93-102477 1.
CITY 3353O0F FEDERAL WAY Firstt Way South MECHANICAL PERMIT PERMIT NO:ISSUED: 09/30/9343
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 03/29/94
ADDRESS: 1O58 SW 308TH ST
NO. : 178830-0095
PROJECT DESCRIPTION:HVAC - INSTALL GAS HOT MATER HEATER & PIPING.
= OWNER — CONTRACTOR — LENDER
LARRY LEHNERL
1058 SW 308TH ST
FEDERAL MAY WA 98023
946-8314
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 5 ft HOOD 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<IOOK..: 0 DUCT WORK • 0 3-15 HP • 0 NEC APPLIANCE FEES.* $ 9.50
GAS HMT • I WOOD STOVES...: 0 15-30 HP • 0
CONY 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 $ 29.50
410
Does the rater supply systes contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL MAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT _��/� DATE ---V.10-3'
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SETBACKS & FOOTINGS
•
•
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date. By
.....................................
UNDERFLOOR FRAMING
........................... ...............................
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER 2. et ?C , • I
G --74.-o he • 1.
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Date %�1 fin — <(3 BY (, 4 7 r
OTHER
Date By
CD0193
SEP-24-93 FRI 7: 18 NW WA,,, R HEATER TACOMA FAX NO, 206 588 0353 P. 03
Porn „P)060 /C
Dt
CITY OF FEDERAL WAY � 9-1411'
BUILDING PERMIT APPLICATION
Pieaae Print--
BOX 1 TENANT NAME:
OWNER :a. ► 11 r`= SITE LOCATION ' `` f.70 S )+11'
OWNER'S ADDRESS ' f-. ` U ) , �4b41., : :, �,ITY R fi �PHON
DESCRIBE JOB 15^k`.r_�l. :577541.,t, )) L:'
THE PROPERTY IS OWNED BY: SI1 LE/MARRIED PARTNERSHIP _ CORPORATION
BOX 2 CONTRACTOR'S NAME MU) �l 1 ��- � CONTRACTOR'S REG. # 1,10P_T14,w4 k0 ',Q
_ Card MUST be presented
CONTRACTOR'S ADDRESS KM(o SI-5 CITY 1 rv`� PHONE X314-Cs?. C)V
EXPIRATION DATE VA./ _ U
— 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 �J?IQc'� � 11 I� A PHONE Lt c � - 1-{{104/
BOX 4 SEWER DISTRICT _ -WATER DISTRICT -
BOX 6 ESTIMATED PROJECT COST •'til, EXISTING BUILDING VALUATION . _ .
BOX 6 PROPERTY TAX ACCOUNT NUMBER cc.n.1.7) J(4, _
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 J
SRC FLOOR_____/ BASEMENT / DECK _. . J GARAGE_i
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UMTS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY _• SO FT
BOX 9 PLUMBING FIXTURES(Inciuding ro4h-ins) MECNJANICAL APPLIANCES- BASIC FEE
NO. . WATER CLOSETS 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 HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET — UNIT HEATERS $
URINALS _, AIR COOLING UMTS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD S
_SUMPS, SPRINKLER VACUUM BREAKERS OTHER _ _ $ _
DRAINS
OTHER
_TOTAL.._TOTAL FIXTURES
TOTAL MECHANICAL FEE $ —_
I CERTIFY UNDER PENAL Y OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OFMMY 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 MAGE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES DUI OFTHE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLOYEES, UPN THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
:01
OWNER/AGENT: -. :�0,J+���c ._ DATE: .
4/L0099,2o5
SEP-24-93 FR I 7: 16 NW WATER HEATER TACOMA FAX NO, 206 588 0353 t_1-' a P. O0 �
• Perm
a
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Pr,nt--
10X 1 TENANT NAME: ^ —
CWNER ...ID. J•Alb 'AI )1_" SITE LOCATION - xal '
OWNER'S ADDRESS -3,^ _ _2 ._Ii • - - PITY— F, t-a�_f • PHONE _
DESCRIBE JOB • . .1,..4 ! �/
THE PROPERTY IS OWNED BY; SIN LE/MAR'iED '.. PARTNERSHIP _ _,-- CORPORATION
;OK 2 CONTRACTOR'S NAME TM CONTRACTOR'S REG.#.I TfW t 1p3.3ea
_ and UST a pre�sJen.
CONTRACTOR'S ADDRESS `ac 7 1. Ca l iNri.rr'oc S"'�CITY (c-cc3Tria PHONE..93 _ 1{Q.
EXPIRATION DATE L 4 i i ,^
—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,
QX 3 CONTACT PERSON f f n c3� l ,r,` - aIud_______ --- —PHONE q t�SW CDPD(/
3OX 4 SEWER DISTRICT _ _ - WATER DISTRICT -
IOX 5 ESTIMATED PROJECT COST ,Il q 5Q _ - . _EXISTING BUILDING VALUATION
SOX a PROPERTY TAX ACCOUNT NUMBER g-3f1C1 -• Q( FCS
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description)
K.C. Plat Recording # ._- ---- -- __
30X 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR J 2ND FLOOR /—
3FO FLOOR_______/ BASEMENT___J DECK I GARAGF L.
3CX S ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = J ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY _SO FT
IDX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
No. WATERCLOSETS GAS PIPING, FEET n $
BATHTUBS NO. 1 FURNACE, E EC.. GAS- • - $
SHOWERS . GAS HOT WATER HEATER $ _ __ _
—LAVATORIES __--CONVERSION BURNER $
SINKS BOILER,SIZE - _ ._ 6TU $
DISHWASHERS AIR HANDLING UNITS $ _
ELECTRIC HOT WATER HEATER _HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS 5
URINALS AIR COOLING UNITS,SIZE __ - __ ffi •
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS _ OTHER- $
DRAINS - . . $
OTHER $
TOTAL FIXTURES _ - _ _- $
TOTAL MECHANICAL FEE $
- -
CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
1,ND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
SPADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
'EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
aNC FILED AGAINST THE CITY OF FEDERAL WAY.BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE Or THE CITY,INCLUDING ITS
)FFICERS AND EMPLOYE S, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THiS APPLICATION.
1VJNERrA NT: i •,,_49
t---W--Qi i ,?' DATE: 9ialCiL 3 - -
ANP-006 LW