93-102926 I
93-/O i 52.6
CITY OF FEDERAL WAY MECHANICAL P ERM I T PERMIT 161/18/9330
33530 First Way South ISSUED:
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 05/17/94
ADDRESS:32101 9TH AVE S
NO. : 609390-0220
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE.
OWNER —
LAYTON EDMONDS
if,
CONTRACTOR LENDER
NORTHWEST MATER HEATER
32101 - 9TH AVE S 8201 DURANGO ST SW
EDERAL MAY WA 98003 TACOMA, NA NA 98499
839-1202 984-6404 588-0393
NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURM<100K..: 1 DUCT MORK . 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 10.00
GAS HMT • 0 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 8 30.00
Does the Mater supply systes contain a Pressure Reduction Device or Check valve? () Yes 0 No (If 'Yes' then Mater 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 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 ,--'.
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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 By
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 A pp
OTHER L �'t(Z :D v.ha?�v�-•.� �� ''''"
Date Al-;.(7) 9- By J [' 3 `;1 —5 5
OTHER
Date By
CD01 93
NOV-12-03 FRI 16:26 NW WATER HEATER TACOMA FAX NO. 206 588 0353 P. 01
• Pern 4 bLD at5 `fir:
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CITY OF FEDERAL WAY E 0 t
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BUILDING PERMIT APPLICATION
--Memel Print—
BOX 1 TENANT NAME: _
OWNER t _ .1 ~. .�.s 1t: SITE LOCATION -. _Cl -- 12=11111b
OWNER'S ADDRESS - • GC i AM CITY. F_E_Li. PHONE g, - '7,30.
DESCRIBE JOS 0 . 0 S ! r. 1 i ! r. - _ -
THE PROPERTY IS OWNED BY. SING EIMARRI'0 _PARTNEASH1P CORPORATION
30X 2 CONTRACTOR'S NAME ._11.1111_11a.11.2. - -Q _ T CONTRACTOR'S REG. # loQT MUST Ra
CONTRACTOR'S ADDRESS 9 ♦1 1111--_I iloi 4, S+ 4"UCITY TC. C5rY\a PHONE C -lit{a7
EXPIRATION DATE a - �
--CR--
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERALCONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.21.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. _ .-
SOX 3 CONTACT PERSON 1 A_ t_ _ i 1 /..._..! 1 _ PHON • • ! 110
BOX 4 SEWER DISTRICT � _ -_ WATER DISTRICT
aOX BESTIMATED PROJECT COST .. EXISTING BUILDING VALUATION _
BOX 6 PROPERTY TAX ACCOUNT NUMBER 5 + r 0 v•s. •
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__„_ J 2ND FLOOR ___/3RD FLOOR 1_ — BASEMENT_, r.__ DECK I GARAGE__,J_____r__
BOX S ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = _�_..) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES ;including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO _,WATERCLOSETS GAS PIPING, FEET LOM ✓ $
_ BATHTUBS NO. l FURNACE, ELEC.. . GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES „CONVERSION BURNER $
SINKS BOILER,SIZE _ BTU $
DISHWASHERS _AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE r $
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 $
CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OFMY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PEP,rOP,M THE WOR1<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'
EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON,INCLUDING THE UNDERSIGNED,
. NO 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: JL ,iDATE _
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