92-101778 MECHANICAL PERMITci-, _ ,
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CITY OF FEDERAL WAY PERMIT NO.: BLD92-2 312
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/15/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 32428 8TH AVE SW
PARCEL NO.: 9264921050
PROJECT DESCRIPTION: HVAC ® INSTALL GAS FURNACE & WATER HEATER
a- OWNER •- CONTRACTOR — LENDER
BLACHE RENNIE SHEET METAL, INC.
32428 8TH AV SW 4820 S. WASHINGTON
FEDERAL WAY WA TACOMA WA 98409
.-1245
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.* $ 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 $ 36.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
IS PIPING OK Date /p/0z By A
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,-.-, /ii(Ess1/i2t'/ S;>---- /%3s & xs/nyv o /3/4-/z-C- 12'.70/4f j//L--
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFIRMATION FURNISHED BY ME IS T D CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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OWNER OR AGENT �._�<.tL -�I��,Z „ � DATE (�j'' / )� r-,
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bid mech 07/01/92
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Permit ## 13L P17-- - Z 317-
" OCT 1 4 1992 CITY OF FEDERAL WAY
OflY OF SUILDtNG DE AY BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER {314-c 1. /� SITE LOCATION l
OWNER'S ADDRESS e� �qj I-I-oc uJ CITY -�Cieti^A-_ (-0/4 PHONE 533q--
DESCRIBE
33q-DESCRIBE JOB Q.- 14-T.--
THE
4-THE PROPERTY S OWNED : SINGLE/MARRIEDS^ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME }�-ei.;ti'i z'�►1� t att t4L C CONTRACTOR'S REG. #41 ' 41 /10 Q )
c (4-11-J
, 1 Card MUST be presented
CONTRACTOR'S ADDRESS 1490 'C '(4.1�4J 'tiy}"ati CITY 1* -- PHONE q`7 -40 9
EXPIRATION DATE /// Gt.� vJ
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS /LISSUING/PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON /4/4'1-l' l ..^f c AJ PHONE 47a-4-44 of
BOX 4 SEWER DISTRICT r WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 'j - WS-6
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. I FURNACE, ELEC. GAS V $
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 TH ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
LLOWNER/AGENT: DATE:
ANP-008 3/90