90-100132CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING PERMIT BUILDING
941 �N 55ECTION
9D-/Db/�J
PERMIT NO. 90-0178M
OWNER'S NAME MOON J LEE JOB ADDRESS 32622 39 AVE SW
CONTRACTOR W G ALLEN
ADDRESS 4415 SW 335 ST FEDERAL WAY CONT. PHONE 92 -
CONT REG. NO. WGALLC*110DW 91 OWNER'S PHONE 927-0801 OWNER'S ADDRESS SAME AS ABOVE
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. _ NA
LEGAL DESCRIPTION NA
ELIZABETH
SNYDER 3/20/90
ISSUED BY
DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
�IE
OCCUPANCY TYPE OF CONSTRUCTION NA BLDG. So. FT. NA
SET BACKS: FRONT NA
SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA
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. 6.50 MISC.
SINKS -
MISC.
CONVERSION BURNER BASIC FEE 20.00
RETURNED
DISHWASHERS
TOTAL FIXTURES NONF.
UNIT HEATER TOTAL MECHANICAL 26.50
AMOUNT NONE
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
INSPECTION RECORD
FEE 26.50
WTCHANICAL
AL 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 C
�
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
26_50
Account No. 010-000-322-10-004 Total Fee $ Receipt No. 2- .
1
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 i
0 0
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 OWNER JOB LOCATION = : 2 -2 —
OWNER'S ADDRESS =�— ` W CIT PHONE '
)ZESCRIBE JOB t
/THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #L"ZZe 7/tai%7Gc
Card MUST be res�ed
CONTRACTOR'S ADDRESS ��-� CITPHONE ✓� �'
EXPIRATION DATE
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 - e' CS - • _ = 7 L_ PHONE - � /
BOX 4 SEWER DISTRICT WATER DISTRICT
'BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
-)(BOX 6 PROPERTY TAX ACCOUNT NUMBER
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 FLb-OO / BASEMENT / DECK / GARAGE /
BOX 8 ( ) 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 $
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
NO. FURNACE, ELEC. GAS
$
SHOWERS
GAS HOT WATER HEATER
$
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
SUMPS, SPRINKLER VACUUM BREAKERS
COMMERCIAL HOOD
OTHER
$
$
DRAINS
$
OTHER
$
TOTAL FIXTURES
$ '
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 PER-
FORM THE WORK FOR WHICH PERMIT APPIL TION IS MADE.
OWNER/AGENT: DATE:"Jf C� `—
ANP -006 IM
CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING IN 55ECTION
BUILDING PERMIT
PERMIT NO.
OWNER'S NAME JOB ADDRESS
39
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.
S ACKS: 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
MECHANICAL FEE
*BLDG. FEES
Water Line OK L/_ 2-9O 67j Mechanical Inspection
Notes:
F PIC FEE
SEPA REVIEW
GAS PIPING OK /-/ - 5O l;!5 Date Z/-/1 -YOBy
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. TO OCCUPY
DATE —BY-
OX
Y
OX TO POUR FOUNDATION WALLS
DATE --- .___. —_..BY -_--
WATER LINE O.K._—__--
GAS PIPING 0. K. __.._..._....- .....
INSULATION
DATE
DCD PSD
PLUMBING GROUNDWORK
DATE — — . — ---BY
MECHANICAL INSPECTION
DATE __— —.._ --BY ..
WALL BOARD AND FIRE WALL
DATE _.. _— _-__ BY
FD
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