90-100708MECHANICAL PERMIT
CITY OF
FEDERAL WAY BUILDING PERMIT
qb 133 4t,, -
BUILDING INSPECTION
941-1555
9 n - /00709
-_77PERMIT NO. M OWNER'S NAME CENTEX HOMES JOB ADDRESS 32513 20 CT SW
CONTRACTOR DAVE BOLTE CONST
ADDRESS POB 751 PUYALLUP CONT, PHONE 535-0942
CONT. REG. NO. DAVEBC110DU 3/91
(0K) OWNER'S PHONE 859-1906 OWNER'S ADDRESS 26814 110 PT, SE
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. 010456-0380
LEGAL DESCRIPTION LOT 121 ALDERBROOK DIV 7
ISSUED BY ELI ZABETH SNDYER
DATE OF ISSUE DATE OF APPLICATION A 1 A / 9 0
BUILDING INFORMATION
NE NA OCCUPANCY
NA TYPE OF CONSTRUCTION M r-HANT[_AT. ONT.Y 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 10-0 AIR HANDLING UNIT
NUMBER
LAVATORIES DRINKING FOUNTAINS
GAS POT WATER HTR. 6 - 50 MISC.
RETURNED
SINKS MISC.
CONVERSION BURNER BASIC FEE 20 0.0__
DISHWASHERS TOTAL FIXTURES NONE
UNIT HEATER TOTAL MECHANICAL 0
AMOUNT NO
VALUATION NONE
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
INSPECTION RECORD
ECH ANICAL FEE E3 ii _ �i A
TAL 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 $38 _ 50
Account No. 010-000-322-10-004 Total Fee $ 38.50 Receipt Nod ( �
ALL PERMITS EXPIRE 180 DAYS AFTER IS ANCE IF NO WORK STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION F ISH
BY IS T AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
t�d
OWNER OR AGENT
DATE
RECE MD� rmit
AUG 0 9 lggp
r
etry QF F�D�gAL WAY CITY OF FEDERAL WAY
BUIGDINOCTMP BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER CCAJ42< RML
F57n7;(_- Cep
SITE LOCATION S ZO
ZO & C :�%J /�¢,D &O
OWNER'S ADDRESS Z68
L . �� CITY /45^1r. 4-44
PHONE Rt -2-/900;
DESCRIBE JOB &1X cffi01'v10AL
Gid 3 -71elAIG
71(o6-1_47-
(o6-1_4 i
THE
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP
CORPORATION -n-
BOX 2 CONTRACTOR'S NAME
BOX
VE 0( -'TSE
CoNSr'f v C -77a,%) CONTRACTOR'S REG. # AdVF- 8e 110,0t)'
GAS PIPING, FEET 32--
$
BATHTUBS
Card MUST be presented
CONTRACTOR'S ADDRESS
60 • ax 7_57
CITx ky,4g e WA.
PHONE /'S3S= 09c/Z
EXPIRATION DATE
I
��
SINKS
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 PAVt &4-* PHONE / "5-.5-7 O 7 Y 7—
BOX
BOX 4 SEWER DISTRICT F W td 9 WATER DISTRICT EWWX
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 016
LEGAL DESCRIPTION L6 /Z( A
(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 I
3RD FLOOR / BASEMENT / DECK_____J_
GARAGE /
BOX 8 (✓f SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL
TOTAL AREA OF PROPERTY
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
00
N0. WATERCLOSETS
GAS PIPING, FEET 32--
$
BATHTUBS
N0. I 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
$
-NOTAL 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 FURTHERTHAT I AM AUTHORIZED BY THE OWNER OFTHE ABOVE PREMISESTO 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 INVESTIGATIO AND DEFENSE OF SUCH CLAIM), WHICH MAYBE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED;
AND FILED AGAINST THE CITY 0 TW Lj�U OFONLY WHERE SUCH CLAIM ARISES THE INFORMATION SUPPLIEDTOOUT THE OF THE CITY AS AIPART OF THIS A PLICAT ON. ANCE OF THE CITY, ITS
OFFICERS AND EMPLOYEES, ��
OWNER/AGENT: DATE: (f `1 9,,
ANP -M 3/90
' OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
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:
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
S
y 9
I/ �Jj� ""unt Date Receipt #
V BUILDING DEPARTMENT APPROVAL
RECEIVED 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
MECHANICAL PERMIT
CITYOF PE T
FEDERRAAL WAY BUILDING
BUILDING INSPECTION
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
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
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 �A' IU BY
O.K. TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. Ty O CUPY
d
DATE 7 BY
DCD
PSD
FD