Loading...
90-101945MECHANICAL PERMIT q1 13-101gL15 CITY OF FEDERAL WAY C� Oy 5 001 �t BUILDING PERMIT BUILDING 941'1 55ECTION PERMIT NO. 90-1823M OWNER'S NAME RON GIPPE JOB ADDRESS 1323 SW 323 ST CONTRACTOR PACIFIC GAS HTNG/AIR ADDRESS 2702A 112 AVE E TACOMA CONT. PHONE 536-7997 CONT REG. NO. PACIFGH110ME 7/91 OWNER'S PHONE 874-9170 OWNER'S ADDRESS SAME TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER MECHANICAL ONLY TAX ACCOUNT NO. 010450-0180 LEGAL DESCRIPTION NA i t ISSUED BY $T$ SNYDER DATE OF ISSUE ' r DATE OF APPLICATION 11/21/90 BUILDING INFORMATION ZONE NA OCCUPANCY NA TYPE OF CONSTRUCTION 1 ENCANTCAL BLDG. SO. FT. NA SET BACKS: FRONT _ NA SIDE NA _-____ — REAR NA STORIES NA HEIGHT LIMIT NA PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING 30 FT. 2_00 BOILER RECEIVED BATHTUBS _ LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS _ FORCED AIR FURNACE inn _ 00 AIR HANDLING UNIT NUMBER LAVATORIES _ DRINKING FOUNTAINS _ GAS JIOT WATER HTR. 6 50 MISC, LOGS 6-50 _ RETURNED _gNKS misc. CONVERSION BURNER BASIC FEE 90 - 00 DISHWASHERS TOTAL FIXTURES 19QNP UNIT HEATER TOTAL MECHANICAL AMOUNT NONE VALUATION NONE GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE $45. 00 TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART PIC FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG _.. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE *45. 00 Account No. 010-000-322-10-004 Total Fee $ 45.00 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 9 0-1!C f -c?:L,5 CITY OF FEDERAL WAY MECHANICAL PERMIT BUILDINGPERMIT BUILDI941!1 SSECTION PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR ADDRESS CONT PHONE- CONT. REG. NO, OWNER'S PHONE OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD, NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE. DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO, FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�IOT WATER HTR. MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS _ TOTAL FIXTURES, UNIT HEATER TOTAL MECHANICAL AMOUNT V VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE 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 Account No. 010-000-322-10-004 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 O.K. _ GAS PIPING O K. _ _ MECHANICAL INSPECTION DATE O.K. TC ENCLOSE FRAMING DATE BY - - - INSULATION DATE _ BY WALL BOARD AND FIRE WALL DATE -BY FINAL O.K. TO OCCUPY DATE DCD PSD FD I J uA! M(ArN�i-T- <j-C) t ,�2 ` kD (ZIP "-`1re 149CEIVED Permit # qQ � I 11� NOV 21 1990 BUILDING DEpT�AY CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — OWNER :SaM!L- SITE LOCATION & OWNER'S ADDRESS 17',�eQ SVJ 3Q3 ST CITY PHONE 7 IT7 DESCRIBE JOB G-� "F�]RS -, W459A MFPE � �-6" ! THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #. CONTRACTOR'S ADDRESS SD ` i )AQ7' E�f CITY PHONE 6 3(P `7Rq��— EXPIRATION DATE —OR— I HAVE READ CHAPTER 18.27.010 RELATI O 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 _ DID 95a " 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 I 2ND FLOOR :_ J 3RD FLOOR_,_ _I BASEMENT_ _ �J DECK i GARAGEI BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = __ } ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY _—SO FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ �'' iv<-" N0. WATERCLOSETS GAS PIPING, FEET _ 30 —_ $ BATHTUBS N0._1_ —FURNACE, EL£G, GAS_— $ r SHOWERS _-i--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 _1— _OTHER CAS i 0q,,S _— $ DRAINS $ THER — -- $ 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 THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT. — — — ---- — — — — . DATE: tU� ANP-000 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT_ , SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS:_ SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVA REMARKS: DATE 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 SO. FT. _ __ @— __ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ — ___ BUILDING SO. FT. _ _ @ BUILDING SO. FT. @ — BUILDING SO. FT. @ — TOTAL SQ. FT. BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL BY DATE TOTAL VALUATION 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