94-100375 IP,
9 y-/a4375�
CITY OF FEDERAL WAY
33530 First Way South MECHANICAL PERNIIT PERMIT45
ISSUED: 03/03/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 08/30/94
ADDRESS:2619 SW 340TH PL
NO., : 010920-0300
PROJECT DESCRIPTION:HVAC - INSTALL GAS LOG & PIPING.
ONNER CONTRACTOR — LENDER
HUGH GARDNER NORTHNEST NATER HEATER
2619 SN 340TH PL 8201 DURANGO ST SN
DERAL NAY NA 98023 TACOMA, NA NA 98499
838-6251 984-6404
NORTHNH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 4 ft 4000 • 0 0-3 HP • 0 NEC PRNT ISSUANCE... $ 20.00
FURN(1O0K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 9.50
GAS HNT • 0 HOOD STOVES...: 0 15-30 HP....: 0
CONY BURNER: 0 FURN>1OOK • 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 29.50
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 Water Line OK Mechanical Inspection Notes: _
GAS PIPING OK Date By —
PERMITS EXPIRE 180 DAYS AFTER IS NCE IF NO N IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE FOR TION NISED BY IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ,0A ,"( '.,.._ Trete DATE 3 -3-11
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FEB-23-94 WED 9:48 NW WATER HEATER TACOMA FAX NO, 206 588 0353 P, 01
• r.,,,-4 rT -�--•-
CITY OF FEDERAL WAY 1L77(- -)� `
BUILDING PERMIT APPLICATION 0
--Please Pr!r —
TENANT NAME:
OWNER ■I i -_'4 _'( .SITE LOCATION -.. , • _.N ..-.
-
CWNEii'S AC ..,._.(/'ESS ' .S L .__.CITY r=.t , . ---- PHONE _R3(g-CI, 31
DESC?HIBEJOB VC) ,,e,. . _i. -----. .,
TI-1 PROPER-Y IS OWNED BY: INGLE:MAR IED ./ PARTNERSHIP_, -CORPORATION
L
CONTRACTOR'S NAME . AI(1) I !1I 1Jl - — CONTRACTORS REG.# NO. . O3;1
_ Card.MUST de pi-carted
CONTRACTOR'S ADDRESS ` � . " CITY 11 ' a PHCNF.
EXPiRATICN DATE -
--OR--
t HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENFR.ALCONTRACTORS ANGSPEC1ALTY CONTRACTORS AND
CHAPTER 18 27.110 WHICH PROHIBtTS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. -
CONTACT PERSON , J - 11 - ' .0._ —. j _ PhONg I ,—I •
SEWER DISTRICT WATER DISTRICT
ESTIMATED PROJECT COST _=,_.________________EXISTING 81J LOINS VALUATION _
i PROPERTY TAX ACCOUNT NUM@EA --
LEGAL DESCRIPTION ---- --
(If necessary, please subrnit a separate page with the Ina; deso1ptien.)
K.C. Plat Recording * _ - -
BUILDING SQUARE FOOTAGE; (Existing/Proposed) 1ST FLOOR_ /—/— 2NU FLOOR - I
3RD FLCCP....,_. . / BASEMENT. /— DECK . - --1 - GARAG5 i _ . _
3 ( ) S,NGLE FAMILY ( ) ugh' CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS - ( ) EXISTING STRUCTURE
( ) COMMERCIAL'INOUS T RIAL TOTAL AREA OF PROPERTY - _ SO FT
3 PLUMBING FIXTURES (InCluo►ng rough-Ins) MECHNICAL APPLIANCES -- BASIC FEE S
NO. WATEAi
CLQSETS OAS PIPING, FEET _.�— S
-..._BATHTUBS NC.ir....FURNACE, ELEC. GAS _ S
SHOWERS GAS HOT WATER HSATER $
_____. LAVATORIES CONVERSION BURNER , S
SINKS _BOILER, SIZE BTU S
OISHWASHERS _ ..11R HAv0LING UNITS S _
ELECTRIC HOT WATER HEATER - .HEAT PUMPS, SIZE S
LAUNDRY WASHER OUTLET UNIT HEARERS $ _.
URINALS _ AIR COOLING UNITS, SIZE_ $
_DRINKING FOUNTAINS COMMERCIAL HOOD S —
SUMPS, SPRINKLER VACUUM BREAKERS —I—OTHER .-.— $ _ -
� DRAINS ---._ $ ,
OTHER _____ _. - _ $
_TOTAL FIXTURES $ — -
TOTAL MECHANICAL FEE $ —
1TIFY UNCER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
FURTHER ThAT I AM AUTHORIZED BY THE CWNE?RCFTHEBOViyPREMISESTOPERFORMTHEWCRKFORWHICHPERMITAPPLICATIONIS
E.I FURTHER AGREE TO SAVE HARMLESS THE CITY OFFEDEPALWAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNCYS'
3 INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
FILED AGAINST THE CITY OF FI.DERAL WAY.BUT ONLY WHERE SUCH CLAIM ARISES OUT OF TriE RELIANCE OF THE CITY,INCLUDING ITS
CERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY As A PART OF THIS APPLICATION.
41ER/AGENT' '\--i 1 1. X_.>(, Ji - DATE'. _ -li
/010410/110