92-100792CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING PERMIT
9) _10079;?
BUILDING INSPECTION
661-4140
92-0836 M MICHAEL JOHNSON 33459 37TH AVE SW
PERMIT NO. OWNER'S NAME SITE ADDRESS
ARCO INSTALLATIONS INC -DRESS 908 3 ST PL S 9 FEDERAL WAY 952-5433
CONTRACTOR CONT. PHONE
ARCOIC141LE 952-5433 874-2499 33459 37TH AVE SW FED WA
CONT. REG. NO. EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
109960-0660
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE y� �� �- DATE OF APPLICATION 5-29-92
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
GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS
FORCED AIR FURNACE � n n n 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 30.00
AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
UMBING FEE
INSPECTION RECORD
CHANICAL FEE 30-00
TOTAL 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 30.00
Total Fee $ 3 0. 0 0 Receipt No. 0,m,1171 -7 Z,
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-f�-'C'--- DATE 14�� l
MAY 2 91992
gtrM�LM190�'L�
BOX 1 TENANT NAME:
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
OWNER l Y is WN�r,Y'\ >� SITE LOCATION `% - c' - c2 '
OWNER'S ADDRESS 3. �...._C - U,�, CITY \ ' „° � PHONE
�
DESCRIBE JOB �3i" " a r`_
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PAR ERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME TvV`,k_i�-j.i urn CONTRACTOR'S REG. # 0 n tL-A i Li ILS
Card MUST be presented
CONTRACTOR'S ADDRESS 190% 39 I C I �. �� CITY Ft' ' ' L��u PHONE^!��J) -S�133
EXPIRATION DATE 1-1 " 30 -`13
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
BOX 9 PLUMBING FIXTURES (including rough -ins)
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3
CONTACT PERSON L;
PHONET3,,)-5y33
BOX 4 SEWER DISTRICT
WATER DISTRICT
BOX 5
ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION
BOX 6
PROPERTY TAX ACCOUNT NUMBER
LAVATORIES
CONVERSION BURNER
LEGAL DESCRIPTION
SINKS
BOILER, SIZE BTU
(If necessary, please submit a separate page with the legal description.)
DISHWASHERS
K.C. Plat Recording #
$
BOX 7
BUILDING SQUARE FOOTAGE:
(Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
LAUNDRY WASHER OUTLET
3RD FLOOR /
BASEMENT / DECK / GARAGE /
BOX 8
( ) SINGLE FAMILY
( ) NEW CONSTRUCTION
DRINKING FOUNTAINS
( ) MULTIFAMILY (NO. OF UNITS =
) ( ) EXISTING STRUCTURE
SUMPS, SPRINKLER VACUUM BREAKERS
( ) 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
N0. 4' 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
$
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 E8*,bE 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
HE CITY"INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
IL
OWNER/AGENT: Li..&� R.e-
DATE: 6 - 29 - ClQ z
ANP -008 3/90
ZONE SETBACKS: FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW TFIIS LINE)
SIDE REAR HEIGHT LIMIT
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
REC�I
MAY 2 9 1992
WY FERAL M
QUIDG wzpr. Y
N
RECEIVED
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATE_
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING PERMIT
9 ),/b 0-79,)
BUILDING INSPECTION
661-4140
92-0836 X
MICHMM JOiiATWN 33453 37`^H AVE SW
PERMIT NO.ARUO IN
SITE ADj�$�
WWI �+'�'�7jr,�,}[j�
(JJ WAY 95Z 433
CONTRACTOR
ADDRESS
� ���T. PHQ
952-5433 FM
CONT. REG. NO-
7TH AVE SW A
EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEWRESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY----(�IJ1g
��jj66 o_,M),MULTI. ADD. SIGN GRADING OTHER
j�uu
TAX ACCOUNT NO.
LEGAL DESCRIPTION
JOAj
` r,. 9-92
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
GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS
LAUNDRY DRAINS
FORCED AIR FURNACE 10.00 DUCT WORK
SHOWERS
URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
CONVERSION BURNER MISC.
o
RETURNED
SINKS
MISC.
BBQ BASIC FEE .''
DISHWASHERS
TOTAL FIXTURES
DRYER TOTAL MECHANICAL 3 i'
AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
FEE
INSPECTION RECORD
REUMBING
30.00
CHANICAL FEE
TOTAL BLDG. FEES
Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW
GAS PIPING OK Date
WATER SERVICE
WATER MAIN CHG.
C 1�
S.B.C.C. FEE
OTHER FEES
MECHANICAL PERMIT
AMOUNT DUE
30.00Total
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:
!f �`
OWNER OR AGENT
" DATE
0
SET BACKS AND FOOTINGS
DATE , ____ BY
OX TO POUR FOUNDATION WALLS
DATE .. ... . . .... ..-____BY
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE _ __ __ BY
WATER LINE O.K.
GAS PIPING O.K. . . .. .... .
MECHANICAL INSPECTION
DATE -BY
O.K. TO ENCLOSE FRAMING
DATE
INSULATION
DATE
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE2�. BY
DCD
PSD
I'D