92-101612CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 34029 3STE ANTE SW
PARCEL NO.: 308900-0026
PROJECT DESCRIPTION:
OWNER
CLEO FREYBERG
34029 35 AVE SW
FEDERAL WAY WA
927-6122
MECHANICAL PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
RENNIE SHEET METAL, INC.
4820 S. WASHINGTON
TACOMA WA 98409
472-4099
RENNISM110QN
LENDER
PERMIT NO.: BLD92-2218
ISSUED: 09/28/92
BY: ME
7
FUEL TYPES.:GAS T FANS..........: 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 NEC PRMT ISSUANCE... S 20.00
FURN<100K..: 1 DUCT WORK.....: 0 3-15 HP.....: 0 NEC APPLIANCE FEES.* S 16.50
GAS HWT..:.: 0 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: 1 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: '0 TOTAL FEES $ 36.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
jekS PIPING OK Date By
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK I TAR 5 (?
1 CERTIFY THAT THE IN ATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE P C FEDERAL WAY RE ENTS W
IDA
OWNER OR AGENT DATE
bld mech 07/01/92
r
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 BY
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BUILDING DEPARTMENT
CITY OF FEDERAL WAV
Correct
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ion
Notice
Job Located ata ;-) 3:5`4 4u6 sce-)
I have this day inspected this structure and these premises
and have found the following violations of City and/or State
laws governing same:
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C00191AST(DO A ( R
You are hereby notified that no more work shall be approved
upon these premises until the abov violations are corrected.
When corrections have been mad , call for inspection.
Date 6l `X -('a V042k Aklsokj
Inspector for Building Dept.
DO NOT REMOVE THIS TAG
ANP407 V05100
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 34029 35TH AVE SW
PARCEL NO.: 308900-0026
PROJECT DESCRIPTION:
OWNER
CLEO FREYBERG
34029 35 AVE SW
FEDERAL WAY WA
927-6122
FUEL TYPES.:GAS ?
GAS PIPING.: 0 ft
FURN<IOOK..: 1
GAS HWT....: 0
CONV BURNER: 0
BBQ. .. 0
GAS DRYER..: 0
RANGE......: 0
GAS LOGS...: 0
MECHANICALPERMIT PERMIT NO.: BLD92-2218
BUILDING INSPECTION - 661-4140 ISSUED: 09/28/92
BY: MH
CONTRACTOR
RENNIE SHEET METAL, INC.
4820 S. WASHINGTON
TACOMA WA 98409
472-4099
RENNISM110QN
FANS..........:
0
BOILERS/COMPRESSORS
HOOD..........:
0
0-3 HP......:
0
DUCT WORK.....:
0
3-15 HP.....:
0
WOOD STOVES...:
0
15-30 HP....:
0
FURN>100K..... :
0
30-50 HP....:
0
MISC..........:
0
5+ HP.......:
0
AIR HANDLING UNITS
FUEL TANKS ---------
<a10,000 CFM:
1
ABOVE GROUND:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
I CERTIFY THAT THE
LENDER
FEES:
NEC PRMT ISSUANCE... S 20.00
NEC APPLIANCE FEES.* S 16.50
TOTAL FEES $ 36.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE: IF NO WORK IS STARTED.
FURNISHED BY ME U AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENTe57��dj I DATE v
bid meth 07/01/92 4N y4A47�
Permit #l -Q)
.;. .
I'
EQ Z3 CITY OF FEDERAL WAY 2 4 1992
� SEP
BUILDING PERMIT APPLICATION OM OF IpEMF?AL WAY
— Please Print —
BOX 1 TENANT NAME:
OWNER e
OWNER'S ADORE
DESCRIBE -JOB ax °
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
BOX 2 CONTRACTOR'S NAME at—A,
_ SITE LOCATION
CITY PHONE
e
PARTNERSHIP
CORPORATION
CONTRACTOR'S REG.
CONTRACTOR'S ADDRESS 41-20 SO • lJ 'ihsr� 0 CITY ::A� PHONE
EXPIRATION DATE X49 4 -
-OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON ICiI 4-K 1 I ja to PHONE 4-1a –4o 9 9
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBERS%q 100
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR_____J_ BASEMENT______1_ DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMM ERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
NO..IFURNACE, ELEC. GAS ✓
$
SHOWERS
GAS HOT WATER HEATER
$
LAVATORIESCONVERSION
BURNER
$
SINKS
BOILER, SIZE BTU
$
DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS$
FAIR AIR COOLING UNITS, SIZE W
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
$
OTHER
$
TOTAL FIXTURES
$
TOTAL MECHANICAL FEE
$
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 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, AND ATTORNEYS'
FEES INCURRED IN 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 INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE: '7_:�
ANP -008 3/90