90-100141CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING PERMIT
%0-l00/Y
BUILDING INSPECTION
941-1555
PERMIT NO. 90-0189M
OWNER'S NAME ROBERT ZILLMER JOB ADDRESS 31233 22 AVE SW
CONTRACTOR NORTHWEST
WTR HTR ADDRESS 8201 DURANGO ST SW TACOMA CONT. PHONE 984-6404
CONT. REG. NO. NORTH.WHL37BJ
1 2190- OWNER'S PHONE- _874-4906 OWNER'S ADDRESS SAME AS SITE
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. NA
LEGAL DESCRIPTION NA
ISSUED BY ELI Z�BETH
SNYDER DATE OF ISSUE DATE OF APPLICATION 3/22/90
BUILDING INFORMATION
NE NA
OCCUPANCY NA, TYPE OF CONSTRUCTION NA BLDG. SQ. FT NA
141TBACKS: 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 _j_2_'3rT. 3- ri0 BOILER
BATHTUBS
LAUNDRY DRAINS COMPRESSOR _ TANK(S)
RECEIVED
SHOWERS
URINALS FORCED AIR FURNACE 2 X00 AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS GAS HOT WATER HTR. 2 1 3 n 0 MISC.
SINKS
MISC. CONVERSION BURNER BASIC FEE 20 00
RETURNED
NONE
DISF.WASHERS
TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL -54__-xD
1 AMOUNT NONE
VALUATION
wTnwTE
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
INSPECTION RECORD
MECHANICAL FEE
$56.50
TAL BLDG. FEES
Water Line OK Mechanical Inspection Notes:
PART PIC FEE
SEPA REVIEW
GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
MECHANICAL PERMIT
S.B.C.C. FEE
OTHER FEES
AMOUNT DUEi
Fyn
Account No. 010-000-322-10-004 Total Fee $ Receipt No. 0,1)
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 E ET:
i
OWNER OR AGENT
DATE
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
i/BOX 1 OWNER JOB LOCATION
OWNER'S ADDRESS CITY HONE s z _ 1
DESCRIBE JOB `t
THE PROPERTY IS OWNED BY: SINGLE/M RRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Nof'-1-h L,L�4 ' t X'>l ( H eC +e r CONTRACTOR'S REG. # Nbr4-h i A /h l ,19
Card MUST be presented
CONTRACTOR'S ADDRESS ITY :FCj0W(A__ PHONE q7 Lf -b'40V
EXPIRATION DATE lr- a
Elm=
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 Tr i c! Fea;Pu PHONE CA9 y _ to q CJ y
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBE
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLOOR / 2ND FLOOR
/
3RD FLOOR / BASEMENT
/ DECK / GARAGE
/
' BOX 8 �) SINGLE FAMILY
( ) NEW CONSTRUCTION
MULTIFAMILY (NO. OF UNITS = )
COMMERCIAL/INDUSTRIAL
( ) EXISTING STRUCTURE
R 190 j
( )
TOTAL AREA OF PROPERTY a(j_7ftdSQ
FT
OX 9 PLUMBING FIXTURES (including rough -ins)
MECHAICAL APPLIANCES — BASIC FEE $ Z-0` CJ
N0. WATERCLOSETS
BATHTUBS
GAS PI ING, FEET
NO. FURNACE, ELEC. GASB
$ SO
$ "zi
SHOWERS
GAS HOT WATER HEATER b < 570
$ 13,0 O
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
$ S
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 PER -
THE WORK FORWHICH PERMIT APPLICATION IS MADE.
j
OWNER/AGENT: Ll 7
/
9
y ���(,t'- l -fl-
DATE:
? qy ANP -006 2/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
SIZE REAR HEIGHT LIMIT
DA
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 SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE PLAN CHECK FEE - - PLUMBING FEE - MECH. FEE S-6
TOTAL FEES -E!)-- SBCC SURCHARGE ENERGY SURCHARGE AMOUNT DUE
BUILDING DEPARTMENT APPROVAL ----------------------------- DATE 3 z6 _ qO
REMARKS:
A
ASSIGNED ADDRESS: e < <
RECEIVED
ACCEPTED FOR FILING
MECHANICAL PERMIT
CITY OF FEDERAL WAY BUILDING PERMIT BUILDING
941 �N 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
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 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
HANICAL FEE
AL BLDG. FEES
Water Line OK '` Mechanical Inspection
Notes:
PART P/C FEE
SEPA REVIEW
GAS PIPING OK Date By `-1.3
WATER SERVICE
WATER MAIN CHG.
MECHANICAL PERMIT
Account No. 010-000-322-10-004 Total Fee $
Receipt No.('`i
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
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 9
SET BACKS AND FOOTINGS
DATE -BY
OX TO POUR FOUNDATION WALLS
DATE _...._....BY .... . . . .... . ......
PLUMBING GROUNDWORK
DATE BY . .... . ... .... . . ....
PLUMBING ROUGH IN
DATEGAS
,_..-_.-._-_.-.BY ..._
.. . .. .. . .. .....
WATER LINE O.K. . . ......
PIPING O.K. --- . . ....
MECHANICAL INSPECTION
//- V5�e
DATE . .... . . . ..... -BY . ... .... ...
O.K. TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE . ... ... . . . . . ... .... BY
FINAL O.K. TO OCCUPY
DATE ___._.___-_-BY
DCD
PSD
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