92-100331CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING PERMIT
�1-18b-�&/
BUILDING INSPECTION
941-1555
92-0293 M
CHAFFEY CORP 2906 SW 342ND PL
PERMIT NO.
OWNER'S NAME JOB ADDRESS
CONTRACTOR RELIABLE SHEET METAL ADDRESS 11447 120TH AVE NE KIRKLAND CONT. PHONE 823-6868
CONT, REG. NO. 823-6868 OWNER'S PHONE 822-5981 OWNER'S ADDRESS P O BOX 560 KIRKLAND
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. 294450-0330
LEGAL DESCRIPTION
ISSUED BY JOANNE
JOHNSON DATE OF ISSUE DATE OF APPLICATION 2-24-92
BUILDING INFORMATION
ONE
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 99 FT. 2.00 BOILER
RECEIVED
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR TANK(S)
SHOWERS
URINALS
FORCED AIR FURNACE 10.00 AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
GAS riOT WATER HTR, 6.50 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 OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW
GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
MECHANICAL PERMIT
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
38.50
Account No. 010-000-322-10-004 Total Fee $ 38.50 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:
J ' •�
6WNER OR AGENT
DATE
REC,77" /'-D BY •
COMMUNITY DEVELOPMENT DEPARTMENT
CITY OF FEDERAL WAY
armit # 1? -2 - Z1%5' -,
FEB 2 4 1992 BUILDING PERMIT APPLICATION
— Please Print —
BOX 1
TENANT NAME:
OWNER Chaffey Corporation
SITE LOCATION 2906 SW 342nd P1
OWNER'S ADDRESS P.O. Box 560
CITY Kirkland
PHONE 822-5981
DESCRIBE JOB Installation of mechanical
system and gas piping_
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP
CORPORATION X
BOX 2
CONTRACTOR'S NAME Reliable Sheet Metal
CONTRACTOR'S REG. # RELIASM345LF
Card MUST be presented
CONTRACTOR'S ADDRESS 11447 120th Ave NE
CITY Kirkland
PHONE 823-6868
EXPIRATION DATE 7/92
—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 Verrene Johnson
PHONE 823-6868
BOX 4 SEWER DISTRICT
WATER DISTRICT
BOX 5
ESTIMATED PROJECT COST $4300-00 00
EXISTING BUILDING VALUATION
BOX 6
PROPERTY TAX ACCOUNT NUMBER ) 6j �r`/ 5
.0-- C 21 _3 �-
LEGAL DESCRIPTION I of .1.1 CrnuSeToi me
(If necessary, please submit a separate page with the legal
description.)
K.C. Plat Recording #
BOX 7
BUILDING SQUARE FOOTAGE: (Existing/Proposed)
IST FLOOR / 2ND
FLOOR /
3RD FLOOR / BASEMENT / DECK_____J_
GARAGE /
BOX 8
(X) SINGLE FAMILY
(X) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY
SQ FT
BOX 9
PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET "N',r'rt-E' toe 1
$ 2G'• �✓�
BATHTUBS
NO. FURNACE, ELEC.
GAS �� $ A- UU
SHOWERS
_ GAS HOT WATER HEATER
$ C4 (-Ili
LAVATORIES
CONVERSION BURNER
$ GtJ
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 --o
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 EMPLOYEES, UPORTHE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE: 2/21/92
ANP -008 3/90
CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING PERMIT
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
I
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
RECEIVED
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR TANK(S)
SHOWERS
URINALS
FORCED AIR FURNACE AIR HANDLING UNIT
MBER
LAVATORIES
DRINKING FOUNTAINS
GAS POT WATER HTR. MISC.
D
SINKS
MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
U
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTO
A L N
S ICE.
v
PERMIT FEE
PLAN CHECK FEE
1
FEE
INSPECTIO
0UUMBING
CHANICAL FEE
L�
TOTAL BLDG. FEES
Water Line OK Mechanical In tl
es: •`
PART P/C FEE
SEPA REVIEW
GAS PIPING OK v Date
Ole
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
MECHANICAL PERMIT
AMOUNT DUE
Account No. 010-000-322-10-004 Tota Fee $
Receipt No.
P
ALL PERMITS EXPIRE 180 DAYS
AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRONE 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 ___O.K._BY
WATER LINE OX K. . . ...... . . ....
GAS
MECHANICAL INSPECTION
DATE Y} - BY
O.K. TO ENCLOSE FRAMING
DATE -_........---.BY
INSULATION
DATE . .. .... . . ....
WALL BOARD AND FIRE WALL
DATE
FINAL O.K. TO OCCUPY
DATE ... . ........ . . _BY
DCD
PSD
FD
1
BUILDING DEPARTMENT
CITY OF FEDERAL WAY
. . .
Correction Notice
Job Located at P 9e6 3y.2 re
I have this day inspected this structure and these premises
and have found the following violations of City and/or State
laws governing same:
S" /W41i'S5' 4!.Pa,� i idL i- /� 4sc �"" �—C/
2�
TN /Jt /jCi
You are hereby notified that no more work shall be approved
upon these premises until the above violations are corrected.
When corrections have been made, call for inspection.
Date °3
Inspector for Building Dept.
DO NOT REMOVE THIS TAG
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