93-102816 � q3�l� ��>�
CITY OF FEDERAL WAY M E C H A N I CA L P E R M I T PERMSSUED' B1/02/9384
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 05/01 /94
ADDRESS:30215 29TH AVE S
NO. : 798380-0130
PROJ ECT DESCR I PT I ON:NVAC - INSTALL GAS FURNACE.
OMNER CONTRACTOR LENDER
SAM SAMBERG NORTHNEST MATER HEATER
30215 - 29TH AVE S 8201 DURAN60 ST SIM
�' -EDERAL MAY MA 98003 TACOIIA, NA MA 98499
941-4233 984-6404 588-0393
NORTNMN163R2
FUEL TYPES.:GAS FANS..........: 0 BOILERS/COMPRESSORS FEES:
GAS PIPIN6.: 0 ft HOOD..........: 0 0-3 HP......: 0 NEC PRMT ISSUANCE... ; 20.00
FURN<t00K..: 1 OUCT MORK.....: 0 3-15 NP.....: 0 MEC dPPLIANCE fEES.; = 10.00
6AS HMT..... 0 I�OOD STOYES.... 0 15-3U HP..... 0 �W��" a, ���
.� ,. p ����.
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 � �
, _ �
BBQ........: 0 WISC..........: 0 5+ HP.......: 0
6AS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ;
RAN6E......: 0 <=10,000 CFII: 0 ABOVE GROUND: 0 �
6AS L06S...: 0 > 10,000 CFM: 0 UNDERGROtIND.: 0
TOTAL FEES � 30.00
�,.es the Mater supply systee cantain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then rater ezpansion tank is required on Hot water Tank)
Inspection Record water Line OK Ilechanical Inspection Notes:
GAS PIPING OK Qate By
PERMITS EXPIRE 180 UAYS AFTER ISSUANCE IF NO wORK IS STARTED. RESIDENTIAL ANd GRADING PERIIITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORIIATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF WY KNOwLED6E AND THE APPLICABLE CITV Of FEREAAL MAY REQUIREMEUTS MILL BE AET.
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SETBACKS & FOOtINGS
Date By �
FOUNDATION WALLS
Date By
pLUMBING GROUNDWORK
Date By
UNAERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH-IN _S �_ ,,,� —
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1 ST LAYER
Date By
GWB - 2ND LAYER
Date By
'SUSPEII[DED CEILING
Date By
PLANNWG FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CD0193
CITY OF FEDERAL W,4Y I\/I EC HAIV I CAL PERI\/I IT PERMIT NO.: �LD93�118a&
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/10/93
Federal Way, WA 98003 �Y: FC
661-4000
SITE ADDRESS: 302i5 29T� �i�E � � �
PARCEL NO.: 798380-0130
PROJECT DESCRIPTION: HVAC � I1�TS�'ALIe G�S g'IIRN1�CEe
041NER CONTRACTOR LENDER
� SAM SAMBERG NORTHWEST WATER HEATER
30215 - 29TH AVE S 8201 DURANGO ST Su
fEDERAL NAY NA 98003 TACOMA, bIA WA 98499
S"" �233 984-6404 588-0393
NORTHWH103R2
FUEL TYPES.:GAS fANS..........: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUANCE... 3 20.00
FURN<100K..: 1 DUCT IJORK.....: 0 3-15 HP.....: 0 MEC APPLIANCE FEES.* S 10.00
GAS HWT....: 0 HOOD STOVES...: 0 15-30 HP....: 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0
BBQ...-•-••: 0 MISC..........: 0 5+ HP.......: 0
GAS DR�ER..: 0 AIR HANDLING UNITS FUEL TANKS---------
RANGE......: 0 <=10,000 CFM: 0 ABOVE GRWND: 0
GAS LOGS...: 0 > 10,000 CFM; 0 UNDERGRWND.: 0 TOTAL fEES S 30.00
]CN3PEC�°I OP1 1tECORD
Water Line OK Mechanical Inspection No�ese
� PIPING OK Da�e � By �
��1�r�� ���� �
t
ALL PERMITS EXPIRE 1�0 DAYS AFTER ISSUANCE IF PIO WORK IS STARTED.
1 CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.4ND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WIIL BE MET.
OWNER OR AGENT DATE
bld_mech 07/01/92
NOV- �-93 TUE 10�37 NW WATER HEATER TACOMA FAX N0, 206 588 0353 P. O1
P�it # ����� ��" l � � .
,
CiTY O� FEDERqL WAY
BUILDING P��tMlT ApPLICATION �
--Ploa�Print—
$OX 1 TENANT NAME;
01h'NER SfTE LOGATIp� •Gi .
OWNEA'S ADpAESS CI7Y r P��N [ ;
DESCRIBE JQ6
7HE PROPERTY!S QyVIV�p gY� S�I�GL aRRi PARTNERSHIP
30X 2 CONTRACTOA'S NAME CORAORATION
_GONTRACTDR'S R�G.� �d
COI�TkACTOR'9 ADQRESS � � ' �^�.$f.�..� Card MUST'�pr.c,n�d�
�xpi�,�riory DArF � ClTY__. �G�CaI"Y��._._ pHON�.�`. -��.•'�+�
1MAV�READCHAPTERi8,27.010RELATINGTC�DEFINITl��1SO�G�ERALCONTAqCTORSANDSPECIALTYCpNTAAGTpRSANp
Ct�APTEA 16.�7.11Q WHICli PRQFl181?S (SSUlNG pERMlTS WITHOUT PROOF OF REGISTRATfQN,
8QX 3 COh'TACT PERSON • •
30X 4 SEWER OISTRIC'f P}idN �
V�'AT�R DISTRICT
�OX 5 ES7lMAT�Ci PROJ�CT�Q$T � ' �XISTING BUILDING VA;,UATION
BQX 6 PROPERTY TA?{ACCpUNT NUMBER� ���� fl�� � f/3 �-�
I.�GAL OESCRIPTION � �
(tt necessary, piease submit a separate page with the le�al descript�on,)
K.c. Plat Recordinp#
$OX 7 BUII.GING SQUARE FOOTAGE: (Existtng/Proposed) �5� FL00�,,,/�� 2ND FLpOR
3RD FLQQR.�J BASEMENT.�,_� pE� GARAGE_.�,J�
�X � ( ) SlNGLE FAMILY ( }i NEW COAISTRUCTlON �
( ) MULTiFAMILY�NO. aF UNITS = �� ( ) �XISTING STRUCTl1RE
O COh1MEA�lAU,'NDUSTRIAL TOTAL AREA OF PROPEATY S��
80X 9 PI,UMBWG FIXTURES (including raugh-ina) MECHANICAL APPLfANCES-� BASlC FEE$
N0. WAT�RC�OS�TS GAS PIPfNC�, FEET
BA7�,'TUBS NO,.- (FURNAGE, ELEC.�Gqg (r____/ ,� s "'�
—5������� �,GAS HOT WAT�R HEATER �'�
LAVArD�IEs __._��CbNWERS10N BURNER $ �"
OISHWASHFRS �----ga��ER,SIZE�gTU g
ELEC�RiC HDT WA7ER H�ATER ---�—��R HAND�ING UiVITS $ �
— LAUNDRY WAS}��R OUYLET —�—HFAT PUMPS, SIZE�„ $ �,
URINa�s ��Nir HEATERS $
dRINK1Nc FOuruTAlnrS �----A1R cOOLING UNITS, S12E $
SUMPS. SPRINK�Fp VACUUM �REAK�R3 "—'—`^COMMERCIAL HOOp $ `,
_DRAINS - OTHER $
OTHER S �
TOTALF(XTURES r �
TflTAL MECHANICAL FEE $
CERTi�uh�DEA PEhaLT�OF pERJURY THA7 THE INFORMATION FURNISH�D 8Y ME IS r�UE arda CORRECT To THE BE5'r OF MY KNOwLEDGE
aNC Ft1RTHER THAT I AM AE1Thi0RIZED BYTHE OWNER OF7HEA130VE PP.�MISES TO PERFQFiM THE WORK FOR WHICH i�ERMITAPPLiCATIt?N IS
.aAD6,f FURrhfERAGpEE TO SAVE FiARMLESS 7HE CI7YQFFEaERALWAY ASTQ ANY CU11M(1NCLUDING COSTS,EXPENSES,ANDA'RORNEYS'
=EES iNCURRE�IN INVESTIGATIDN ANp DEFENS�OF SUCH Cl,AlM),WHICN MAY BE MADE BY ANY PERSON,INCl.UDtIVG THE►1NDERSIGNED,
�NQ FILED AdAINST TN�CITY QF F�pERA1.WAY, BUT�wLY WHERE SUCH CLAfl�aRiSES Ou7 oF rNE RE�iaNCE OF rNE c�rr,INCLi1DIN�ITS
)FFiCERS AND EMP�OYEES, uPaN rHE ACCURaCY pF 7HE INFDRMqTION SUPPLIED TG�HE c�rY as a paRT pF T�riS APPLICATION.
�WN�RIAGENT� '�-/ � ��xJ' �
_,_.�ATE: l l
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