92-101313 CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: /BLD92-21084
:3530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/20/92
rederal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 4133 SW 314TH ST
PARCEL NO.: 873199-0620
PROJECT DESCRIPTION: MECHANICAL"INSTALL SPA HEATER
— OWNER — CONTRACTOR — LENDER
JOSEF ROHRMOSER AMERICAN HEATING SERVICE, INC.
4133 SW 314TH ST. 7517 PORTLAND AVE.
FEDERAL WAY WA 98023 TACOMA WA 98404
838-5018 847-8399
Jig AMERIHS083M5
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 1 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.* $ 8.50
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 1 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 $ 28,50
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
ilitS PIPING OK -'/- Z faDate By
11110
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1
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. Ili
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY WAY REQUIREMENTS WILL BE MET
1/4.' \ r pATE
OWNER OR AGENT ///k7/ /(it_ -C ��LG ` DATE /
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t±ld_mech 07/01/92 /
• . RECEIVED BY 9
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—
AUG 1 8 1992 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER ...JOSC+ i'e0ir'mo er SITE LOCATION
OWNER'S ADDRESS 4)(3 Si...&) 3l 44- St, CITY raleAra I (4GLy PHONE g3E.5018
DESCRIBE JOB Tns kj cpt hea1-en - 04—S-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME grrle4 ict.4'1 H 1`i SVC-. J rtt..-. CONTRACTOR'S REG. #PeVar/so 3I1 i
/� ] ' /n�!t TA
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MUST be presented
CONTRACTOR'S ADDRESS '7 S 17 RIP tIe. CITY C(?MA PHONE-S9 I7O2.
EXPIRATION DATE �7/q3
— 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 8'13197OG10
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 J DECK / GARAGE /
BOX 8 l ) 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 YytSkti I( Spa ho,,U - $
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 THEEAACCURACY 0/T'HE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: 2,7Skab il. ,';71/'���1� LG� DATE:
ANP-008 3/90