94-100415 ?y,)00 Y/5 t
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT
65
33530 First Way South ISSUED: 03/25/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 09/21/94
ADDRESS:3420 SW 340TH PL.
NO. : 858120-0490
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE
fvfONNER CONTRACTOR LENDER —
LARRY SMITH NESTERN FURNACES INC.
420 SN 340TH PL P.O. BOX 11145
EDERAL NAY NA 98023 2901 SOUTH TACOMA NAY
TACOMA NA 98411
927-1395 206-474-5401
NESTFF*372NO I
_
FUEL TYPES.:GAS FANS - 0 BOILERS/COMPRESSORS FEES: 7
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 NEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE SEES.* S 10.00
GAS HNT • 0 WOOD 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...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
• TOTAL FEES $ 30.00
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 Nater 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.
OWNER OR AGENT .711"-,c4.7;_ �/ —. DA'1 3/2 /f l
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME: MR.
OWNER MR. & MRS. LARRY SMITH SITE LOCATION 3420 SW 340TH PL
OWNER'S ADDRESS SAME CITY PHONE 927-1395
DESCRIBE JOB INSTALLATION NEW GAS FURNACE GAS—GAS
THE PROPERTY IS OWNED BY: SINGLE/MARRIED X PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME WESTERN FURNACES. INC. CONTRACTOR'S REG. # WESTEF*372NO
Card MUST be presented
CONTRACTOR'S ADDRESS PO BOX 11145 CITY TACOMA _ PHONE 1-800-441-8401
EXPIRATION DATE 12/31/94
— OR —
I 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.
BOX 3 CONTACT PERSON KATHY STEVENS PHONE 1-800-441-8401
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 858120-0490-0
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (X ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO._ 1 FURNACE, ELEC. GAS 8O.000BTU$
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
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 $ e.;
O 'C
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 PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE.I 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 PART OF THIS APPLICATION.
OWNER/AGENT: G , -0 Le DATE: / i /Cry
ANP-008 3/90