92-101829 9 - /o/ ad 9
CITY OF FEDERAL WAY MECHANICAL PERMIT PERMIT NO.: BLD92-2333
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/26/92
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 405 SW 336TH CT
PARCEL NO.: 729805-0560
PROJECT DESCRIPTION: HVAC - INSTALL GAS PIPING AND GAS LOGS
i- OWNER CONTRACTOR — LENDER
CHERY BERG FIRCREST FIREPLACE SHOP
4051 SW 336TH CT 6920 22ND ST W
iiiiERAL WAY WA 98023 TACOMA WA 98466
-0656 564-5656
FIRCRF159KM
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 30 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 • 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 $ 28.50
INSPECTION RECORD
l.ter Line OK Mechanical Inspection Notes:
GAS PIPING OK ///6A NV Date J/-/Z- �y 2 By k,,; t-
61%151)4"Ssu,lbli;sT I0413s & /linin/ C9k.
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.
C
OWNER OR AGENT ..4; 0;4P DATE // 6 /7,2-.
bld_mech 07/01/92 A
.1111/010 . 0 Perr##
*Y OF FEDERAL WAY
BUILDING PERMIT APPLICATION RECEIVED BY
— Please Print— COMMUNITY DEVELOPMENT DEPARTMENT
BOX 1 TENANT NAME: (in `" OCT 1 9 1992
OWNER C-62-1
SITE LOCATION SOS 1 336T"
C+
OWNER'S ADORE ,,,�5I SW `33&' ' C-1- CITY eA A'xA PHONE_.� 4 -f_k5L
DESCRIBE JOB U ' "`�^'� n,.t� �(-,
THE PROPERTY IS OWNED BY:`SINGLE/MARRI� EDS Mo - , PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME "t1`Greth -1r , a k .f CONTRACTOR'S REG. #moi'2. QF--' 159 IC.14. 1
Card MUST be presented
CONTRACTOR'S ADDRESS 6(0-0 .22"I" ' ei4 CITY C..t ,*i-- i ( PHONE 36¢ 566
EXPIRATION DATE S"/ " 7
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIAL ' : • : AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. r I-)1'•
BOX 3 CONTACT PERSON f,,r) PHONE 5k<4- b‘7°2-
BOX 4 SEWER DISTRICT WATER DISTRICT •
BOX 5 ESTIMATED PROJECT COST 11�210 C• 00 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION `'cu—tt t- • '4261 SO 5O 5 6c 03
(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 (NA) 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) - MECHANIpAL APPLIANCES— BASIC FEE$---_---
NO. - WATERCLOSETS - GAS PIPING, FEET- 30 . .
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS - GAS HOT WATER HEATER--- - -" -- $----_- --
LAVATORIES - - -- - - - CONVERthON BURNER - -- __ $-
SINKS BOILER, SIZE BTU $
DISHWASHERS _ '_AIR HANDLING UNITS - --- S--------- -
ELECTRIC HOT WATER HEATER --- ----- . - HEAT PUMPS, SIZE
_ _- LAUNDRY WASHER OUTLET _ UNIT HEATERS $
URINALS - - AIR COOLING UNITS, SIZE -- - - - S.—.- - -
DRINKING FOUNTAINS - -- - _ - COMMERCIAL HOOD
_ SUMPS, SPRINKLER VACUUM BREAKERS I OTHER (k 5 1Ock $
DRAINS _ ._.. U $
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 EMPLOYE, , UPON T >-- -- -RACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: IMO) DATE: 10/1 5 ) 7-
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