92-101449 9a--01 ti(e9
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2133
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/03/92
Federal Way, WA 98003 BY: MH
661-4000
SITE ADDRESS: 3 615 SW 311TH LN
PARCEL NO.: 058755-0120
PROJECT DESCRIPTION:
OWNER — CONTRACTOR -- LENDER
HELMER PACIFIC B & B HEATING & A/C
22035 SE WAX RD SUITE 14 5309 84TH ST E
MAPLE VALLEY WA TACOMA WA
432-5055 536-6681
BBHEAA*094RC
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 99 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.* $ 15.00
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 • 1 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES S 35.00
INSPECTION RECORD *i.
111a
Water Line OK Mechanical Inspection Notes: Ili
IllkS PIPING OK Date By A r. 7-1 1 ``
. ,.r, .
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QAC
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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 APPLICABLEtITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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OWNER OR AGENT 2'477/?/-7 DATE / L
bld meth 07/01/92
L
r � Pat # '$t ) �i;i :9'
RECEIVED
i SFP — 2 1992 CITY OF FEDERAL WAY
IiogF ta )tcy ��� BUILDING PERMIT APPLICATION
r?,'' :�'c"s Y''-'7-s 4. - Please Print--
BOX 1 TENANT NAME:
I OWNER / JLYt<C ___�c _____ SITE LOCATIONJ��� `�
x_1 r LN
OWNER'S ADDRESS `,3 S S IJ,1oivjQd I LI-- CITY '.I PHONE 9:3.,/-
DESCRIBE JOB c.r - _ s
THE PROPERTY IS NED BY: SINGLE/MA RIED PART RSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME - �4-I
`i' �___-____ _CONTRACTOR'S REG. # :•i .. 1�I I 1 1
_ Card UST be presented V'
CONTRACTOR'S ADDRESS 25i > / ...l _- CITY ,�_^C.:a_C/1-'L( PHONE , 6 Irl C.fg/
EXPIRATION DATE
- OR -
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
)',
CHAPTER 18.27.110 Wij! H PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON LA-/t
PHONik
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST —_, EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER Q58'6 (7 ) 60 -
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /_
3RD FLOOR _ J__ BASEMENT _/_ - _ DECK J_ GARAGE /
BOX 8 (�.SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS - _-_ ) 2_6) CONSTRUCTION 60
STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES - BASIC FEE$
NO. .-. WATERCLOSETS GAS PIPING, FEET _I t1 Lii,A4C)
- BATHTUBS $
N0. 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 ` CO , $
_-DRAINS ------- / ` r.1 - $ -
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 T I TY OF FED ii'AL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLI PONT IF a CC 1 • .C OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: _ , . i, _ a- - -- DATE: :� ‘J < --_-
ANP_009 1/'I
BUILDING DEPARTMENT
CITY OF FEDERAL WAY
. • •
Correction Notice
Job Located at 36/5 `� `L.) 3 %I"' z
I have this day inspected this structure and these premises
and have found the following violations of City and/or State
laws governing same:
c-,1 rr7e4t,?e" i0045% r&" (o ti/ FOrz j 4i/Ai
You are hereby notified that no more work shall be approved
upon these premises until the above violations are corrected.
When corrections have been made, call for inspection.
Date / v- -?";z, Wig/re /tI)-z5c v'
Inspector for Building Dept.
DO NOT REMOVE THIS TAG
• • ANP-007 3/05/90