90-100749MECHANICAL PERMIT
VITY:OF
FEDERAL WAY BUILDING PERMIT
•O/So T3 Lo
BUILDING INSPECTION
941-1555
An - /m o -7y 9
PERMIT NO. 90-163'3gff: OWNER'S NAME
CENTEX HOMES JOB ADDRESS 32520 20 CT SW
CONTRACTOR DAVE BOLTE CONST
ADDRESS POB 751 PIIYAT.T.tiP CONT. PHONE535-094-2
CONT. REG. NO. DAVEBCIIODU 3/91(OK)
OWNER'S PHONE 8-59-1906 OWNER'S ADDRESS 2681 110 kL --IV ]a=
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 MU Y
TAX ACCOUNT NO. 010456-0350
LEGAL DESCRIPTION T.nT 121 AIME-R.BROOR D=VaSION7
ISSUED BY - -_ _ ELIZABETH SNDYER
DATE OF ISSUE DATE OF APPLICATION R119,190
BUILDING INFORMATION
E NA OCCUPANCY
NA TYPE OF CONSTRUCTION _NECusA7ICAI- BLDG. SQ. 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 32 FT. 2.00 BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS
COMPRESSOR TANK(S)
SHOWERS URINALS
FORCED AIR FURNACE 1000 AIR HANDLING UNIT
NUMBER
LAVATORIES DRINKING FOUNTAINS
GAS POT WATER HTR. 6.50 MISC.
SINKS MISC.
CONVERSION BURNER BASIC FEE 20 _ On
RETURNED
DISHWASHERS TOTAL FIXTURES
NOW
UNIT HEATER TOTAL MECHANICAL '48-511
AMOUNT _mnNF.
VALUATION NONE
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
INSPECTION RECORD
FEE $38-50
SAHANICAL
L BLDG. FEES
Water Line OK Mechanical Inspection Notes:
PART PIC FEE
SE:PA REVIEW
GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
MECHANICAL PERMIT
AMOUNT DUE $38.50
Account No. 010-000-322-10-004 Total Fee $ 38.50 Receipt No.
ALL PERMITS EXPIRE 180 DAYS AFT ISSUANCE IF N
ORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. A) �S
1 CERTIFY THAT THE INFORMATIO U BY
S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT `� �
r�°�� DATE ��
RECEIVED
AUG 0 9f990
(Mit
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
CITY OF FEDERAL WAY — Please Print —
BUILDING DEPT.
BOX 1 TENANT NAME:
OWNER C',tn)7*Y- /«4 L , FAN -1 CO2P SITE LOCATION 32.5-13 20 r'4 CT_ SWC FSO • rahq y
OWNER'S ADDRESS 2r -ed —1(6w PC Sk CITY PHONE -8'5-l- t FOG
DESCRIBE JOB IK!z CHS r CA G A-_5 etpi
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATIONy
BOX 2 CONTRACTOR'S NAME PAV- 9OLM C6AJ5Vvc-i1 &) CONTRACTOR'S REG. # 446,9C- /10 Ay
ts oe presentea
CONTRACTOR'S ADDRESS • �d x 7� CITY 90_'14t_W_10r &VA . PHONE %`t caro ora nnumu 1Z
EXPIRATION DATE
—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 M- 14 PHONE 1-5-35-
BOX
'535-
BOX 4 SEWER DISTRICT FwQs WATER DISTRICT S
BOX 5 ESTIMATED PROJECT COST *�- EXISTING BUILDING VALUATION -�
BOX 6 PROPERTY TAX ACCOUNT
LEGAL DESCRIPTION
0 ej
(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 I DECK 1 GARAGE /
BOX 8 (✓f 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)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET 3 -2— $
NO.____�_FURNACE, ELEC. GAS_ $
___I__—GAS HOT WATER HEATER $
CONVERSION BURNER $
BOILER, SIZE BTU $
AIR HANDLING UNITS $
HEAT PUMPS, SIZE $
UNIT HEATERS $
AIR COOLING UNITS, SIZE $
COMMERCIAL H00D $
OTHER $
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, ANO"ATTORNEYS'
FEES INCURRED IN INVESTIGATIM AND DEFENSE OF CH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY EDE�,iAL B NLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF TAE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, ,,�N((�� Y F THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: �/ ✓✓ DATE: f L1
ANP -006 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) : ti
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT p C
PLANNING DEPARTMENT APPROVAL �Y ;
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS: a
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:
ASSIGNED ADDRESS:
Ow PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SERA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
MECHANICAL PERMIT
CITY OF
FEDERAL WAY BUILDING PERMIT BUILDING 941!N 55ECTION
PERMIT NO.
OWNER'S NAME ���"' �k`�� 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. 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
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR TANK(S)
RECEIVED
SHOWERS
URINALS
FORCED AIR FURNACE AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
GAS jiOT WATER HTR. MISC.
SINKS
MISC.
CONVERSION BURNER BASIC FEE
RETURNED
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
MECHANICAL FEE
TOTAL BLDG. FEES
Water Line OK Mechanical Inspection
Notes:
PART P/C FEE
§EPA 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. TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. Tq OC CUPY
DATE BY
DCD
PSD
FD