90-100451MECHANICAL PERMIT
CITY OF
FEDERAL WAY BUILDING PERMIT
BUILDING INSPECTION
941-1555
90- joby5�1
PERMIT NO. 90-622 M OWNER'S NAME NEWHALL JONES JOB ADDRESS 4908 S.W. 330TH ST
CONTRACTOR INDOOR COMFORT SYSTEMS ADDRESS 1754 S. FAWCETT TACOMA CONT. PHONE
CONT. REG. NO. INDOOCS1320H OWNER'S PHONE NEWHA.LL JONE§wNER's ADDRESS12815 BEL RED ROAD BELLEVUE
TYPE JOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC
PUBLIC ADD.
NEW MULTI -FAMILY (UNITS
TAX ACCOUNT NO.
) MULTI. ADD. SIGN GRADING OTHER
LEGAL DESCRIPTION STONEBROOR LOT 13
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 5-18-90
BUILDING INFORMATION
ONE
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 90 FT. 2.00 BOILER
RECEIVED
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR TANK(S)
SHOWERS
URINALS
FORCED AIR FURNACE 10.00 AIR HANDLING UNIT
NUMBER
LAVATORIES
SINKS
DRINKING FOUNTAINS
MISC.
GAS HOT WATER HTR. 6.50 MISFANGE 6.50
CONVERSION BURNER BASIC FEE 20.00
RETURNED
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL 45.00
AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT
SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
INSPECTION RECORD
ECHANICAL FEE
4F; _ 00
TAL BLDG. FEES
Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW
GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
45.00
MECHANICAL PERMIT
Account No. 010-000-322-10-004 Total Fee $ 45.00 Receipt No.
c
p `J,
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
�5L
�r �r DATE �/ `?
RECEIVED
MAY ; � 1990 ��--
011T` OF F'tJ,ERAL WAY
BUR-DiNG DEPT. CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
—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 jfli �';7 �� E>/
BOX 4 SEWER DISTRICT 4-- WATER DISTRICT k_�--
BOX 5 ESTIMATED PROJECT COST - EXISTING BUILDING VALUATION
-
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION 15
(If necessary, please submit a separate page with the legal description.)
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 $
��'�L��'
N0. WATERCLOSETS
BOX 1 OWNER
5
'yo
JOB LOCATION
NO. FURNACE, ELEC. GAS
OWNER'S ADDRESS,.�►
Dl-
SHOWERS
CITY dt--
/cc -'c PHONE '
, c 2
DESCRIBE JOB �S
So
&I
CONVERSION BURNER
$
THE PROPERTY IS OWNED BY:
SINGLE/MA
ED
PARTNERSHIP
CORPORATION X
BOX 2 CONTRACTOR'S NAME
$
_ s
ELECTRIC HOT WATER HEATER
CONTRACTOR'S REG. #�Z_A-L261t,63Y _3!aoff
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
Card MUST be presented
CONTRACTOR'S ADDRESS �i��j/
S�
�;�c ���6y`D�
CITY 7;Vice
PHONE %S"E
EXPIRATION DATE
—'
$
SUMPS, SPRINKLER VACUUM BREAKERS
—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 jfli �';7 �� E>/
BOX 4 SEWER DISTRICT 4-- WATER DISTRICT k_�--
BOX 5 ESTIMATED PROJECT COST - EXISTING BUILDING VALUATION
-
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION 15
(If necessary, please submit a separate page with the legal description.)
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 $
��'�L��'
N0. WATERCLOSETS
GAS PIPING, FEET �L?
$
'yo
BATHTUBS
NO. FURNACE, ELEC. GAS
X $
10
SHOWERS
/ GAS HOT WATER HEATER
$
L - c�
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
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
BOTHER
$
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 APPLICATION IS MADE.
OWNER/AGENT:
DATE: I-,"---/- 51 — / L.')
ANP -006 2/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ;}
ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
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.
ROOF OTHER
OCCUPANCY
TYPE OF CONSTRUCTION
STORES
BUILDING SQ. FT.
@
_
BUILDING SO. 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
PLAN CHECK FEE - -
- - - - - PLUMBING FEE - - - -
- - - MECH. FEE
TOTAL FEES
SBCC SURCHARGE
ENERGY SURCHARGE
AMOUNT DUE
BUILDING DEPARTMENT APPROVAL -----------------------------
DATE
REMARKS:
ASSIGNED ADDRESS:
0 7bd� �a7i
66� 8 ` pyo
d
RECEIVED
ACCEPTED FOR FILING
r.
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
ZONE
OCCUPANCY TYPE OF CONSTRUCTION
BLDG. S0. 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)
T?
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
/I
TOTAL BLDG. FEES
Water Line OK Mechanical Inspection
Notes: f� V kA/A-T02
PART P/C FEE
cc G y� /� /
GAS PIPING OK �!-ZZ'G!� Date gVBy ��(
REA I t-,- /Z
SEPA REVIEW
%1GG
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
OX TO POUR FOUNDATION WALLS
DATE BY
PLUMBING GROUNDWORK
DATE --- --- - __BY
PLUMBING ROUGH IN
DATE _ __ _ BY
WATERLINE 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 BY
DCD
PSD
FD