93-102526 93.16") 5`21
CITY 335300F FEDERAL WAY Firstt Way South MECHANICAL P E�I T PERMIT NO:ISSUED: 110/15/9363
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/13/94
ADDRESS:3411 SW 333RD ST
NO. : 109976-0340
PROJECT DESCRIPTION:HVAC - INSTALL GAS FURNACE, HOT NATER HEATER, INSERT, & PIPING.
OWNER — CONTRACTOR — LENDER
JOHN DURKEE NORTHWEST MATER HEATER
3411 SW 333RD ST 8201 DURANGO ST SW
FEDERAL MAY WA 98023 TACOMA, NA WA 98499
410 984-6404 588-0393
NORTHWHIO3R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 50 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.* $ 26.00
GAS HNT 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...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 46.00
Alli Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes 0 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 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 WILL BE MET.
OWNER OR AGENT `= DATE �6__
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OCT-- 1-93 FRI 9:38 NW WATER HEATER TACOMA FAX NO. 206 588 0353[?>(--D
P. 04
Perri ##_ -3 C D c /6)(e.„3
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Prase Print—
BOX 1 TENANT NAME: — - �---�.
OWNER \-32(77;� h _ r; _^SITE LOCA1iCN �Ui r`! -S !x
ONES ADDRESS -..3(41 `,i_,I ) CITY� i- r ; PHONE
DESCRIBE JOB �4 t � rt (r—t�wC1 i k 1`a �rt -t L14 i p,Qi./u
THE PROPERTY Iw'DWNED BY: SIiNGLE/MA`RIED_. Y PARTNERSHIP 6ORPORA ;T O G
;OX 2 CONTRACTOR'S NAME _1.1 Y111 5 CONTRACTOR'S REG. #
_ Card MUST be presented
CONTRACTOR'S ADDRESS 1 D ^�� SLLGITY I C �. i PHONE `1ST -L LIC�7
EXPIRATION DATE -._4 q
•
— OR
1 HAVE READ CHAPTER 18,27.010 RELATING'TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 13 27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.. _
BOX C CONTACT PERSON - • _ 1r, l n PHONQ• r
BOX 4 SEWER DISTRICT .� WATER DISTRICT
BOX a ESTIMATED PROJECT COST `� ' EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER K. i 3; a
LEGAL DESCRIPTION _
(If necessary, Please submit a separate page with the legal description.)
KC. Plat Recording
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Propose i) 1ST FLOOR / 2ND FLOOR J
3RD FLOOR /- BASEMENT / DECK /_ GARAGE_ f_ _
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO_ CF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIALI DUSTRIAL TOTAL AREA OF PROPERTY SO FT
BOX g PLUMBING FIXTURES (including rough-in$) MECH NICAL APPLIANCES—• BASIS FEE S
WATERCLOSETS GAS PIP NG. FEET S
BATHTUBS NO, FURNACE. ELEC. __GAS — S
SHOWERS .J.._GASHOT WATER HEATER $
LAVATORIES CONVERSION BURNER S
SINKS _BOILER, SIZE _BTI) S
DISHWASHERS __AIR HANDLING UNITS S
. ELECTRIC HOT WATER HEATER HEAT PUMPS. SIZE S
—_-__ _LAUNDRY WASHER OUTLET UNIT HEATERS S
URINALS _ AIR COOLING UNITS. SIZE S _
���DRINKING FOUNTAINS COMMERCIAL HOOD, S
,SUMPS, SPRINKLER VACUUM BREAKERS ,OTHER n $
_DRAINS - v $
OTHER �.� ----- -- — $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE S _
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 IAMAUTHORIZED BYTHE OWNER OFTHE ABOVE PREMISES TOPERFORMTHE WORK FOR WHICH PERMITAPPLICATION IS
MAGE,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 EMPLD S, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OP THIS APPLICATION.
CWNEPJAGENT: �, '-.6// ; DATE: (0/{ / i
A10.8041/00