93-102513 y
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33530OFirsDEWay South ��� ICAL PEI�:MIT PERISSUED- BO/O1/935�
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 03/30/94
ADDRESS:31628 13TH AVE SW g��/D� s�3
NO_ : 416795-0290 �
PROJECT DESCRIPTION:HYAC - INSTALL 6AS FURNACE, 6AS L06, 6 PIPINS
OMNER COMTRACTOR LEMDER
BRAD HAIELTINE NORDIC HEATIN6, IMC.
31G28 - 13 3401 C ST. MM BAY 1
FEDERAL NA1f MA 980 AUBURM MA 98002
813-3270 931-0503
NQ�INIA996J
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FUEL TYPES.:6AS FANS........,.: 0 BOILERS/COMPRESSORS FEES:
6AS PIPIM6.: 35 ft HOOD..........: 0 0-3 HP......: 0 MEC PRMT ISSUAMCE... = 20.00
FURM<100K..: 1 DUCT qORX.....: 0 3-15 HP.....: 0 . , MEC APPLIANCE fEES.j � 19.50
��.a, __ _ �
6AS NMT....: 0 MOOD STOVES.,.: 0 15-3Q HP....: 0 � � �"�� , ; s �� �
., � �,.�
CONV BURMER: 0 FURN>IOOK.....: 0 30-50 HP....: 0 `
BBQ..--••--: 0 MISC..........: 0 5+ HP.......: 0 _
6AS DR11ER..: 0 AIR NAMDLIR6 UNITS FUEL TAII1tS---------
RAM6E......: 0 <=10,000 CFM: Q ABOVE 6R0lIMD: 0
6AS L065...: 1 > 10,006 CFM. 0 UNDER6ROUND.: 4
TOTAL FEES = 39.50
Does the rater supply syste� contain a Pressure Reduction Device or Check valve? () lres () Mo (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 ISSUANCE IF NO MORK IS STARTED. RESIDENTIAL AND 6RADIN6 PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY THAT THE IMFORMATION FURMISED BY ME TRUE AMD CORRECT TO THE BEST OF Mlf KNOMLED6E AMD TBE APPLICABLE CITY OF fERERAI MAY REQUIREMEMTS MILL BE MET.
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OWNER OR AGENT ��� � \i L �_ �_________�_ �_____w DATE ��� � `
FIIE COPY �
°�
Perm' ;� f��-�cl ��' ��� 7
RECEIVEl� � - - �
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� SEI�3 O �'9:� CITY. OF FEDERAL WAY `
BUiLD1�G R�R11J�IT A�PLICATION
CITY OF FEDERAL WA`' --Pleaso Print— ' ' `' ' �'
BUILDING DEPT. `���� �'� �
BOX 1 TENANT NAME:
OWNER _ R 1�-D f�z t'-�7'i�1�� SITE LOCATION
OWNER'S ADDRESS ��4 � Y ► �3�`';r�_+-�' CITY_r-��y�l�i �-�-�zh PFIONE �i3 ��7 c=
DESCRIBEJOE3 _�ri�s Fkrnnrc. L�aN��-N�.�-• - � r�s /':��. F'��p j��� .5��--
TFiE PROPERTY IS OWNED BY: SINGLE/MARRIED �-- pARTNERSHIP CORPORATION _
QOX 2 CONTRACTOR'S NAME ��'�'o ��- I�fQa -�i^1(�- CONTRACTOR'S REG. # N U Q°°r�e v t 9 8�
Card MUST be presented
CONTRACTOR'SADDRESS 3�0� - �-s± �l/c ��d-y / CITY l�lt�hu�-,�� w„/ p�-�ONE i' 3i - �S�'-3
EXPIRATION DATE r -i Z -���
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.11� WHICH PROHIBITS ISSUING PERMITS WITI-IOUT PROOF OF REGISTRATION.
[i0X 3 CONTACT PERSON D i c.K !3 :'��I r� =-7-�,•� PHONE `%-3t r-� �'-3
QOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST /���. .`=r EXISTING BUILDING VALUATION
QOX 6 PROPERTY TAX ACCOUNT NUMBER �I� 47�,1� "�L ���
LEGAL DESCRIPTION
(if necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
QOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / 4ASEMENT /_ DECK /_ GARAGE /
QOX 8 (�) SINGLE FAMILY O NEW CONSTRUCTION
( ) MULl-IFAMILY (N0. OF UNITS = ) ( � EXISTING S7RUCTURE
O COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY `"z �--�Z' Sa FT
QOX 9 PLUMBING FIXTURES (inclutlin� rough-Ins) MECHANICAL APPLIANCES — B�1SIC FEE$
N0. W�ITERCLOSETS GAS PIPING, FEET �S- $
BATHTUBS N0, � FURNACE, ELEC. GAS � �
SHOWERS GAS fIOT WATER HEATER $
LAVATpHIES CONVERSION BURNER �
SINKS BOILER, SIZE aTU �
DISHWASHERS AIR HANDLING UNITS �
ELECTRIC HOT WATER HEATER NEAT PUMPS, SIZE $
L�UNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $ _
DRINKING FOUNTAINS COMMERCIAL HOOD �
SUMPS, SPRINKLER VACUUM BREAKERS —�—OTHER C,'r+ s L�.�s c� �
DRAINS $
OTHER y
TOTALFIXTURES $
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 I AM AUTNORIZED BY THE OWNER OF THE AQOVE PREMISES TO PERFORM THE WORK 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'
FEES INCURREO IN INVESTIGATION AND DEFENSE OF SUCH CIAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AG�INST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCIUDING ITS
OFFICERS AND EMPLOYEES, UPON TNE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
DWNER/AGENT: _ ��� ���I1� �i�r�' DATE: �•�� 9 �
�Hn.00e��oo
_ .._ . . ...... . .__ .. _ . . .._ .__ ..__ ... . _ .' _ ' w' _�..F'.'. �.:.... -. _' . .. �.. :.:. �_ ...._ .. _ _ _ _ . . . .. . _ . . . .. _ . .. . _
� . . . .. ... .._. . .. _... .._ - . .._, . . . ... ,
.. .... .. - . . .. . / . .. ..
33530OF i r stEWay �c�uth ME�HANI CAL F E�:MI T �E�I ISUED: l�0/O1/9354
Federal Way, WA 98003 Building Inspection F�equests 661--�14a BY: FLF
ti61-40C?t3 EXPIRES: 43/3p,1�4
ADDRESS:3162� 13TN AVE SW
NO_ : 41b7q5-4290
PROJECT DESCRIPTION_�IIAC - INSTRII 6AS fURIIAC�, 6A5 L06, i PIFIM6
�OMNER CONTRACTDft IEi�R
°AD 1�11Ei1IkE l�Di�IC NEAtEN6, ilfC.
3401 C ST. I� BAY !
1UNfRM W1 98002
•
'51-0503
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fiiEl TTPE5.:6�,5 FANa,........ : 0 �'60[LCR^!C�MP�`"S^�4t" " �'�ti''
fEES:
6AS PIPIM6.: 35 ft NOOD._......�.: 0 �';� �-� !t'P'..,..� � �► ' ������� !s'f oF�1 ISSilAMIGE... S 24.40
FUR!!<!00!(..: 1 [KlCE �ORi� . 0 ��� ������15 NF.��: � � ���� �',`� �� ��� ��� ���� tt�4 t�'1 ANCE fEES.s � l9.50
.
6R5 lIMT....: 0 ii� �t�W£'� �: �"��� �,m ��..3Q �'.�g���� � �� � ��,��
a��� �
n m ��,�
CQMY �IRNER: 4 �°����5t4$X :' � �-5�} I�. p��� �� �
--, �
BBQ........: 0 t�I�.. .. ,� �� � � ���6�����"�a �� . a, _, �
� `��
�� ��� . � ro� �
6A3 DRYER..: 0 �ilR �l�i:'Ti� ��S � `��: :Al�'��y- ��$�
AAf16E......: A t=a�,�� �M. �� <�����'' �t'YE ���
� , � ,
6AS l�S...: 1 > �;�,{l� C��� 4 - U ��� ROlil� �k�1 ..
,� s
TD7AL FEES 3 39.SQ
:� ���`��
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- ` Ooes the Mate�r sapply s�rst� cont�in a Prassure Reduction Derice or Chsck valve? {) Yes (} Nu (If 'Tes' thea rater expaayiva t�nk is reqnired on Nat Mzter Tank)
Inspection Record Mater R ' i4otes: __ _._..__._._. .____._�_
sns '« f�-�4'3rv� /�-�-�3 ��/ �
____ _�_ _ __ __ ___ __ _ _. ___ _._._--
__ _ �
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FEI�IITS fItPIRE l8Q DAl'S AFTER I55UANCE IF NO i10� IS S1AfttEQ. RESIQENIIAL A!�! f�I14� PERlfIT5 ExPiRf ONf Y€Aft AFTER DATE Of ISSUANGE.
I CERTIFY TNAT TNf iNFOti'�TION FIlRNISEB BY ME IS T�{E AMD C4RttECf TO 1'NE �E5T Of N7 CI�MLE96E AfD THE API�LICABLE CITY Df Ff�EftAl NAY RE4UIREMENfS MILL BE MET.
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�JMNER QR AfiENT .�----_-„�-�S.___�Js:ti.��*'_��r-=-=----- - ----- --�------�.________.__ Dr�TE .__fl~_� ,_ a�
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FIELD COPY \ '� �µ�