90-101624MECHANICAL PERMIT
CITY OF BUILDINGFEDERAL WAY PERMIT
�D- )o) G. -y
BUILDING INSPECTION
941-1555
PERMIT NO. 90-1835M
OWNER'S NAME JOHN BACRAM JOB ADDRESS 32124 27 AVE SW
CONTRACTOR NORTHWEST
WATER HEATER ADDRESS 8201 DURANGO ST SW TACOMA CONT. PHONE 984-6404
CONT. REG. NO. NORTHWE137KJ 12/91 OWNER'S PHONE 944-4463 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
TAX ACCOUNT NO.
873180-0690 LEGAL DESCRIPTION NA
ISSUED BY EL.T ZA RETH
SNYDER DATE OF ISSUE J DATE OF APPLICATION 11/27/90
BUILDING INFORMATION
NE NA
OCCUPANCY NA TYPE OF CONSTRUCTION MECHANICAL, BLDG. SO. FT NA
T 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 _2 FT. BOILER
RECEIVED
BATHTUBS
LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS
URINALS FORCED AIR FURNACE 1 0 - 0 AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS GAS riOT WATER HTR. MISC.
RETURNED
SINKS
MISC, CONVERSION BURNER BASIC FEE 90-00
C�SHWASHERS
TOTAL FIXTURES NONE. UNIT HEATER TOTAL MECHANICAL .12-00
AMOUNT NONE
VALUATION NONE
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
MBING FEE
INSPECTION RECORD
0-ICHANICAL FEE $32
. 00
�iTAL BLDG. FEES
Water Line OK Mechanical Inspection Notes:
RT 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
$32.00
Account No. 010-000-322-10-004 Total Fee $ 32.00 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 W
a ..► � �
C'4-� ` '� ( ''�
OWNER OR AGENT
t`'*� DATE fi
Gy df�? C) CITY OF FEDERAL WAY
>g919 BUILDING PERMIT APPLICATION
%y06�94 /9y —Please Print —
BOX 1 TENANT NAME: •
OWNER t+ IJ t �, / Lnn SITE LOCATION 3:2 1.' L/ 7 /
OWNER'S ADDRESS Ff" -4L X ,e,.5 CITY F-22-,,1 —J PHONE
DESCRIBE JOB jn: LL rid n) -a e
THE PROPERTY IS OWNED BY: SINGLE/MARRIED x PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Jif`,V w N5 , r?_ is QA ? -EL_ CONTRACTOR'S REG. /"g t4 /3r lr_ i
Card MUST be presented
CONTRACTOR'S ADDRESS 10KAM,03 S - 4u CITY 14e- PHONE 6 q0 !'
EXPIRATION DATE Ind
r
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING T DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 'TP'`i Zill 5&IRC-"Z L PHONE 9'9'4t- o q0 9
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER f23 j ib '' 06 /O
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 / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK_____J_ GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT, LCL
:1 •
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
OTKER
TOTAL FIXTURES
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET ,2 s $
NO. FURNACE, ELEC. GAS_ $
GAS HOT WATER HEATER $
CONVERSION BURNER $
BOILER, SIZE BTU $
AIR HANDLING UNITS $
HEAT PUMPS, SIZE $
UNIT HEATERS $
AIR COOLING UNITS, SIZE $
COMMERCIAL HOOD $
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, 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 EWRL-G €FS, UPON THE ACCURACY GFTflEV4F`ORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT. Ct-� - r�✓'1 DATE:
T
ANP-008 3/90
CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING PERMIT BUILDING
941!N 55ECTION
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
' NE
OCCUPANCY TYPE OF CONSTRUCTION
BLDG. SO. FT.
T 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
CHANICAL FEE
TAL BLDG. FEES
Water Line OR Mechanical Inspection Notes:
HRT 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 $ 31- nO
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
00
00
SET BACKS AND FOOTINGS
DATE_ —_ _.____BY
OX TO POUR FOUNDATION WALLS
DATE —, --..,—,-BY , __ _.. —
PLUMBING GROUNDWORK
DATE ___, . .. .... .. ___BY . . .... .. . . . ....... .. .
PLUMBING ROUGH IN
DATE , __._ . BY
WATERLINE O.K. . . ......
GAS PIPING O.K.--,---
MECHANICAL INSPECTION
DATE _--BY
O.K. TO ENCLOSE FRAMING
DATE _-__....—_BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE . . . ......... . . BY
FINAL O.K. TO C UPY
DATE BY
DCD
PSD
Fd