92-102111 9a-/a J 111
CITY OF FEDERAL WAY lvi EC HAN I CAL PERMIT PERMIT NO.: BLD92-2480
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/04/92
Federal Way, WA 98003 BY: FLP
661-4000
SITE ADDRESS: 30413 2ND AVE SW
PARCEL NO.: 556000-0060
PROJECT DESCRIPTION: INSTALL GAS OSBURN HEATER
OWNER CONTRACTOR LENDER
RICHARD DOW RENNIE SHEET METAL, INC.
30413-2ND AVE SW 4820 S. WASHINGTON
FEDERAL WAY WA 98023 TACOMA WA 98409
829-461011,
I472-4099
RENNISM1100N
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 • 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 $ 26.50
INSPECTION RECORD ,* , ,
* ,.
Water Line OK Mechanical Inspection Notes: r ',
tea PIPING OK Date By 1 ii
I
k ii
TE Y ( L.__
:, .,.
4_y_____Lr
DA
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.
OWNER OR AGENT )tittevA__ DATE /_-14."—q 2—
bld mech 07/01/92
11/24/92 15:56 '20647M= 002 ,
/ • 0
Permit # r31--bq -
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
-Pieeee Print--
BOX 1 TENANT NAME:
OWNER (1,-0 . (14A7TALL__ SITE LOCATION
OWNER'S ADDRESS 04 i , _,g __JL- ''..4‘..0 CITY tie#44.. 1 IN1 PHONE_Vi-%i Cs
DESCRIBE JOB .. ..i.eribtsLA-irst Lstixf 0 ht -_____ -
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP _ CORPORATION_ --
ROY,2 CONTRACTOR'S NAME _Te.rsi u v..-, ..ci\i,kk•L . i.rt.:... - CONTRACTOR'S REG. ILETNKLT- rrttlo 61j,3
Card Mthrr be pracentra3
n
CONTRACTORS ADDLI..i RESS _ fQ '-S-PF • ki)44400 CITY -74-,c_. PHONE -4011
EXPIRATION DATE Ifr-`33
-OR-
I HAVE READ CHAPTER 18,27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORSAND SPECIALTY CONTRACTORS AND
CHAPTER 18,27110 WHICH PROHIBITS ISSUING PERMITS VVI 1 HUU I PROOF OF REGISTRATION.
---
BOX 3 CONTACT PE5rai_
c..pi _ PHONE_IIIA-golf-f
,. . ..
BOX 4 SEWER DISTRICT _ _. _ _ WATER DIS I RICE _
BOX 5 ESTIMATED PRWECT COST EXISTING BUILDING VALUATION
— -_ _ —
I3OX 6 PROPERTY TAX ACCOUNT NUMBER_ ",557(a 00 0 -00(00
LEGAL DESCRIPTION
—
(If neces3Ary, please submit a separate page with the Iegal description.)
KG Plat Recording# ......
--- --- -----
--
BOX 7 BUILDING SQUARE FOOTAGE. (Exi5tiug/Fr000sed) 1ST FLOOR_______! 2ND FLOOR _I
3RD FLOOR_ / BASEMENT 1 DECK__._ J GARAGE I
-
BOX.5 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
f ) MULTIFAMILY(NO OF UNITS - _. ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PFiOPER7Y SO FT
BOX 9 PLOWING FIXTURES(including rough-ins) MECHANICAL APPLIANCES- BASIC FEE$
NO, WATERCLOStTS GAS PIPiNG, FEET ____ 4
RATFITON NO. FURNACE, ELEC._ _OAS vi7 $
_
3110WER3 GAS HOT WATER HEATER $
_ LAVATORIES CONVERSION BURNER $ ____
SINKS BOILER, SIZE 5TU 5
DISHWASHERS AIR HANDLING UNITS 5 _
__ _____ELECTFilG HOT WATER HEATER __.. HEAT PUMPS, SIZE. $
.LAUNDRY WASHER OUTLET .SSSUNIT HEMERS 5
_____
URINALS AIR CODLING UNITS, SILL___ $ ____
__... ._
DRINKING FOUNTAINS GOMMERCiAL HOOD $
_ _SUMPS, SPRINKLER VACUUM BREAKERS __/____OTHER fD zialisj. 4.44ar
DRAINS I id -citt.p4A•c_e_ - _____ $
_OTHER _ $
TOTAL FIXTURES $
---...
TOTAL MECHANICAL FEE
$• _
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED HY ME IS TRUE AND CORRECT TO THE REST OF MY KNOWLEDGE
AND FURTHER THAT I AN1 AUTHORIZED 3Y THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERM!T APPLICATION IS
MADF.I FURTHER AGREE TO SAVE HARN1LESS TFIE CITY OF FEDERAL WAY ASTO ANY CLAIM HICLUOING 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 Cu i 0/- I HE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLOYEES. UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE Li i Y AS A PART OF THIS APPLICATION.
OWNER/AGENT: /-o..." t ,24‘...(2,/
\IL DATE. it )171--ql.
........__
ASP-006 3:40