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CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO:
01/05/9404
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 07/04/94
ADDRESS:4019 SW 333RD ST
NO. : 327900-0470
PROJECT DESCRIPTION:HVAC - INSTALL GAS HOT WATER HEATER, FURNACE, & PIPING.
OWNER — CONTRACTOR — LENDER
RALPH JOHNSON NORTHWEST WATER HEATER
ill4019 SM 333RD ST 8201 DURANGO ST SW
EDERAL WAY NA 98023 TACOMA, WA WA 98499
874-4476 984-6404 588-0393
NORTHWH103R2
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 MEC 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 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 MAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT ��— �
�'--��-'' � DATE iz' — —5--.75',/
PILE COPY
9
CITY OF
73530 First Way South MECHANICAL PERIVIIT F ER04
ISSUED: 01/05/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 07/04/94
ADDRESS:4019 SW 333RD ST
NO. : 327900-0470
PROJECT DESCRI PT ION:MC - INSTALL GAS NOT MATER HEATER, FURNACE, i PIPING.
OW
�:. CONTRACTOR . _._
RALPHWER JOHNSON tNORTHWEST MATER HEATER
414 SW 333RD Si 8201 DURANGO ST SW
EDERAL NAY HA 98023 TACOMA, WA NA 98499
$74 4476 -41405 588-0393
NORINNO10342
FUEL TYPES.:GAS FANS.... .. .: BO EERS/COii e " FEES:
GAS PIPING.: 35 ft MOOD 0 ( !LP'- - 4. +�4 �� 04 �. ..Ap * 4.� ._, :,st ' UAMCE... $ 20.40
FURN<1401.,: IDUC 010... : 0 3-15 SP. 4,,,,,,)4,*,,,,,,, 0" , gift; 11 °�a� �F FEES.* $ 19.50
GAS HNT • 1 W `To E``. 0 IS--30 HP *--4A , ,, ',.1 f ' 4 "-
(:O$ BURNER: 0 MitNg. 0 ' -50 HP....: 0
B80 • 0 M ,. :. 0 5+ 00. , .. 0 ''`
GAS DRYER..: 0 AIR HAI [1 ACTS NEL ----
RANGE - 0 <=LO, C 0 € ND:
GAS LOGS...: 0 > 10,0°0 CEN: 0 +J$OlP ROUND.: vV."'
`A l TOIAL FEES $ 39.50
'1
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_.F._ s _ ._ ..�.._..� _.... . _— ,_,.
Does the water supply systes contain a Pressure Reduction , r/1 , i : Yes () No (If 'Yes' then water expansion tank is required on Hot Mater Tank)
Inspection Record Water Line OX _ Neeson A,A, e_.
GAS PIPING OK;IP/Lie U<; ei KC- 11— 0-474( _-.F("-Ct ( il/t Sile-(.17°&‘. bt ol- 6T1 , V o4,00(74
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PEMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORI IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE tEAR AFTER DATE OF ISSUANCE.
I CERTIFY III THF INFORMATION FURHISED 8Y NE IS TRUE AND CORRECT TO THE BEST OF MY XNOMLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS MILL BE MFT.
i /
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FIELD COPY
JAN- 4-94 TUE 16:07 NW WATER HEATER TACOMA FAX NO, 206 588 0353 P, 01
C� • ibLtYkY OF FEDERAL WAY 11 Ot .k
BUILDING PERMIT APPLICATION t
Please Print—
1 TENANT NAME:
OWNER :OM gib ''i ./I. _ SITE LOCATION 4 i
OWNER'S ADOR .PS • S.USJ. 3 '11 . CITY _ PHON : ZIERE'f! •
DESCRIBE JOB 'n ' '`g ► t• . it_t .a L7 '�/
THE PROPERTY IS OWNED S . S NGLEAmARRiED t./ .. . PARTNERSHIP CORPORATION
2 CONTRACTOR'S NAME r\U L l 1 n. LD 4, CONTRACTOR'S REG. (# NORT�1 �{1rD ;,
Card MUST de presented
CONTRACTOR'S ACCRESE 9. ell, t !, fit- ask +..r Si-S%-1fac. 'RC2 PHONE1V-C.C`'{d
EXPIRATION DATE a - - .'. . !
—OR--.
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,
—
3 CONTACT PERSON : A_ _ •. _ i 1' . _ _ PHON ii�` >Qigal
; 4 SEWER DISTRICT _ WATER DISTRICT _
5 ESTIMATED PROJECT COST 1, _ —__.___.___._ .. . EXIST:NG SU'L LING VALUATION _ ____.-
6 PROPERTY TAX ACCOUNT NUMBER. 33 r 900 v 110 '
LEGAL DESCRIPTION - _ _ _ — _
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Record'ng # - -
:7 ®LiLDING SQUARE FOOTAGE: (ExiatingIPropo ed) 1ST FL COR ___J 2ND FLOOR I____,_._
ORO FLOOR_____/ _ BASEMENT /„ DECK _ l GARAGE______/
: 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINCUSTRIAL TOTAL AREA OF PROPERTY _ _ SO Fr
:9 PLUMBING FIXTURES (including rough-inB) MECHANICAL APPLIANCES— BASIC FEE$
NO.__WATERCLOSETS GAS PIPING, FEET 3.5 _ . - $
BATHTUBS NO, __FURNACE, ELEC. GAS t--/ $
SHOWERS . I _GAS HOT WATER HEATER S
_ _LAVATORIES _CONVERSION BURNER $
SINKS BOILER, SIZE BTU
_OiSHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE S
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS _____AIR COOLING UNITS, SIZE - - - $ -
_DRINKING FOUNTAINS __COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS .__OTHER __. $
�._ DRAINS
$
OTHER _ S _--
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
'RTIFY UNOER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE ANC CORRECT TO THE BEST OF MY KNOWLEDGE
FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
X.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
:S INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
7 FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OPINE CITY,INCLUDING ITS
'I OEM AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
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Ni=RIAGFVT: DATE: Li