92-100862CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING
PERMIT
BUILDING INSPECTION
661-4140
PERMIT NO. 92-898
M OWNER'S NAME MCKENZIE SITE ADDRESS 32165 33 AVE SW
CONTRACTOR ARCO
INSTALLATIONS ADDRESS 1908 S 341 PL #9 FED WAY CONT. PHONE 992-5433
CONT. REG. NO. ARCOIL*141LE EXP. 6/ 93 OWNER'S PHONE 952-4082 OWNER'S ADDRESS
TYPEJOB: NEWRESIDENCE
ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY
(UNITS-) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 873190-0790 LEGAL DESCRIPTION
ISSUED BY EBS
DATE OF ISSUE DATE OF APPLICATION 6/10/92
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
WATER CLOSETS
ELEC. HOT WATER HEATER GAS PIPING FT. 2.00 GAS LOGS 6.50
RECEIVED
BATHTUBS
LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS
URINALS GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES
SINKS
DRINKING FOUNTAINS CONVERSION BURNER MIscRANGE 6.50
MISC. BBQ BASIC FEE 20.00
RETURNED
DISHWASHERS
TOTAL FIXTURES DRYER TOTAL MECHANICAL 35.00
AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
UMBING FEE
INSPECTION RECORD
CHANICAL FEE
35.00
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.
/ I
MECHANICAL PERMIT i
.B.C.C. FEE
OTHER FEES
O
AMOUNT DUE
$35.00
Total Fee $ 35.00 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 WILLBE
T:
OWNER OR AGENT
DATE
IF
•
Pon it # �7
�" (1 IF_���
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1
TENANT NAME:
GAS PIPING, FEET los l
$
OWNER lb C -,,'6
SITE LOCATION /
GAS HOT WATER HEATER
OWNER'S ADDRESS 3 a
. �. CITY,9 Pte% PHONE `j!5�2 -IVO,?Z,
$
DESCRIBE JOB 17hs4-a /1 /, Ga_
o4 vIQ
AIR HANDLING UNITS
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP CORPORATION
BOX 2
CONTRACTOR'S NAME "i�,Q .Z�a//Q�1'/1/2S,,
� 77) CONTRACTOR'S REG.
AIR COOLING UNITS, SIZE
$
Card MUST be presented
$
CONTRACTOR'S ADDRESS ND F rS . 5411'�
CITY PHONE 9�a x%33
LJ e ct r14.2_
EXPIRATION DATE —
—OR—
TOTAL MECHANICAL FEE
I HAVE READ CHAPTER 18.27.010 RELATING T
FINITIONS 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 373 / 9ip
- 0 790
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
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
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET los l
$
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 LOq 5
$
LJ e ct r14.2_
$
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 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 EMPLOYEIyS, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE: �2'
ANP -008 3/90
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
0 0
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SIDE REAR HEIGHT LIMIT
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
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. 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
BUILDING DEPARTMENT REMARKS:
G DFI Y ED
IFA
JUN 10 1992
W'hV 4F FEWRAL WAV
BUR.0 Q DEPT.
RECEIVED
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
r "r
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING INSPECTION
BUILDING PERMIT 661-4140
92898
X iMC =ZIE 32165 33 AVE SFT
PERMIT NO.
OWNER'S NAME SITE ADDRESS
CONTRACTOR ARCO
INSTALLATIONS ADDRESS 1408 S 341 PL #9 FED WAY CONT. PHONE 952-5433
CONT. REG. NO. ARK'''OII. 141LE EXP.6/93 OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC_ PUBLIC ADD.
NEW MULTI -FAMILY ( ) MULTI. ADD. SIGN GRADING OTHER
��TS
TAX ACCOUNT NO.
1 — � 2 LEGAL DESCRIPTION
nc
6/10/92
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. SO. FT. STORIES
PLUMBING NO.
NO. MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS
LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS
URINALS GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS CONVERSION BURNER MISCWIGE
0
RETURNED
SINKS
MISC. BBQ BASIC FEE
DISHWASHERS
TOTAL FIXTURES DRYER TOTAL MECHANICAL
AMOUNT
l / . -� e ILI&
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
FEE
INSPECTION RECORD
0EUMBING
5.00
CHANICAL FEE
TOTAL BLDG. FEES
Water Line OK Mechanical Inspection Notes:
PART P/C FEE
_
GAS PIPING OK � Date )>�,,
Y
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
MECHANICAL PERMIT-
AMOUNT DUE
Total Fee $ " Al", 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 . .. ...
WATER LINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE -BY
O.K. TO ENCLOSE FRAMING
DATE -...-..........___BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE 7)Z7;'__22 -,BY
DCD
PSD
FD