92-101444 CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO BLD92-2131
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/03/92
Federal Way, WA 98003 BY: MH
661-4000
SITE ADDRESS: 3611 SW 311TH LN
PARCEL NO.: 058755-0140
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
5055 536-6681
BBHEAA*094RC
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 99 ft HOOD • 0 0-3 HP • 0 MEC APPLIANCE FEES.* $ 15.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC PRMT ISSUANCE... $ 20.00
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 $ 35.00
•
INSPECTION RECORD
ter Line OK
Aa Mechanical Inspection Notes:
HS PIPING OK 1c --1-e1)._ v� Jul Date By ..« , 'IL
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTER , 1 '2--q/
......•
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FED •AL WAY REQUIREMENTS LL BE MET.
I °1
OWNER OR AGENT 4-i.---) � DATE .4r
bld mech 07/01/92
(i/(9 -, Pait # `Lis,) 9,2 - j/..3/
RECOLI.4 ii..:
CITY OF FEDERAL WAY
199? BUILDING PERMIT APPLICATION
- Please Print---
BOX 1 TENANT NAME:< .
OWNER --f 11' 1 A� SITE LOCATION << 1� ;�(-cl ;--,- aft
OWNER'S ADDRESS - . i ,' G I -i _ CITY PHONE ; - 0
DESCRIBE JOB is ' 0_— f-rvh _
THE PROPERTY IS OWNED BY: SINGLE/M�'RIED' PAC_RTNERSHIP
CORPORATION
BOX 2 CONTRACTOR'S NAME g /l CONTRACTOR'S REG. #�t j�D�y/
T
�"-- ..- • •
Card MUST be presented
CONTRACTOR'S ADDRESS, SD ' `/ -4I S CITY 1 0_0&i'1v.C1 PHONE ' 6A81
EXPIRATION DATE
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 W I5H P OHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON c1. '
PHONEn dif/Ce
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER Mk) '755 - O/ ll[i- )b
LEGAL DESCRIPTION
(It 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 ti_mZ t Dta' $
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 r' OTHER_ • LL , A
DRAINS � � 1 C $
i $
OTHER � •t , terry $
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/TH CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EM OYE , PON T 1 A,C "ACY F THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: —__ . aill! -/--i— :
1 d' DATE: t
ANP 0015 1/AA