90-100500MECHANICAL PERMIT
CITY OF
FEDERAL WAY BUILDING PERMIT
87A
BUILDING INSPECTION
941-1555
90 -/ObSaZ)
PERMIT NO. 90
CONTRACTOR
CONT. REG. NO.
EQWN��NAAMME CHAFFEY CORP JOB ADDRES 2824 SW 342ND PL -
bUbU
TT T. ADDRESS 1144 7 I2UTH AVE NE_ �9�T. IRKLAND PHONE
OWNER'S PHONE 822-5981 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= POINTE
LEGAL DESCRIPTION LOT R
ISSUED BY JOANNE
JOHNSON DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
NE
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
BATHTUBS
ELEC. HOT WATER HEATER
LAUNDRY DRAINS
GAS PIPING 99 FT. 2.00 BOILER
RECEIVED
COMPRESSOR TANK(S)
SHOWF�iS
URINALS
FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER
LAVATORIES
DRINKING FOUNTAINS
GAS HOT WATER HTR. 6.50 MISC.
SINKS
MISC.
CONVERSION BURNER BASIC FEE 20.06 RETURNED
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
CHANICAL FEE
38.50
'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.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
x_50
MECHANICAL PERMIT 38.50
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 T:
OWNER 0R AGENT
DATE
�"� � 31q 0
k!TBI I ING DEP WAY
�r�ilL�?INC DEPT.
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
Grouse -pointe
BOX 1 OWNER ChaffeyCorporation JOB LOCATION 2824 SW 342nd P1. Lot 32
OWNER'S ADDRESS P.O. Box 560 CITY Kirkland PHONE 822 -5981 -
DESCRIBE JOB New in.stallatim mechanical system furnace MT gas piping
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME RPI i ahl e Meet Metal CONTRACTOR'S REG. # RE-LI-AS-M4-37RS
Card MUST be presented
CONTRACTOR'S ADDRESS 11447 120th Ave NE CITY Kirkland PHONE 823-6868
EXPIRATION DATE 12/90
—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
tiUA J UUN I AU I PERSON V rren ohnson PHONE 823-6868
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 ( SINGLE FAMILY
(X) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL
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 i nn,
$ 2 no
BATHTUBS
NO. I FURNACE, ELEC. GAS
$ 10.00
SHOWERS
71 GAS HOT WATER HEATER
$ 6-50
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
$_
1 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 PVtMIT APPLICATION IS MADE.
OWNER/AGENT:
DATE: 5/21/90
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.
LEGAL DESCRIPTION
ISSUED BY
DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
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)
{`r
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
aHANICAL
,L BLDG. FEES
Water Line OK Mechanical Inspection
Notes:
PART P/C FEE
SEPA REVIEW
GAS PIPING OK /7i Date 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
0 0
SET BACKS AND FOOTINGS
DATE ___ . . .... ... __ BY
O.K TO POUR FOUNDATION WALLS
DATE . .....BY
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE,__ _..__ -.._-BY
WATERLINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE --BY
Z'�
O.K. TO ENCLOSE FRAMING
DATE.. . . . .....___........-....BY -_...
. .... .... . .
INSULATION
DATE ... . . ...... . ..-.........BY
WALL BOARD AND FIRE WALL
DATE . .... . . . . ... ... . . BY ...-
...FINAL
FINALO.K. TO OCCUPY
DATE _ __ _BY
DCD
PSD
FD
7
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