93-103017 ,1- 93 - A C' 17
CITY 3353O0F FEDERAL WAY Firstt Way South MECHANICAL PERMIT PERMIT NO:ISSUED: 181/23/9360
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/22/94
ADDRESS:22O3 SW 342ND ST
NO_ : 330630-0630
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURBACE & HOT MATER HEATER
OWNER -CONTRACTOR - LENDER
ANNE RUDDELL NORTHWEST WATER HEATER
lc"
2203 SN 342ND ST 8201 DURANGO ST SN
FEDERAL MAY NA 98023 TACOMA, NA NA 98499
46-1977 984-6404 588-0393
NORTHMH103R2
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..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 16.50
GAS HMT • 1 MOOD 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 $ 36.50
11111s the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Mater Tank)
Inspection Record Mater Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK 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 �C_j ",t_ �_�'_
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SETBACKS & FOOTINGS • •
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS'<
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH-IN
Date , 7 - By(4rh.)
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CD01 93
NOV-23-93 TUE 1327 NW WATER HEATER TACOMA FAX NO. 206 588 0.353 P. 02
—
CITY OF FEDERAL WAY --.... 13W49 _/
BUILDING PERMIT APPLICATION r
— Please Print—
i L
ox1 TENANT NAME: - - (i5
-
OWNER _ ; ,• ' ffir! ' SITE L CCATIONao 3 _4 ,.. • R
OWNER'S ADDRESS .i ' `I.. CITY 4 PHONE
DESCRIBE JOB 'i: I f 1.l. L L ' --
THE PPOPE TY IS OWNED BY: 'NGLE/M• RED t/ PARTNERSHIP _ . CORPORATION__
T
DX 2 OOVTRACT'DR'E NAME . -3' ,. : ,_. _ Il CONTRACTOR'S REG. #.1``1CRT t'16
Card MUST he pr85ented
CONTRACTOR'S ADDRESS S'— . 1 s,. a t(1O+c SH''' IT. -1-6CCrY\CL. PHONE 1`S-fr(6`-1C3
EXPIRATION DATE i' , L%
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.
OX 3 CONTACT PERSON A _._�_ _`` ► -PHONE_ . ,E
CX 4 5EWER DISTRICT — WATER DISTRICT x .
�.
0X 5 ESTIMATED PROJECT COST ' (t O ..._.. EXISTING BUILDING VALUATION -
DX 5 PROPERTY TAX ACCOUNT NUMBER RE • OA 4 -_
LEGAL DESCRIPTION -. . _
(It necessary, please submit a 5eparat: pap:with the legal dscription.)
K,C. Plat Recording# — _ _.
—
DX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR4._ _.f_ . 2ND FLOOR _______f
3RD FLOUR—__. `l CASEMENT J DECK f. GARAGE .. I
.)X a ! ) SINGLE FAMILY ( ) NEW CONSTRUCTION _
( ) MULTIFAMILY(NC. CF UNITS = ._.__) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
7X 9 PLUM;.NO FL TURES (Including rough-ins) MECHANICAL APPLIANCES — $A$IC FEE$
NO. WATERCLOSETS GAS PIPING. PEST . '4j�C $
BATHTUDS ND.___.VV_—FUPNACE, ELEC. _ GAS I,!/_ $
SHOWERS GAS HOT WATER HEATER $
LAV'ATCPIES _ _ _CONVERSION BURNER $
SINKS BOILER, SIZE BTU $ ___
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT RUMPS,SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS ..- AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS . COMMERCIAL HOOD $ •
SUMPS, SPRINKLER VACUUM BREAKERS - _OTHER _ .—_ $
DRAINS _____ $
OTHER . . - , ... $ --
TOTAL FIXTLRES __ $
TOTAL MECHANICAL FEE $ —
-
ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BESTOF MY KNOWLEDGE
-4D FURTHER THAT I AM AUTHORIZED BY THE OWNER CFTHE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
ADE_I FURTHER ASFEE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
E3 INCURRED IN INVESTIGATION AND DEFENSE OE SUCH CLAIM), NCH MAY BE MADE BY ANY PERSON,INCLUDING THE UNDERSIGNED,
ND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
TIGERS AND EMPLOYi ES, UPON THE ACCURACY OF THE ,NFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
1NERIAGENT: `4 ' DATE- [lia3 )01._
AMP'GW IMO