93-101937 9.3-101 9,37
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD93-0853
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/03/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 3811 SW 313TH ST
PARCEL NO.: 873198-1250
PROJECT DESCRIPTION: HVAC
OWNER CONTRACTOR - LENDER
GERALD RENNERT NORTHWEST WATER HEATER
3811 SW 313RD ST 8201 DURANGO ST SW
FEDERAL WAY WA 98023 TACOMA, WA WA 98499
661-7959 984-6404
NORTHWH103R2
L_
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..: 0 DUCT WORK.....: 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 6.50
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 • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 26.50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
•S PIPING OK 511uf!,',(1:' Date gf/../47 By
` )/.1/11-' ( (14.1
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 CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
jj
OWNER OR AGENT / -- �'�'�---.. DATE `, �
bld mech 07/01/92
. Peeit # 9,L.0 q3' 03S3
D
CITY OF FEDERAL WAY
471A/
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME:
OWNER ( ,QJl(IkCC '111 Y1J1J k, SITE LOCATION .3 1 I S u 313
OWNER'S ADDRESS 3 $11 5Lo 3U3 S�• CITY 12 dL- ICI PHONE (..C60 1– '795
DESCRIBE JOB glict !) ,Vi F t pifCL jt Tr\.OL(1*
THE PROPERTY IS OWNED BY: SINGLE/MARRIED )C PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 1\1U) la)0LtUt ..QCT-Q11, CONTRACTOR'S REG. # ► RTI-ftL)lf in3RQ.
_ Card MUST be presented
CONTRACTOR'S ADDRESS SRC 1 tI W\CJ'flC C) SL�CITY ICON a PHONE Ct?`f–LC LIC
EXPIRATION DATE 19,10a cf 3 U
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON =�L�l��"���o` 11 0� PHONE CS LOE-01-/
y
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST t_)a) EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER X9319'5 - 05C,
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. 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 4ttU cQ 010.0-+ $
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 THE, ACCURACY, � OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: JAIL/CX JLY DATE: /3)C6
J + ANP-008 3/90