92-100822MECHANICAL PERMIT
CITY OF
FEDERAL WAY BUILDING PERMIT
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BUILDING INSPECTION
661-4140
PERMIT NO.-4iR
OWNER'S NAME PETE HANSON SITE ADDRESS 32324 16TH AVE SW
CONTRACTOR RE
TE SHEET_ METAL ADDRESS 4820 S WASHINGTON T ACOMA CONT. PHONE 472-4099
CONT. REG. NO. R.FNNTSMI
I OON EXP. 11 /(%AER'S PHONE -66 1-0615 OWNER'S ADDRESS 32324 16TH AE S FEDERAL WAY
TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY
(UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO.
010452-0180 LEGAL DESCRIPTION
SUED BY
JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 6-2-92
BUILDING INFORMATION
ZONE
SET BACKS: FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY
TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. STORIES
PLUMBING
NO. NO. MECHANICAL APPLIANCES AMT. AMT.
BOND
2.00
WATER CLOSETS
ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS
LAUNDRY DRAINS FORCED AIR FURNACE 10-00 DUCT WORK
SHOWERS
URINALS GAS HOT WATER HTR. 6 - 54 AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS
MISC. BBQ BASIC FEE _QO
RETURNED
DISHWASHERS
TOTAL FIXTURES DRYER TOTAL MECHANICAL 38.50
AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
LAN CHECK FEE
UMBING FEE
INSPECTION RECORD
MECHANICAL FEE
38.50
TOTAL BLDG. FEES
Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW
GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
p
S.B.C.C. FEE
OTHER FEES
MECHANICAL PERMIT l
AMOUNT DUE
38.50
38.50
Total Fee $ Receipt No.
ALL PERMITS EXPIRE 18 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE FOR ATION FURNISHED BY ME T E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WIL BE M T:
OWNER OR AGENT
DATE r
RECEIVED BY
COMMUNITY DEVELOPMENT DEPARTMENT P@�It # t
JUN Z 1992 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER `' X,' SITE LOCATION
OWNER'S ADDRESS 3�3z� jIO 5 CITY ���' lt,��I PHONE 40C/ -
DESCRIBE JOB NS 4:�nij 1 tt l,iz
THE PROPERTY IS OWNED BY: S GLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME iz- het kt- CONTRACTOR'S REG. # RE0J";1 I0 QLl
Card MUST be presented
CONTRACTOR'S ADDRESS 420 bJA-" 1LfJ CITY '--IA<- PHONE 11-q0
EXPIRATION DATE //-
—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 A444< — C e N PHONE_q_l,
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER n/64 S9, -- L I
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
_OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES
— BASIC FEE $
GAS PIPING, FEET
j $
NO.- FURNACE, ELEC. GAS
$
—GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
OTHER
$
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 OFTHE 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, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: �1.��''� r DATE:
ANP -008 3/90
MECHANICAL PERMIT
CITY OF
FEDERAL WAY BUILDING PERMIT
BUILDING INSPECTION
661-4140
92--0854
PETE RMSON
32324 16TH AVE Ski
PERMIT NO. 11 OWNER'S NAME
SITE ADDRESS
CONTRACTOR RE' NIE SRFi:'2 METAj. ADDRESS 4RI0 S �Rf l M
T AC014iA CONT. PHONE
!?'1�N132324
RSH1100N
1 661-0615
11/&NNER'S
16TH JW,S ` ' o WAY
CONT. REG. NO. EXP.
PHONE OWNER'S
ADDRESS
TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL
NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY UNITS7� ) MULTI. ADD.
SIGN GRADING OTHER
Si V
TAX ACCOUNT NO.
LEGAL DESCRIPTION
I
r;
JOAN=JO�JO�
v,
6-2-92
ISSUED BY
DATE OF ISSUE
DATE OF APPLICATION
BUILDING INFORMATION
ZONE SET BACKS: FRONT
SIDE
REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION
CENSUS NO. TYPE OF HEAT
BLDG. SQ. FT. STORIES
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT.
AMT.
BOND
WATER CLOSETS ELEC. HOT WATER HEATER
GAS PIPING FT.
GAS LOGS
BATHTUBS LAUNDRY DRAINS
FORCED AIR FURNACE 10 • 00
DUCT WORK
RECEIVED
SHOWERS URINALS
GAS HOT WATER HTR. 6 - 50
AIR HANDLING UNIT
NUMBER
LAVATORIES DRINKING FOUNTAINS
CONVERSION BURNER
MISC.
SINKS MISC.
BBQ
BASIC FEE 20 .00
RETURNED
DISHWASHERS TOTAL FIXTURES
DRYER
TOTAL MECj#jjV## 38950
AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY IDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
/
0.:UMBING FEE
CHANICAL FEE 38.50
TOTAL BLDG. FEES
Water Line OK Me
N es:
PART P/C FEE
SEPA REVIEW
GAS
PIPING OK e
B A
WATER SERVICE
WATER MAIN CHG.
OP
S.B.C.C. FEE
OTHER FEES
38.50
MECHANICAL
PERMIT
3$ ��
AMOUNT DUE
Tot Fee $ Receipt No.
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL A ADING PE
ITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF WLEDGE
AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: —�
j!
r
r `� �` j` '
�� ?
OWNER OR AGENT
DATE