92-101513 9 ),/0/ 5/3
CITY OF FEDERAL WAY IVI E C H A N I CA L PERIVI I T PERMIT NO.: BLD92-2158
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/17/92
Federal Way, WA 98003 BY: MH
661-4000
SITE ADDRESS: 2923 SW 337TH ST
PARCEL NO.: 954280-1670
PROJECT DESCRIPTION:
OWNER — CONTRACTOR -- LENDER
CAGLE RENNIE SHEET METAL, INC.
III
2923 SW 337 ST 4820 S. WASHINGTON
FEDERAL WAY WA TACOMA WA 98409
874-3477 472-4099
RENNISM110QN
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* S 10.00
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: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES S 30.00
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes: Cogs ruFr/J1c 14,s;,gc i o)-) OK ,
OS PIPING OK Date- , 'i By ;;:;
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE I ORMATION FURNISHED BY ME IS UE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT / 2�-5-L
, . ��i 2 �--�' DATE
bld mech 07/01/92
kV !..M�
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE--....... BY-__ DATE _._.._ BY -.._... -... DATE _...- BY
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION `,
DATE...--_ BY._ GAS PIPING O.K.__.... DATE 51-62V" BY Z BY ----1�1/ _
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE ..... BY -... DATE ....-........ .......BY DATE
BY
FINAL O.K. TO OCCUPY
/� / / DCD PSD FD
DATE-`1.'-0)7 4. BY /N..__-......_-
• Pe. # /, /) % - 4245e3-
RECEIVED
• SEP 1 if 1992 CITY OF FEDERAL WAY
c��r � >r�L;a BUILDING PERMIT APPLICATION
OfTV1 0� —Please Print-
BOX 1 TENANT N E: �e_
lQ0 I
OWNER (Q-c� I 0 SITE LOCATION .
OWNER'S ADDRESS , j,Z 3 (-- UJ 337 CITY C' . !Lc PHONE 5S?4— 3`f' 7
DESCRIBE JOB c.trivs '�-
THE PROPERTY IS OWNED BY: SINIGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME I `IU 'e. .,A ± CONTRACTOR'S REG. # IC,
/I . 11 Card MUST be presented
CONTRACTOR'S ADDRESS ����o & . W 1116) ILI CITY �AC.84Y1et. PHONE 472 -µp ct 9
EXPIRATION DATE ///9z
— 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 i1?4-+4( / / ii'/0 PHONE 40 —1069 9
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER C/g2-1' `&G — ) C070
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 / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. / FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT 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 $
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.
p
OWNER/AGENT: DATE: l—
ANP-008 3/90