90-101205MECHANICAL PERMIT
CITY OF
FEBUILDING P
FEDERAL WAY
TENANT:PAYCO
ERMIT
BUILDING INSPECTION
941-1555
U
ST WAY S.
PERMIT NO. 90-1410 M
OWNER'S NAME TOLD DEV CO- (WASHINGTON PARKA 1 33801_ 2ND ravvF Oe i�—
CONTRACTOR PSF INDUSTRIES.
INC ADDRESS P ROC 3747 SEATTLE CONT. PHONE 622-1 252
CONT. REG. NO. P,QFTN**37rjN9 OWNER'S PHONE 646-6065 OWNER'S ADDRESS 10500 NF. RTH STTTTF. 1985 RF.T.T.VTT
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. 926504-0150
LEGAL DESCRIPTION LOT 15 AT.TERATIONPTAT- WEST CAMPTTS OFFTCF. PARR
DSS
ISSUED BY JOANNE
JOHNSON DATE OF ISSUE DATE OF APPLICATION 8-24-90
BUILDING INFORMATION
*1NE
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. 1511WUSERS 6.50
BA:'-ITUBS
LAUNDRY DRAINS
COMPRESSOR _ TANK(S)
RECEIVED
SHOWERS
URINALS
FORCED AIR FURNACE AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC.EXH. FAN 4.50
SINKS
MISC.
CONVERSION BURNER BASIC FEE 20-._00
RETURNED
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL 31.00
AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
INSPECTION RECORD
-CHANICAL FEE
31.00
L, AL 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 1�
AMOUNT DUE
31.00
Account No. 010-000-322-10-004 Total Fee $ 31.00 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 UE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL B
.
OWNER OR AGENT
DATE D
U
CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING PERMIT
1
BUILDING INSPECTiO'N(c
:
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
E
OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT.
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
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR TANK(S)
RECEIVED
SHOWERS
URINALS
FORCED AIR FURNACE AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC.
SINKS
MISC.
CONVERSION BURNER BASIC FEE
RETURNED
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
L BLDG. FEES
Water Line OK Mechanical Inspection Notes:
P/C FEE
SEPA REVIEW
GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
MECHANICAL PERMIT ti
Account No. 010-000-322-10-004 Total Fee $ 33 Receipt No.
t F
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
J
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_
PLUMBING ROUGH IN
DATE __ ___ _ _—.. BY
O.K. TO ENCLOSE FRAMING
DATE .........._______ BY
FINAL O.K. TO OCCUPY
DATE _.17_�� .BY _....... .�`-__
of - f q- q O D a Q_4- t �n
OX TO POUR FOUNDATION WALLS
DATE ____ _BY __..—
WATER LINE O.K.
GAS PIPING O.K. __ __.._ ..........
INSULATION
DATE BY _.
DCD I PSD
c&tC0fAA.V(PA_ -
•
PLUMBING GROUNDWORK
DATE __--- ---_ _ _ BY
MECHANICAL INSPECTION
DATE BY
WALL BOARD AND FIRE WALL
DATE __ ___ __—__BY
FD
ect-rd
RECEIVED P it # 6i,
AUG 2' 4 1990 CITY OF FEDERAL WAY
CITY OF FEDERAL WAy BUILDING PERMIT APPLICATION
BUILDING DEPT. — Please Print —
BOX 1 TENANT NAME: WW7AII.a -1- bf3 FW -r- rA I— -
OWNER flt_ SITE LOCATION `�
OWNER'S ADDRESS tom^ CITY 59.Z-1-Ey0F PHON S
DESCRIBE JOB 6VACIJT
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION Lwf�
BOX 2 CONTRACTOR'S NAME �7F 43C_�CONTRACTOR'S REG. #�v/i=j:P,:Ky W,5
Card MUST be presented
CONTRACTOR'S ADDRESS D. �n C 7 CITY T> L� PHONE 41ZZ-%Z5�-;Z
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 _7 f" �5V _ PHONE l ZZ-IZSZ
BOX 4 SEWER DISTRICT �'"' ~Y WATER DISTRICT �"�
PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION L-011 L
(If necessary, please submit a �er)arate 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 = ) (�XISTING STRUCTURE
(OMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins)MECHANICAL APPLIANCES —BASIC FEE $ ? o • v()
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DWNKING FOUNTAINS
V
MPS, SPRINKLER VACUUM BREAKERS
RAINS
THER
OTAL FIXTURES
6,S -c>
s-0
5 1, C)
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 EMPLOYEE$, UPON THE ACCURACY OF„THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
ANP -008 3/90
GAS PIPING, FEET
$
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
$
v
$
!✓
$
TOTAL MECHANICAL FEE
$
6,S -c>
s-0
5 1, C)
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 EMPLOYEE$, UPON THE ACCURACY OF„THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
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 SO. FT.
@ _
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
TOTAL SQ. FT.
TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
06o'
/ y,, i 1
b
RECEIVED
ASSIGNED ADDRESS: t x (S ( "4
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BY
BUILDING DEPARTMENT APPROVAL
DA'
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
ACCEPTED FOR FILING