92-101004CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING PERMIT
9,� -/a/6QQ
BUILDING INSPECTION
661-4140
PERMIT NO. 92-1028 M OWNER'S NAME J C CLEVENGR SITE ADDRESS 2805 SW 342ND PL
CONTRACTOR RELIABLE SHEET METAL ADDRESS 11447 120TH AVE NE KIRKLAND CONT. PHONE 823-6868
CONT.REG.NO. RELIASM345LF EXP. 793 OWNER'SPHONE 952-6614 OWNER'SADDRESS 2805 SW 342ND PL FEDERAL WAY,WA
TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 294450-0510 LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE - DATE OF APPLICATION 7-10-92
BUILDING INFORMATION
ONE SET BACKS: FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. STORIES
PLUMBING NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS ELEC. HOT WATER HEATER
GAS PIPING 99 FT. 2.00 GAS LOGS 6.50
RECEIVED
BATHTUBS LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES DRINKING FOUNTAINS
CONVERSION BURNER MISC.
SINKS MISC.
BBQ BASIC FEE 20.00
RETURNED
DISHWASHERS TOTAL FIXTURES
DRYER TOTAL MECHANICAL 28.50
AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
INSPECTION RECORD
MECHANICAL FEE 28.50
OTAL BLDG. FEES
Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW
GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
MECHANICAL PERMIT
AMOUNT DUE 28.50
Total Fee $ 28.50 Receipt No. 6a ' k a LtOg
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
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 DATE !
RECEIVED
J U L 10 1992
NAUMIG DEP:
0
eermit # 4 � -
CITY OF FEDERAL WAY &a
BUILDING PERMIT APPLICATION
— Please Print
BOX 1 TENANT NAME: J.C. C1 evengl r
OWNER J.C. C1 eyengr SITE LOCATION 2805 SW 342nd P1
OWNER'S ADDRESS 2805 SW 342nd P1 CITY Federal Way PHONE 952-6614
DESCRIBE JOB Installation gas line for gas log set
THE PROPERTY IS OWNED BY: SINGLE/MARRIED X PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Reliable Sheet Metal CONTRACTOR'S REG. # RFI IASM3451 F
Card MUST be presented
CONTRACTOR'S ADDRESS 11447 120th Ave NE CITY
EXPIRATION DATE 7/93
=i1E
Kirkland
PHONE 823-6868
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 $800-00 EXISTING BUILDING VALUATION
,>C BOX 6 PROPERTY TAX ACCOUNT NUMBER _ _ SUS%�
--
LEGAL DESCRIPTION Grrni e6_pi me
(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 (X) 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 $
o2U: uU
N0. WATERCLOSETS
GAS PIPING, FEET Uyul-t1-9 Iye'
$
BATHTUBS
N0. FURNACE, ELEC. GAS
$
0
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
BOTHER
$
G ��
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 HE ACCURACY OF THE INFORMATION SUPPLIED TO THE C TY AS A PART OF THIS APPLICATION.
4
OWNER/AGENT: DATE: % %�/�I Z_
ANP -008 3/90
MECHANICAL PERMIT
CITY OF
FEDERAL WAY BUILDING PERMIT
BUILDING INSPECTION
661-4140
92-2028 ��
J C CLKVEMR 2805 SW 342 Fr,
PERMIT NO.
SITE ADDRESS
WNER'St N*AM�Et
RELIMLE`
F.E., W 1447 TT AVE NE ��� � 823-6863
CONTRACTOR
AD�/R S CONT. PHONE
93 952-6614 7-805 " 342ND PTs DERAL WA h
CONT. REG. NO.
EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEWRESIDENCE
ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (IWJT MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO.
j LEGAL DESCRIPTION
j0ANNIE
JOW" r
7-10-92
ISSUED BY
DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE
SET BACKS: FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. STORIES
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT:"-
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER GI—yZL.
6.50
GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS
LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK
SHOWERS
URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
CONVERSION BURNER MISC.
T-1
SINKS
MISC.
BBQ BASIC FEE
�ETURNED
DISHWASHERS
TOTAL FIXTURES
DRYER TOTAL MECHANICAL
AMOUNT
VALUATION
m
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
60 UMBING FEE
INSPECTION RECORD
CHANICAL FEE
TOTAL BLDG. FEES
Water Line OK Mechanical Inspection Notes:
PART P/C FEE
!"Z
7-
7y fBy_
SEPA REVIEW
GAS PIPING OK /5 - �� Date
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
MECHANICAL PERMIT
AMOUNT DUE
Total Fee $ Receipt NO.
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
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
DATE
SET BACKS AND FOOTINGS
DATE - , -_ _... -BY
OX TO POUR FOUNDATION WALLS
DATE ...... . . . ...... . . ..... BY . . ....
PLUMBING GROUNDWORK
DATE . ........ . ..... ... -_BY
PLUMBING ROUGH IN
DATE ---.,,,,BY
WATER LINE OX. . .... ... . . ......
GAS PIPING O.K. _
MECHANICAL INSPECTION
DATE . .. .... . . . ... ... . _BY ... .. --_,_
O.K. TO ENCLOSE FRAMING
DATE __-BY
INSULATION
DATE . .. ... . __BY
WALL BOARD AND FIRE WALL
DATE . . ..... .. BY
FINAL O.K. TO OCCUPY
DATE . ... ........ - ____ --- BY
DCD
PSD
FD
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