HARMLESS THE CITY OF FECERAL WAY AST()ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
.:EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILSO 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 PART OF THIS APPLICATION.
DWNER/AGENT: q� DATE: Ia
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