90-100672MECHANICAL PERMIT
CITY OF
FEDERAL -WAY BUILDING PERMIT
BUILDING INSPECTION
941-1555
46-/6067-1
PERMIT NO. 90-961M
OWNER'S NAME DONNA STENSGAARD JOB ADDRESS 32500 23 AVE. SW
CONTRACTOR. VCR INC
DBA AUBURN GAS ADDRESS 8201 DURAN T W TA OMA CONTT, PHONE !)RA -1 ()20
CONTT, REG. NO. VCRIN108DL
3/91 OR OWNER'S PHONE 874-5479 OWNER'S ADDRESS RAMP,. AS STTF.
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 MF.(_HANTCAT. ONT.Y
TAX ACCOUNT NO. NA
LEGAL DESCRIPTION FXTSTTN(' H077RF
ISSUED BY F.T.TZAREFPH
SNYnER X DATE OF ISSUE 2-"�it� DATE OF APPLICATION 6171190
BUILDING INFORMATION
ZONE NA
OCCUPANCY NA TYPE OF CONSTRUCTION MECHANICAL ONLY BLDG. SQ. FT NA
4kBACKS: FRONT NA
SIDE NA REAR NA STORIES NA HEIGHT LIMIT I91A
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT. 2-00 BOILER
RECEIVED
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR TANK(S)
SHOWERS
URINALS
FORCED AIR FURNACE AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
GAS HOT WATER HTR. 6 50 MISC.
RETURNED
SINKS
MISC.
CONVERSION BURNER BASIC FEE 70 00
DISHWASHERS
TOTAL FIXTURES NONE
UNIT HEATER TOTAL MECHANICAL
AMOUNT MME
VALUATION NONF.
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
INSPECTION RECORD
MECHANICAL FEE $98-50
TOTAL BLDG. FEES
Water Line OK Mechanical Inspection Notes:
P/C FEE
PPA
IT
REVIEW
GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE $28.50
MECHANICAL PERMIT
Account No. 010-000-322-10-004 Total Fee $ 24ZJ Receipt No. 7C,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 WIL MET:
OWNER OR AGENT[
DATE C �<
• 4L
lam'
DECEIVED
JUN 21 1990 CITY OF FEDERAL WAY
CITY OF FEDERAL
BUILDING DEPT. AY BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 OWNER 516AtS6091Cd , .40/ dlq JOB LOCATION.32 r 23 Ad SL)
OWNER'S ADDRESS 32500 ZE� I Q 'i . ) CITYZE1�,� PHONE
DESCRIBE JOB I N5TAL� G A s W �rE� i-1
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME VOA INC • 14 louzulcAf 16es CONTRACTOR'S REG. 4 VeeL
A Card MUST be presented
CONTRACTOR'S ADDRESS 87 1 lel tNN616 Sr SLd CITY 1 0_4 M - PHONE zel
EXPIRATION DATE 3 -
—OR—
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 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR______J_ 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK_____J_ GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) �-�XISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES —
BASIC FEE $��,G
N0. WATERCLOSETS
GAS PIPING, FEET
$
�LD
BATHTUBS
N0. FURNACE, ELEC. GAS
$
SHOWERS
/ GAS HOT WATER HEATER 3 $
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
BEST OF MY KNOWLED E AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK FO)HICW.P(ERMIT APPLICATION IS MADE.
OWNER/
DATE: 7 ' z D - 9e
ANP -006 2/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
z
ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
DA
RECEIVED
ACCEPTED FOR FILING
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.
ROOF OTHER
OCCUPANCY
TYPE OF CONSTRUCTION
STORES
BUILDING SQ. FT.
@
_
BUILDING Q. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
TOTAL SQ. FT.
TOTAL VALUATION
EBUILDING PERMIT NO.
PLAN CHECK FEE RECD
RECEIPT NO.
PERMIT FEE
PLAN CHECK FEE - -
- - - - - PLUMBING FEE
------- MECH. FEE
TOTAL FEES
SBCC SURCHARGE
ENERGY SURCHARGE AMOUNT DUE
BUILDING DEPARTMENT APPROVAL -----------------------------
DATE
REMARKS:
ASSIGNED ADDRESS:
RECEIVED
ACCEPTED FOR FILING
MECHANICAL PERMIT
CITY OF BUILDING PERMIT BUILDING INSPECTION
FEDERAL WAY 941-1555
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
ONE
OCCUPANCY TYPE OF CONSTRUCTION
BLDG. SQ. 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 HOT WATER HTR. MISC.
RETURNED
SINKS
MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR.
AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
INSPECTION RECORD
ECHANICAL FEE
TAIL 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
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
0 0
SET BACKS AND FOOTINGS
DATE BY -
-_..._.
OX TO POUR FOUNDATION WALLS
DATE ...... ....---....-.... BY ......................_.
PLUMBING GROUNDWORK
DATE ...-- BY
.....- - BY -
PLUMBING ROUGH IN
DATE ... _... ..- .... ... . ......BY
_
WATER LINE O.K.
GAS PIPING O.K.___-._ .._
MECHANICAL INSPECTION
DATE - _...... -BY -__
O.K. TO ENCLOSE FRAMING
DATE ..... ...... ....... ..... -__ BY
- .. _j..... _
INSULATION
DATE .... ..... BY .... ..................
_...._
WALL BOARD AND FIRE WALL
DATE -- ... _ ._-_... .... BY
FINAL O.K. TO OCCUPY
DATE fBY
Is
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