90-100506CITY OF
FEDERAL WAY
'; Z4
MECHANICAL PERMIT
BUILDING PERMIT
BUILDING INSPECTION
941-1555
9b-/oosa(o
PERMIT NO. 90- M
OWNER'S NAME CHAFFEY CORP JOB ADDRESS 2817 SW 342ND PL
CONTRACTOR RE IABLE
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 49 GROUSE POINTE
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 5-21-90
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 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 HOT WATER HTR. 6.50 MISC.
RETURNED
SINKS
MISC.
CONVERSION BURNER BASIC FEE 20-0
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL 38 _ 50
AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
INSPECTION RECORD
ECHANICAL FEE 38
50
TOTAL BLDG. FEES
Water Line OK Mechanical Inspection Notes:
PART PIC FEE
SEPA REVIEW
GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
MECHANICAL PERMIT
38.50
AMOUNT DUE
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
OWNER OR AGENT
�° DATE `
RECEIVE
D
MAY 2 3 1990
CITY OF FEDEFiAL WAY
CITY OF FEDERAL WAY BUILDING DEPT;
BUILDING PERMIT APPLICATION
— Please Print —
Grousepointe
BOX OWNER Chaffey Corporation JOB LOCATION 2817 SW 342nd Pl Lot 049
OWNER'S ADDRESS P.O. Box 560 CITY Kirkland PHONE 8 -
DESCRIBE JOB New installation mechanical system furnace HWr, gas piping
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME Reliable Sheet Metal CONTRACTOR'S REG. # RE-LI-AS-1`Y+-37RS
Card MUST be presented
CONTRACTOR'S ADDRESS 11447 120th Ave NE CITY Kirkland PHONE 823-6868
EXPIRATION DATE 12/90
1'
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 82-3=6868
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUM
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 (X) SINGLE FAMILY
( 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 imrler 100'
$ 2.00
BATHTUBS
NO._I FURNACE, ELEC. GAS_X_
$ 10.00
SHOWERS
I_GAS HOT WATER HEATER
$ 90
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
$ _38,0_
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 WHISH PORMIT APPLICATION IS MADE.
OWNER/AGENT:
DATE: 5/21/90
ANP -006 2190
MECHA'%" r.'ERMIT
CITY OF
FEDERAL WAY BUILDINU'"' 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
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
FEE
OHLANICAL
BLDG.FEES
Water Line OK Mechanical Inspection
Notes:
PART P/C FEE
SEPA REVIEW
GAS PIPING OK (�� L' Date By
WATER SERVICE
WATER MAIN CHG.
t/
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
0
SET BACKS AND FOOTINGS
DATE
OX TO POUR FOUNDATION WALLS
DATE _..._.___BY
PLUMBING GROUNDWORK
DATE . —_..._........BY ... . ... . . . ........ .
PLUMBING ROUGH IN
DATE BY ... . .... ....
WATER LINE O.K. . ... ...
GAS PIPING O.K.,94 e*�f -
MECHANICAL INSPECTION
DATE . ... ..
O.K. TO ENCLOSE FRAMING
DATE___ . ......—_..BY . . . . ..... .... . .. .... . .
INSULATION
DATE ...____...—........BY .. . . ....... . ..... ....
WALL BOARD AND FIRE WALL
DATE . .. ... ... . ... . ...... . .... ... . . .._..BY
BY ... . . . ...... . . .. ...... ..
FINAL O.K. TO OCCUPY
DATE......... . . ... .... BY . ...... . .. . ... . ....
DCD
PSD
FD
A
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