93-102531 93-it), 53)
OF
33530 First Way South MECHANICAL PERMI T PERMIT NO:
10/15/936
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/13/94
ADDRESS:229 S 315TH PL
NO. : 794300-0220
PROJECT DESCRIPTION:HVAC - ISNTALL GAS FURNACE, HOT NATER HEATER, & PIPING.
4OWNER — CONTRACTOR — LENDER
SABRINA NEBSTER NORTHWEST WATER HEATER
229 S 315TH PL 8201 DURANGO ST SW
FEDERAL MAY NA 98003 TACOMA, NA NA 98499
946-1281 984-6404 588-0393
NORTHWHIO3R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 35 ft HOOD • 0 0-3 HP 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT MORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 19.50
GAS NWT • 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 $ 39.50
4111 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 Mater 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 _;i DATE e,; $;WY
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OCT- 1-93 FRI 9:37 MW 1,14R HEATER TACOMA FAX NO. 206 4'60353 P. 03 1,
per # • _C _ /(410,
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
-PI::ava Prim! --
BOX 1 TENANT NAME: - . .
OWNER % I i , : -- SITE LOCATION _�rx� -
OWNER'S ADDRESS. --t,_.... ` c,-;-,,, T�— PHONE L(r' — I, I
DESCRIBE JOB . I T -(L(i ` '-'"` r A -4 , ii''lt� ! „4::,1__
--
THE PROPERTY IS OWNED BY: SIt GLE/MA'RIED .. _PARTNERSHIP. CORPORATION_
BOX 2 CONTRACTORS NAME E CT �3Qn^� ° "_J t
_-�s.81_ .. ������ _ �'�NT�Jd:-v.',���J����. � fC L. F.lJ jY!i�4�Ata
Card MUST be Presented
CONTRACTOR'S ADORES'S S I, }. U +SLUCIT`' TC C((TY'.a PHONE qt'1-/ —
EXPIRATION DATE _ P Mal' ._.
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 W+THCUT PROOF OF REGISTRATION, — --- _War/BOX 3 CONTACT PERSON - /1 t _tF -�__ E C
BOX 4 SEWER DISTRICT _ WATER DISTRICT _
BOX E ESTIMATED PROJECT COST , ,-?4 T E.YIbTING BUILDING VALUATION •"—" "` _�
BOX 6 PROPERTY TAX ACCOUNT NUMBER.® `q 4-1��'�.0 _�' s li 0 _ —
'.
LEGAL DESCRIPTION ____ _____. _ _
(If necessary, please submit a Separate pagE with the legal des ripticn.)
K.C. Plat Recording# _______
—
BOX 7 BUILDING SQUARE FOOTAGE: (Exi3ti g!Proposed) 1ST FLOOR / 2ND FLOOR _ I
Gfio FLOOR -J__--- BASEMENT I DECK _/ GARAGE /
BOX 8 ( ) SINGLE FAMILY I ) NEW CONSTRUCTION _.
( ) MULTIFAMILY(NO. OF UNITS = _—_____) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SO FT
60x 0 PLUMRI^a0 FIXTURES(including rough-he) ME AMAL APPLIANCES— BASIC FEE S
NC ---__WATERCLOSETS GAS PIPING, FEET `>r ' $
____ __BATHTUBS NO, i FURNACE, ELEC. GASJc_____ $
._,___.,.SHOWER; —1GAS HOT WATER HEATER $
F.—CONVERSIONLAVATORIES _�__ 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 $
•
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE REST OF MY KNOWLEDGE
ANDFUPTHER THAT I AM AUTHORIZED BY THE OWNER CFTHEABOVE PRENIISESTO PERFORM THE WORKFOR WHICH PERMIT APPLICATION IS
MADE.I FURTHER AGREE TOSAVE HARMLESS THE CITY OF FEDERAL WAY AS TC 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: ''.--4_,....1,1 J ` } � ..__ . DATE: It ;'f I f L 3 -
1 `
AHP-DCO J"40