92-101879CITY o.FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 33614 35TH AVE SW
PARCEL NO.: 109960-0090
PROJECT DESCRIPTION: HVAC - INSTALL FURNACE & HOT WATER HEATER
- OWNER
DOUGLAS SAMPLE
IN14 35TH AVE SW
ERAL WAY WA 98023
927-6824
FUEL TYPES.:GAS
GAS PIPING.: 0 ft
FURN<100K..: 1
GAS HWT....: 1
CONV BURNER: 0
BBQ........: 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
4kter Line OK
GAS PIPING OK
FANS..........: 0
HOOD. ..... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K..... : 0
MISC..........: 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
CONTRACTOR
RENNIE SHEET METAL, INC.
4820 S. WASHINGTON
TACOMA WA 98409
472-4099
RENNISM110QN
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP.......: 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
INSPECTION RECORD
Mechanical Inspection Notes:
Date By
LENDER
9.1, /o/a79
PERMIT NO.: BLD92-2356
ISSUED: 10/28/92
BY: FLF
FEES:
NEC PRMT ISSUANCE... $ 20.00
NEC APPLIANCE FEES.* $ 16.50
TOTAL FEES S 36.50
ALL PERMITS EXPIRE 160 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
41
OWNER OR AGENT A— DATE Q J - �7 2-
bld mech 07/01/92
1026/92 If 2064720277 003
l� fEi<ji 0► 3I_D "t
Permit f
0CT 2 r
CITY OF FEDERAL WAY FWEIVED
# 13UILDING PERMIT APPLICATION OCT 2 61992
—
PIGS" Print —
IBX 1 TENANT N
WAV
OWNER _ _ .5ITF QCATI
OWNER'S ADORE — I_ �� CITY,
DESCRIBE JOB �Ct— . 4&L
THE PROPERTY IS OWNED BY: SI GLEIMARRIED_ _ PARTNE
BOX P CONTRACTOR'S NAME
CONTRACTOR'S ADDRESS % � `
j ffiL'"+1NITY
EXPIRATION DATE
_ CORPORATION
t CONTRACTOR'S REG, #, X ZW A115 In
Car MUST bepi
PHONE 7 ;I -
—OR—
I HAVE READ CHAPTER'18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPFCI AI TY rnNTRA(`TnRC Aun
BOX 4 SEWER I IMICT — . WATER DISTRICT
BOX 5 ESTIMATED PRO.IfCT COST _.. EXISTING BUILDING VALUATION _
BOX 0 PROPERTY TAX ACCOUNT NUMBER % 0
LEGAL DESCRIPTION
(it necessary, please submit a separate page with the legal description.)
_ K.G. Plat ReCording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) IST FLOOR—J _ 2ND FLOOR
3RD FLOOR .e BASEMENT _I - DECK - GARAGE_.._/
BOX 8 { j SINGLE FAMILY ( ) NEW CONSTRUCTION
( } MULTIFAMILY (NO. OF UNITS - _ _} { ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY _
FT
BOX 0 PLUMBING FIXTURES (including rough ins) MECHANICAL APPLIANCES - BASIC
FEE $
NO._ WATERCLOSETS GAS PI ING, FEET J'
BATHTURS
$
- NO. FURNACE, ELEC.-
—. SHOWERS _GAS HOT (MATER HEATER
$
LAVATORIES _ _CONVERSION BURNER
$
—SINKS,MOILER, SIZE BTU
$
-DISHWASHERS
_DWASHERS _ --AIR HANDLING UNITS
$
— EUCTRIC NOT 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 _
i $
$
TOTAL MECHANICAL FEE
$
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BESTOF
MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE 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,
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING
AND ATTORNEYS'
THE UNDERSIGNED,
ARID 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 THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNERJAGENT'. _ � � i 1 DATE: --B- 2-6 - `?.Z --
CITY OF FEDERAL WAY MECHANICAL PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 33614 35TH AVE SW
PARCEL NO.: 109960-0090
PROJECT DESCRIPTION: HVAC - INSTALL FURNACE & HOT WATER HEATER
OWNER CONTRACTOR LENDER
DOUGLAS SAMPLE RENNIE SHEET METAL, INC.
33614 35TH AVE SW 4820 S. WASHINGTON
FEDERAL WAY WA 98023 TACOMA WA 98409
927-6824 472-4099
RENNISM110QN
PERMIT NO.: BLD92-2356
ISSUED: 10/28/92
BY: FLF
FM TYPES.:GAS
FANS..........:
0
BOILERS/COMPRESSORS
FEES:
GAS PIPING.: 0 ft HOOD..........:
0
0-3 HP......: 0
NEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1
DUCT WORK.....:
0
3-15 HP.....: 0
NEC APPLIANCE FEES.* S 16.50
GAS HWT....: 1
WOOD STOVES...:
0
15-30 HP....: 0
CONV 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 S 36.50
INSPECTION RECORD
Water Line
OK
Mechanical Inspection Notes:
�S PIPING
OK/.a 3-'FZ /* ,c,/
Date/,-3-'::�2- By brit/
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
9
OWNER OR AGENT DATE J0
btd mech 07/01/92
SET BACKS AND FOOTINGS
DATE BY
OX TO POUR FOUNDATION WALLS
DATE BY _
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE BY
WATER LINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE BY _
O.K. TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE 12-'x- ct Z BY 41
DCD
PSD
FD