93-100433 93- loo L433
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93m0192
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 03/03/93
%=ederal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 29014 22ND AVE S
PARCEL NO.: 422270-0270
PROJECT DESCRIPTION: HVAC a INSTALL GAS HOT WATER HEATER
— OWNER CONTRACTOR — LENDER
DANIEL HEFFERNAN REKKIES COMM REF & HTG
29014 22ND AVE S 2534 TACOMA AVE
FEDERAL WAY WA 98003 TACOMA WA
839-3826 206-627-4417
All REEKICR127M6
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... S 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 6.50
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 $ 26.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
es PIPING OK Date By 11411/1
,.,,-ggt lelk °I. '^ 1 t leo
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 CITYtiO', 'ERAL AY REQUIREMENTS '13E
Olio-
OWNER OR AGENT \ DATE A -.1 -..mie
bld_mech 07/01/92
i
V.
• •� **nit # 3 -- Dt92 -
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER MA//6 L f R-- eith9itJ SITE LOCATION 1/0/(/ .
Z2k i/� Sl>GC/%i
OWNER'S ADDRESS z Off' .12,7t1 five S CITY ,Qae.a( (A)a , PHONE 6734 - 3L?2 r.
DESCRIBE JOB O
THE PROPERTY IS OWNED BY: SINGLE/MARRIED X. PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME k(LJ&IZJ (tow SL"C .�A.'G CONTRACTOR'S REG. # EC:1(1c /17/17 6
rl e�� -;� Card MUST be presented
CONTRACTOR'S ADDRESS 94,5:5y 'r4(O,rn3 A�vc • CITY TJCOinfi /c5 1 PHONE L32/ SLS//
EXPIRATION DATE i:)62// �3
— 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 _ PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
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 = ) ( N.) 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, UPO THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY Ars A PAR OF THIS APPLICATION.
OWNER/AGENT: �f -1AMb— DATE: J
ANP-008 3/90