Loading...
91-101781MECHANICAL PERMIT CITY OF FEDERAL WAY BUILDING PERMIT qJ -/ o/ 7 9/ BUILDING INSPECTION 941-1555 PERMIT NO. 91-1758 M OWNER'S NAME EARL WINGROVE JOB ADDRESS 32453 22 AVE SW CONTRACTOR NORTHWEST USI ADDRESS 1908 S 341 PL #9 FEDERAL WAY 98003 CONT. PHONE 952-5433 CONT. REG. No. NORTHUS101JJ (4/92) OWNER'S PHONE 874-6069 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. 638670-0090 LEGAL DESCRIPTION SUED BY ELIZABETH SNYDER DATE OF ISSUE ? - �� DATE OF APPLICATION 12/19/91 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 41 FT. 2.00 BOILER BATHTUBS LAUNDRY DRAINS 'ie"-me8sas CIRC HTR 6-5 TANK(S) RECEIVED SHOWERS URINALS _ FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�­IOT WATER HTR. MISC.INSERT 6 - SO SINKS MISC. RETURNED CONVERSION BURNER BASIC FEE 20.00 DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 35.00 AMOUNT NONE VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE AN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE $35.00 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 35.00 Account No. 010-000-322-10-004 Total Fee $ 35.00 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 I OR ATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WIL BE OWNER OR AGENT ��� DATE RSC,cjvEiD DEC 19 1991 BOX 1 TENANT NAME: . Per�� � I M CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — OWNER L-cQ_k_ Lk>,r\ c. C- SITE LOCATION `/ S__Z 6D OWNER'S ADDRESS 3"JL/5 LOO a,e ",S 1 CITY PHONE S J- e -,C() K `j DESCRIBE JOB _ Q i c,.e_ C ' c4. c THE PROPERTY IS OWNED BY: SIN LE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Ne�LtA-xi,_-e ,,`t CONTRACTOR'S REG. #/VL, i- 1(` 1 Tr Card MUST be presented CONTRACTOR'S ADDRESS 9 ( rt 3`-I ��FL. S , #Gj CITY - PHONES 5,� - `/ 3 EXPIRATION DATE 4-S-90) —OR— I HAVE READ CHAPTER 18.27.010 RELATING -DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON l�� n n. c _�'_�n PHONE`5P -5 `i.3 3 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST l EXISANG BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBE 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 / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT M 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 THER TOTAL FIXTURES MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET $ N0. 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 $ i OTHERak-L, R C�, e- $ 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 T CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMP YE$, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. GZV � �, - j OWNER/AGENT: � DATE: ANP -008 3/90 MECHANICAL PERMIT CITY OF FEDERAL WAY BUILDING PERMIT BUILDI94 IN 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 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 RIOT 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 LUMBING FEE INSPECTION RECORD ;CHANICAL FEE TOTAL BLDG. FEES PART P/C FEE Water Line OK Mechanics Inspect'l n r Notes: SEPA REVIEW GAS PIPING OK Date *1-/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 PLUMBING ROUGH IN DATE _ _ BY O.K. TO ENCLOSE FRAMING DATE _ _____BY FINAL O.K. TOO UPY DATE K BY 35 oV 41 0 O.K TO POUR FOUNDATION WALLS DATE BY WATER LINE O.K. GAS PIPING O.K. INSULATION DATE - ____...____BY _BY DCD PSD ko 10 PLUMBING GROUNDWORK DATE BY MECHANICAL INSPECTION DATE --BY WALL BOARD AND FIRE WALL DATE By , IQ