90-100507MECHANICAL PERMIT
CITY OF
FEDERRAA BUILDINGL WAY PERMIT
/_ fir/ A
BUILDING INSPECTION
941-1555
9 0-It)n.So7
PERMIT NO. 907
OWNER'S NAME CHAFFEY CORP JOB ADDRESS 2811 SW 342ND PL
CONTRACTOR RELIABLE
SHEET METAL ADDRESS 11447 120TH AVE NE KIRKLAND CONT. PHONE 832-6868
CONT. REG. NO. RELIASM437RS 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.
LEGAL DESCRIPTION LOT 50 GROUSE POINTE
ISSUED BY JOANNE JOHNSON
DATE OF ISSUE DATE OF APPLICATION 5-21-90
BUILDING INFORMATION
E
OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT.
BACKS: FRONT
SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING " FT. 2_00 BOILER
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR TANK(S)
RECEIVED
SHOWERS
LAVATORIES
URINALS
DRINKING FOUNTAINS
FORCED AIR FURNACE i n _ O o AIR HANDLING UNIT
GAS HOT WATER HTR. 6-50 MISC.
NUMBER
SINKS
MISC.
CONVERSION BURNER BASIC FEE 90 _ Of)
RETURNED
DISH`-VASHERS
TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL '18-50 1
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 3 8
�� o
OTAL 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 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 MEET:
OWNER OR AGENTlzl,,IIAI�1�DATE
El
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
q4rlA-
RECEIVED
MAY 2 3 1990
CITY OF FEDERAL WAY
BUILDING DEPT.
Grc)us=ointe
BOX 1 OWNER C.'haffev Ghi=rat-inn JOB LOCATION 2811 SW 34 nd P1 Lot 50
OWNER'S ADDRESS P _ 0 _ Bok- 560 CITY Kirkland PHONE 822-5981
DESCRIBE JOB New installation mechanical system furnace, Hw, gas piping
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME Reliable Sheet Metal CONTRACTOR'S REG. #R-AS-M4-37RS
Card MUST be presented
CONTRACTOR'S ADDRESS 11447 120th Ave NE CITY Kirkland PHONE 823-6868
EXPIRATION DATE 12/090
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 Verren-e Johnson PHONE 823-6868
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_____J_ GARAGE /
BOX 8 �C SINGLE FAMILY ( yj 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 $ 20.00
N0. WATERCLOSETS
GAS PIPING, FEET imrier 100'
$ 9 no
BATHTUBS
NO. _1^_FURNACE, ELEC. GAS X
$ in on
SHOWERS
—_GAS HOT WATER HEATER
$ r, sn
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
$ 38-50
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-
FORM THE WORK FOR WHICH,PQRMIT/,,APPLICATION IS MADE.
OWNER/AGENT:
DATE: 5121/90
ANP -006 2/90
MECHANICAL PERMIT
CITY OF
FEDERAL WAY 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.
( d 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 HOT WATER HTR. Ft 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
Mechanical
�j
r&60('(+- t
TOTAL BLDG. FEES
Water Line OK Inspection
Notes: M
PART PIC FEE
�� n 2 G,�
GAS PIPING OK 1-3–CO Date /' �&y
SEPA REVIEW
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- - ------- ___
O.K 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 -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
FD