94-100395 _,.. "4111 9-9 _ )003 9s
CITY
3353O0FirsttF EWay South RAL AY MECHANICAL PERMIT PER ISSUED: 02/25/94MIT NO: 54
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 08/24/94
ADDRESS:30260 27TH AVE S
NO. : 798480-0020
PROJECT DESCRIPTION:HVAC - INSTALL GAS HOT WATER HEATER.
fiiOWNER — CONTRACTOR — LENDER
GARY JONES WASHINGTON NATURAL GAS •
30260 - 27TH AYE S 3130 S 38TH ST
EDERAL WAY WA 98003 P 0 BOX 11066 TAC NA 98411
TACOMA NA 98405
839-8237 475-6700
WASHING285CB
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 6.50
GAS NWT • 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 $ 26.50
s the water supply systen 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 INFOR TI FURNISED Y ME I TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT __ _ _ 1A1Z DATE -127,57
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2/25/94 14:10 W.N.a TACOM EXEC. W I N6 473-8415 001
RECEIVED - .
Permit # A',LIzusv- • s
FEB 2 5 1994
CITY OF FEDERAL WAY
CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION'
BUILDING DEPT. —Malmo Pi imi—
— .
BOX 1 TENANT NAME: SITh .
—Thr—VNER 71672-4.rtiOCATIOt I 0
OWNER'S-ADDRESSxiet
....e.. CITY - 1'1 Z--litAI4 PHONE " so -
DESORSE JO a _ -__zz___=- 0_ ._-- ,,,--c.,c te-J2.. _r--- . .
THE PROPERTY IS OWNED BY: SING LE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ,IFEAW JT p , IML,1L.L.,CONTRACTOR'S REG.#1.1jiet
d M bc prowl
A ( 1 o (..-r-- „ ,,,A
CONTRACTOR'S ADDRESS,:1213 Li ..-.) ,1 C.----.. ....._CITN_4(4.Lli i r 1 ft PHONEQ YI542.0
EXPIRATION DATE _ ____
I HAVE READ CHAPTER-18,27.010 RELATING TO DERN TONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 W. ICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
it,c - ' —
BOK:3 CONTACT PERSON IA . - ___ . 0 ,0 .. PHONE/2-17, .1 /115LJNIO
BOX 4 SEWER DISTRICT WATER DISTRICT _ ___
eOX n ESTIMATED PROJECT cosT _____EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER_ Air&W _. - 1 -
LEGAL DESCRIPTION --- _____
(If necessary, please submit a separate page with the legal description)
_.,.....
ICC. Plat Recording# ____ _ ___
BOX 7 BUILDING MARE FOOTAGE: (Existing/Proposed) 1ST FLOOR i 2ND FLOOR ....-1
3RD FLOOR__—__/____ BASEMENT_J . . DECK-----/ GARAGE _/___________
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO, OF UNITS .., ( i EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY — SO FT
-----
BOX 9 PLUMBING FIXTURES(including rough-Ins) MECHANICAL APPLIANCES—BASIC FEE$
NO,_____WArERCLOSETS GAS PIPING, FEET V_._._. $ ________
8A1HTUBS NO-It.___FURNACE, ELEC. GAS $
SHOWERS - --__GAS HOT WATER HEATER $ V______LAVATORIES ( ---GtmERsION BURNER $
SINKS BOILER,SIZE BTU $ _____
DISHWASHERS _AIR HANDLING UNITS $
_ F.LECTRIC 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 $ —
_ _ $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ —
..14.•••••••atm. .....1.
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 EMPLOY S. U ON T E ACCURACY OF T.E INFO'MA :ON SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION,
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owNER/AG ENT: 2 1 . . _ Ji ' DATE! :-.,;---- / / '1
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