90-100135CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING PERMIT
BUILDING INSPECTION
941-1555
90-/a0i35
90-0183M RICHARD MORRISON 31937 36 AVE SW
PERMIT NO.
OWNER'S NAME JOB ADDRESS
CONTRACTOR
RADDRESS 9008 24 AVE E TACOMA CONT. PHONE 531
-471 9
CONT. REG, NO. RORSGIR2900N
11.190— OWNER'S PHONE 874-4498 OWNER'S ADDRESS $AMF plg STTF. 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 MECHANICAL
TAX ACCOUNT NO. NA.
LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH
SNYDER DATE OF ISSUE DATE OF APPLICATION 3/7 6.9 0
BUILDING INFORMATION
NA
NA NA
NA
E
OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
NA NA NA NA NA
SET BACKS: FRONT
SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
42 2.00
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.
RETURNED
SINKS
MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS
TOTAL FIXTURES NONE
UNIT HEATER TOTAL MECHANICAL �0
AMOUNT
NONE
VALUATION
NONE
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
INSPECTION RECORD
FEE
$28.50
ISCHANICAL
TAL 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
$28.50
MECHANICAL PERMIT
010-000-322-10-004 L� ��
I t�
D
AMOUNT DUE
Account No. 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
j MET:
�.� ' �1� 1� Z `l'
OWNER OR AGENT
iL�-`�� 1'I DATE
��� •
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION 74
— Please Print —
BOX 1 OWNER S ` C HA)U All /YLOU-1 5DA1 JOB LOCATION 3/ q 7 36 t�y
OWNER'S ADDRESS '>A -y" E CITY 6.0& 4i_ Ully__ PHONE -7 4- 4 4 z- q
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGL ARRIEgi PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME %lG`S �� � id1 SrA-c� U/(/ f71 71'�CONTRACTOR'S REG. # . �5'1�-70'2
Card MUST be presented
CONTRACTOR'S ADDRESS 910103, 2 q T71 tT A CITY _R4,Qtit ;4 PHONE '5-5) - y-7 1 `(
EXPIRATION DATE /P ) 3- � O 4, C,
—
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 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 FLOOR J BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS = )
( ) COMMERCIAL/INDUSTRIAL
BOX 9
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
( ) NEW CONSTRUCTION
EXISTING STRUCTURE
TOTAL AREA OF PROPERTY
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET qZ
$
N0. 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
FT
_--J '
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 APPLICATION IS MADE.
OWNER/AGENT: �-" 4 w vw� DATE: C
ANP -006 2190
0 10
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
SIZE REAR HEIGHT LIMIT
DA
PUBLIC WORKS DEPARTMENT APPROVAL
DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL
IND. ADD/ALT
NEW COMMERCIAL
COMM. ADD/ALT
NEW MULTIFAMILY
(UNITS )
MULTIFAMILY ADD/ALT
TENANT IMP.
ROOF OTHER
OCCUPANCY
TYPE OF CONSTRUCTION
STORES
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
TOTAL SQ. FT.
TOTAL VALUATION
EBUILDING PERMIT NO.
PLAN CHECK FEE REC'D
RECEIPT NO.
PERMIT FEE
TOTAL FEES -c®"
PLAN CHECK FEE — �1,, ---- PLUMBING FEE — -- MECH. FEE 30 -
SBCC SURCHARGE ENERGY SURCHARGE AMOUNT DUE ?,O _ o0
BUILDING DEPARTMENT APPROVAL -----------------------------
DATE 3 - ZG - `rO
REMARKS:
y\fx,IN
QC),�p\N�
RECEIVED
Pq
ASSIGNED ADDRESS: GS
ACCEPTED FOR FILING
MECHANICAL PERMIT
CITY OF BUILDING PERMIT BUILDING INSPECTION
FEDERAL WAY 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)
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
HANICAL FEE
AL BLDG. FEES
Water Line OK Mechanical Mechanical Inspection
Notes:
PART P/C FEE
SEPA REVIEW
GAS PIPING OK / G5 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
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.
�___-_._
1��._
MECHANICAL INSPECTION
DATE _�"}..._BY
O.K. TO ENCLOSE FRAMING
DATE BY _ _-
INSULATION
DATE .._-_ _ _-............BY
_
WALL BOARD AND FIRE WALL
DATE __.
FINAL O.K. TO OCCUPY
DATE 440BY _._.
DCD
PSD
FD