90-100357CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING, PERMIT BUILDING
941!N 55ECTION
96 -/onz s-7
90-497 M
DR. DAN TAGGART 118 SW 330TH SUITE 300
PERMIT NO.
OWNER'S NAME JOB ADDRESS
CONTRACTOR BAHR S SALES & SERVICE ADDRESS 635 9TH AVENUE KIRKLAND CONT. PHONE 822-2192
CONT. REG. NO. BAHRSSS189KS OWNER'S PHONE 643-8400 OWNER'S ADDRESS 14645"RET-RED ROAD SUITE 105 ET.L
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 JOANNE JOHNSON
DATE OF ISSUE DATE OF APPLICATION 5-3-90
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
ELEC. HOT WATER HEATER
GAS PIPING FT. 2 _ no 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. DUCT WK 6 - 9; 0_
RETURNED
SINKS
MISC.
CONVERSION BURNER BASIC FEE 20 - no
DISHWASHERSTOTAL
FIXTURES
UNIT HEATER TOTAL MECHANICAL 2 8 5 0
AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
INSPECTION RECORD
28.50
ECHANICAL FEE
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
MECHANICAL PERMIT
AMOUNT DUE
50
Account No. 010-000-322-10-004 Total Fee $ 28.50 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
!1.vU
171
mit# 01 D' rn
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION RECEl�D
— Please Print — M/AY 3 1990
(If necessary, please submit a separate page with the I'egal description.)
K.C. Plat Recording # ` 77`-C- c -�
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)
OWNER
SITE LOCATION 1k
$
OWNER'S ADDRESS
CITY ----
PHONE
SHOWERS
DESCRIBE JOB
LAVATORIES
CONVERSION BURNER
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP
CORPORATION
BOX 2
CONTRACTOR'S NAME c,3
Ls_ LQ -'-,--CONTRACTOR'S REG. # % N—A
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
l
Card MUST be presented
UNIT HEATERS
CONTRACTOR'S ADDRESS ��� ��
t—� i CITY ` Cu
PHONE
EXPIRATION DATE `�
COMMERCIAL HOOD l�� <".
,
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER . s 0j
—OR—
DR ENS
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.
TOTAL FIXTURES
BOX 3
CONTACT PERSON
PHONE`-= _I_a - `1
----BOX 4 SEWER DISTRICT -��
WATER DISTRICT `--
----BOX 5
ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION
-
�BOX 6
PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
DESCRIPTION
(If necessary, please submit a separate page with the I'egal description.)
K.C. Plat Recording # ` 77`-C- c -�
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)
MECHANICAL APPLIANCES — BASIC FEE $ 2ci, (-)
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
N0. 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�i�
DRINKING FOUNTAINS
COMMERCIAL HOOD l�� <".
,
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER . s 0j
60
DR ENS
HER
TOTAL FIXTURES
$
TOTAL MECHANICAL FEE
$ . 5-0
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT"°
DATE: _ L i L
ANP -008 3/90
•
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:
PUBLIC WORKS DEPARTMENT APPROVAL
REMARKS:
SIDE REAR HEIGHT LIMIT
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:
RECEI
ASSIGNED ADDRESS:
Amount
m
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
DA
DAT
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE �_
MECHANICAL FEE =C 570
TOTAL BLDG. FEES v
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE 0
OTHER FEES
AMOUNT DUE
BUILDING DEPARTMENT APPROVAL
DATE s 3 T t
ACCEPTED FOR FILING
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 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
Am
OCCUPANCY TYPE OF CONSTRUCTION
BLDG. SO. FT.
SEWBACKS: 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. 7 -
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 Mechanical Inspection
Notes:
F PIC FEE
SEPA REVIEW
GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
MECHANICAL PERMIT
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
Account No. 010-000-322-10-004 Total Fee $
J
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 .-._..._.
OX 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. TOO CUPY
/
DATE _ .'G? . BY
DCD
PSD
FD