94-100127 �? y-�o ol a7
CITY OF FEDERAL WAY MEC I�AL PE�;MIT QE�ISSUED: 01/14/9428
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY� FC
661-4000 EXPIRES. 07/13/94
ADDRESS:2019 S 282ND PL
NO. : 422231-0110
PROJECT DESCRIPTION=HYAC - IiiSTAlI 6AS NOT MATER HEATER
� DMMER CONTRACTOR LENDER
BRETT RADFORD NORTHMEST MATER HEATER
2019 S 282ND PL 8201 DURAN60 5T SM
FEDERAL MAV MA 98003 TACOMA, MA �IA 98499
946-0952 984-6404 588-0393
MORTHMH103R2
FUEL TYPES.:6AS FANS..........: 0 BQILERS/COMPRES50RS FEES:
6AS PIPIIl6.: 0 ft NOOD..........: 0 0-3 HP......: 0 - MEC PRMT ISSUANCE... = 20.40
FURN<100K,.: 0 DUCT MORK.....: 0 3-15 HP..,.,; 4 � MEC APALIANCE FEES.= = 6.50
6AS NMT.,..: 1 MOOD STDVES...: 0 15-30 HP....: 0
,� � � �a..������� ����� � a�
COMV BURNER: 0 FURN>100K.....: 0 30-50 BP,,..: 0 ", � e � � w� . �� � � �
;� �
BBO....,.... 0 MISC.......,... 0 5+ HP...,.... 0 .. ,,. _ m ..
6AS DRYER..: 0 AIR NANDLIN6 UNITS fUEI TANKS--------- �
�,-
RAN6E....,.: 0 <=10,004 CFM: 0 ABOYE 6ROUND: 0
6AS L06S...: 0 > 10,000 CFM: 4 UNDER6ROUND.: 0
TOTAL FEES = 26.50
es the roater supply syste� contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then rater expansion tank is required on Hot Mater Tank)
Inspection Record Mater Line OK Mechanical Inspection Notes:
6AS PIPIN6 OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUAMCE IF NO MORK IS STARTED. RESIDEMTIAL ARD 6RADIM6 PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT TNE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNDMLED6E AND TNE APPLICABLE CITY OF FERERAL MAY REQUIREMEMTS MILL BE MET.
�
OWNER OR AGENT ______�____ -�=r �,/' �
�`�--�-��-------------------------------- DATE --1---�f---��
Fo��co!� �
— �
�,'��12,,\ \�) �1d0�a131� .
h����'
����_________ 31d1 ___.___..__. _______ _._._._..____ .__._... _�__._���_ �' �` .
� ,� � ��, ,�� „3� �� •�
) � /r,
'13N 38 "11111 SiN3N3N111�13� AtlN 11Ai383� �0 Ait3 3I8tl:►llildtl 3H1 �It� 39Q31�111 Ak �Q 1S3t 3Nl 0! 1��l�0� �1 ��111 �I 31! A8 435INSti� NOIl111�O�If1 3Nl 1tlNi AlJ1�3� I
'391tU(1SSI � 31W1 ti31��t i�{3A 3ii0 38Id�3 SlIlAi3d 9MIU�9 Wid 1tliSi130t53� 'd31atl1S SI x8tN1 dll �I 3�MWISSI �31.�V S,�11U 48I 3�Idl(3 SlIl�13d
�..�-�—_ — -
�
� /✓btl hb-t P-/ ,9/''bN,5��'f °��IAId St�9
x
a
� :s������t ���.: ,_,, : : z��i=�•� �� aut� �a�e� p�oaab uot;�adsn2
(�net �a�el! �tiN tro p��tnba� s� �ur� uatsnedxa �a�eN eay; .saA. �I) WI () ss;� () ;,an�eA ��i� �n aaread uat�anpa� a�nsso�d � u[e�uo� �s�ts �i�dns ��;e� ay; s�>� ;,
'..�,T.�.__.__—
_,�
��� �
b5'9Z = S33� 1tlt01 \
` 4 •'��13�1 � ��� -�,1 �`OI t � • "S'901 Sfi9
N��
��° ,� ����'��� •��� �}8�F'ws� �0 �l��`#�1�> � , .....3911tl�
�' �,�s ��'_. `a�� 73�� N��l� 91F�'1Qii�ii �Itl 0 • '�3a1fQ Stl9
,.�
z�� �� ,: . `. � � a � . _ z������� d►i ��,��w�'� _.- J��ii b 088
� � .,„.....�..� , ........
� � � ����
� � � .:�k �-��� � '�O��.tM�A� 4 ��3NNA� AIIQ�
� � ��-: ��, � � ��ro � s , ..:
ra� ro�. � ����� ���, � : _ .««.-dM �f- �� �`e � , .� � :....
�� �
�� � � r 1� sas �
�S`9 � i'53i� 3 � s �� � � m� >�, �'��`� � ���� ':� ��� ��; _.:�.�. .� 51*�; ta ;.,`..'l�l(�F IaAQ 0 ;..�001>N811�
00`Ol t ...3�ilifASSI llt�d ��li ��-��� k ��� �#► �� , d� 4-� ��g a... ...---QOQH x! 0 �`9Nldld SV9
�S33� � �����,�,;� �►�,ii4�t1�+/�3"��8 :� ..��� ........SNtl� Stl�-'S3dA1 'i31l�
.__:.....�.�.: _..____.�.._. .___......_.�_._._ ._
��� �
.� f6£A-885 IOt�-►B�
66t86 Wi VN `d1�1�1 F0086 W! AI� �
NS 1S 09NVaQ0 I4t8 ld �ILBt ;;
ti31tl31f 831iNf 1531�1llOM Ui10ldtl�! 1: ::,�
a39M31 UOt�iNO� g3NMq�
a31V3N �31� ![� Stl9 11tl1SNI - atl,AN=WOYldI2i�53Q 1�3COad
OTTO-T�ZZ�� = `C1N
ld aNZ9Z S b LOZ=S�3?lQ�Oti
t��/4:T/LO =S3?lIdX3 OOOti-T99
J,� =�,8 Op[�-T9q 9�sanbea uoi��adsuI 6utPIj�9 �OQ86 tiM `��M i���pe� .
9ZOO�bb�]"19 'ON�lIW�i3d �1�I�i_i.� ���1 ��1 l ��1��M �tti'�3a3�i�0O1.1I�
rerm�i �
� *�
r C Y OF FEDERAL WAY
BUILDING PERMIT APPLICATION �i r=-- -� �-; � D �
—Piease Print— -,.
1 TENANT NAME:
OWNER ' ! '' �'' , SITE LOCATION �1C � :� , ` '�-
OWNER'S ADORESS r � � , .�� ' �- CITY r� Ll� . PHON �� ` ��- � ��� `�
DESCRiBE JOB 1�� � (l � -
THE PROPERTY IS OWNED B : SINGLE/MARRIED ��' PARTNERSHIP CORPORATION
2 CONTRACTOR'S NAME l i a) 1 ) �L � ��� CONTRACTOR'S REG.# �IZ^T�W}f I n3I��
Card MUST he presented
CONTRACTOR'S ADDRESS � � �'S��CITY IC�C�Y�(1Q PHONE ���-C��-{O�
EXPIRATION DATE 1� 4 _ ___ __
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO OEFINITIONS OF GENERAL CONTRACTORS ANO SPECIALTY CONTAACTORS ANO
CHAPTER 18.27.110 WHICH PROHIBITS ISSUiNG PERMITS WITHOUT PROOF OF REGISTRATION.
' 3 CONTACT PERSON �11 I '` Q o PHON -
; 4 SEWER DISTRiCT WATER DISTRICT
; 5 ESTIMATED PROJECT COST -� � �'�). L� EXISTING BUILDING VALUATION
; 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
C 7 BUILDING SQUARE FaOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3R0 FLOOR / BASEMENT / DECK / GARAGE /
C 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INOUSTRIAL TOTAL AREA OF PROPERTY SQ FT
C 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPUANCES — BASIC FEE$
N0. WATERCLOSETS GAS PIPING, FEET �
BATHTUBS N0. FURNACE, ELEC. GAS $
SHOWERS ��GAS HOT WATEA HEATER $
LAVATORIES CONVERSION BURNER �
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASi1ER OUTLET UNIT HEATERS $
URINALS �. AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERClAL HOOD � �
SUMPS, SPRINKLER VACUUM BREAKERS OTHER �
DRAINS �
OTHER �
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
�RTiFY UNDER PENALTY OF PERJURY THATTHE INF-0RMATfON FURNISHED BY ME IS TRUE AND CORRECTTO THE BEST OF MY KNOWLEDGE
D FURTHER THAT I AM AUTHORIZED BY THE OWNER OFTHE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
�DE.I FURTHER AGREE TO SAVE HARMLESS THE ClTY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
ES INCURRED IN INVESTIGATiON AND DEFENSE OF SUCN CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING TNE UNOERSIGNED,
D Ff LED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF T}iE CITY,INCLUDIN�ITS
FiCERS AND EMPLOY ES, UPON THE ACCURACY OF THE INFaRMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
�
r. I /j�"� �-
VNER/AGENT: ���� � ������ - DATE:
� AMP-00�L90 �