07-102926City of Federal Way Mechanical Permit #• 07- 102926 -00 -M E
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3060
J
Project Name: RATHE
Project Address: 3636 S 334TH ST n. .... .. a -- Number: 614360 0206
Project Description: Remove existing and Installing a new air handler an eat pu
M rIV _ a Off 1W
....... ............................... Yes
and the City of Federal Way.
Owner or agent: �" �1 Date: 5 '50 0
Owner
Applican
I& ContUctor
ERWIN G RATHE
KLIEMANN BROTHERS HTG & N
IEMA BRO RS HTG & A/C IN
NANCY A RATHE
4703 116 ST E
1 /27/08)
3636 S 334TH ST
TACOMA 98446
470 ST E
AUBURN WA
T A 9846
98001 -9628
M rIV _ a Off 1W
....... ............................... Yes
and the City of Federal Way.
Owner or agent: �" �1 Date: 5 '50 0
THIS CARD IS TO REMAIN ON -SITE '
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 102926 -00 -ME
Owner: ERWIN G RATHE
Address: 3636 S 334TH ST
AUBURN, WA 98001 -9628
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence On -going inspections
are logged on the back of this card.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date %By Date -� 0
% % !2,�L __
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
M
4! �f
� , 1
P
will
SITE ADDRESS �% C�:� -� \ Y \ J 01
ASSESSOR'S TAR /PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Att -h -p-W page for Lengthy Legal de —IPWIV
SF MF CO(g)EL PL DE EN FP
ted. Please mint leaiblu !in ink) or tune.
SUITE /UNIT #
LOT SIZE (sn
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ><MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on tits Permit onlul
PROJECT NAME (Name of Business or Owner Last Name)l
PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NE
NAM . 3�5 -A►20
MAILING ADDRESS CITY, STATE, ZIP
�" '� . 'Feder
COMPANY NAME
/�
CITY OF
Federal Way
e`• 1(,ECEIVECPERMIT
COMMUN17Y DEVELOPMENT SERVICES
szi �-
/�
33325 8� AVENUE SOUTH - FEDERAL WAY, WA 98063- 970189718 MAY 3 0 PLICATION
i
253 - 835 -2607• FAX 253 - 835 -2609
(" '-
www.cituo(federalwau.com
MAILING ADDRESS
P
will
SITE ADDRESS �% C�:� -� \ Y \ J 01
ASSESSOR'S TAR /PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Att -h -p-W page for Lengthy Legal de —IPWIV
SF MF CO(g)EL PL DE EN FP
ted. Please mint leaiblu !in ink) or tune.
SUITE /UNIT #
LOT SIZE (sn
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ><MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on tits Permit onlul
PROJECT NAME (Name of Business or Owner Last Name)l
PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NE
NAM . 3�5 -A►20
MAILING ADDRESS CITY, STATE, ZIP
�" '� . 'Feder
COMPANY NAME
NAME
OFFICE PHONE� -�
OFFICE PHONE
CITY. STATE, ZIP
szi �-
+APPLICANT
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
(" '-
RELATIONSHIP TO PROJECT
MAILING ADDRESS
STATE, ZIP
C
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
( `l -1 °t - t n U 6 "1 zi - It / 31 /07
(zh3 ) 631
- 3841
B L
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
-(- I'- N1\16 \\-Q2 \- '�L'
EXPIRATION DATE
t / z-) /2-008
C `MPANy/YJ�NyA�M�E/� \(1
APPLICANT NAME
OFFICE PHONE� -�
MAILING ADDRESS \ fJ
CITY. STATE, ZIP
CELL PHONE
WATER SERVICE PROVIDER ❑ LAKEHAVEN
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
RELATIONSHIP TO PROJECT
AX NUMBER
❑ Architect ❑ Tenant ❑ Agent Other (Describe)
NAME ` PRIMARY PHONE E -MAIL ADDRESS
irEr�'`eLW'F� lOr�'ftCCt(f4'� �%
NAME
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
❑ HIGHLINE 11 PRIVATE (SEPTIC)
AREA DESCRIPTION I E ISTIING I PROPOSED I Q TOTAL
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL �^
Value of Mechanical Work $ �/ / -7 -7
s
+►
DISHWASHERS
SINKS
UU GG
AIR HANDLING UNITS EVAPORATIVE COOLERS
GAS LOGS
�
, 1
HOODS (Commercial)
L
BOILERS FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS FURNACES
AREA DESCRIPTION I E ISTIING I PROPOSED I Q TOTAL
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL �^
Value of Mechanical Work $ �/ / -7 -7
SHOWERS
WATER CLOSETS rrollet) MISC (Describe)
DISHWASHERS
SINKS
UU GG
AIR HANDLING UNITS EVAPORATIVE COOLERS
GAS LOGS
` REFRI`G SYSTEMS
BBQS FANS
HOODS (Commercial)
WOODSTOVES
BOILERS FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS FURNACES
GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
BATHTUBS (or Tub /shower combo)
SHOWERS
WATER CLOSETS rrollet) MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS (Bathroom Stnksl
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I cert(jy under penalty of perjury that the igformation furnished by me is true and correct to the best of my knowledge, and further, that 1
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim (Including costs, expenses, and attorneys' fees incurred in the 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 irtformation supplied to the city as a part of
this application. " IN V 4
NAME /TITLE DATE ^2-1��
(Signature) mt1c)
RELATIONSIHP T PROJECT ❑ Owner ❑ Agent ii Contractor ❑ Architect ❑ Other
Bulletin #100 -January 1, 2006 Page 2 of 4 k\Handouts\Permit Application