91-101428CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING PERMIT
BUILDING INSPECTION
941-1555
91-1387 M FOSS CAR AUDIO 34225 PACIFIC HWY S
PERMIT NO. OWNER'S
NAME JOB ADDRESS
HILL HEATING/AC
755 S 108 ST TACOMA 537-1355
CONTRACTOR
ADDRESS CONT PHONE
CONT. REG. NO. HILLHAC0990H 3/92
OWNER'S PHONE OWNER'S ADDRESS ABOVE
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 ONLY
TAX ACCOUNT NO. 202104-9063
LEGAL DESCRIPTION
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE 1O - 8 �l DATE OF APPLICATION 10/3/91
BUILDING INFORMATION
ZONE 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
BATHTUBS LAUNDRY DRAINS M7RifppESMRUNIT HTRS (2) 18.00 TANK(S)
RECEIVED
SHOWERS URINALS
FORCED AIR FURNACE AIR HANDLING UNIT
NUMBER
LAVATORIES DRINKING FOUNTAINS
GAS POT WATER HTR. MIScGAS PAR 6.50
SINKS MISC.
CONVERSION BURNER BASIC FEE 20.00
RETURNED
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 44 . 50
AMOUNT NONE
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
INSPECTION RECORD
MECHANICAL FEE $44.50
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.
S.B.C.C. FEE
OTHER FEES
MECHANICAL PERMIT
AMOUNT DUE $44.50
Account No. 010-000-322-10-004 Total Fee $ 44.50 Receipt No. yQ(%
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 FUR ISHED 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 Ck 1
MECHANICAL PERMIT
CITY OF
FEDERAL WAY BUILDING PERMIT
BUILDING INSPECTION
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
disk
ZONE
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.
BOILER
RECEIVED
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR
TANK(S)
SHOWERS
URINALS
FORCED AIR FURNACE
AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
GAS RIOT WATER HTR.
MISC.
RETURNED
SINKS
MISC.
CONVERSION BURNER
BASIC FEE
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER
TOTAL MECHANICAL
AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESS
I FIDAVIT WILL NOT
SUFFICE.
PERMIT FEE
PLAN CHECK FEE
LUMBING FEE
1ECHANICAL FEE
(�� S�Ire(_ `4,
TOTAL BLDG. FEES
Water Line OK aril
Otes :
PART P/C FEE
f CC11 P ',j - Ye_(IA C G ��
SEPA REVIEW
GAS PIPING OK
By
WATER SERVICE
AW
D•
�
WATER MAIN CHG.
S.B.C.C. FEE
aY
OTHER FEES
MECHANICAL PERMITv
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
\v
REQUIREMENTS WILL BE MET:
cc��
OWNER OR AGENT
DATE
of
Et:l�/o Permit �-�
OCT 3 - 1991 CITY OF FEDERAL WAY
BOF IEUIILDNGDprAY BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER o izSC SI E LOCATION
OWNER'S ADDRESS 0.L' � �. CITY PHONE
DESCRIBE JOB L
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERS IP CORPORATION
BOX 2 CONTRACTOR'S NAME C a CONTRACTOR'S REG. #fit`-�-►���O9�bt+
Card MUST be presented
CONTRACTOR'S ADDRESS —tS5 SL' l Ov>_ S r . CITY I c --Q - o, PHONE 53� l35 S
EXPIRATION DATE 3j °1-2--
—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 ��t �-,k\ PHONE 537- i35S
-BOX 4 SEWER DISTRICT - WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 1 0 , c-� o o EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 063 o -.x—
LEGAL
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 (N0. OF UNITS = )
( ) EXISTING STRUCTURE
`'COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY `i 9
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES
— BASIC FEE $;
• `'n
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
NO. 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 yGf� i,l)
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
.OTHER
n, A k-$
�$
DRAINS
OTHER
$
TOTAL FIXTURES
$
TOTAL MECHANICAL FEE
$
r
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 OFTHE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE. I FURTHER AGREE TOS VE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
FEES INCURRED IN INVESTIG ION AND DEFENSE OF SUCH CLAIM), WHICH MAYBE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CIT F FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, PON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE:
ANP -008 3/90
91 0
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
SIDE REAR HEIGHT LIMIT
q:j 1;
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS: fe f
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
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
BUILDING DEPARTMENT APPROVAL L� q
BY DATE
ACCEPTED FOR FILING
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
DATE—
ATEREMARKS:PUBLIC
REMARKS-
PUBLICWORKS DEPARTMENT APPROVAL
DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE
RE
DD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD
T
NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TEN
IMP.
OTHER
OCCUPANCY
TYPE OF CONSTRUCTION STORES
BUILDING SQ.
FT.
@ _
UILDING SQ.
FT.
@ _
BUILDING SQ.
FT.
@ _
BUILDING SQ.
FT.
@ _
BUILDING SQ.
FT.
@ —
_Z
BUILDING SQ.
FT.
@ _
TOTAL SQ. FT.
TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS: fe f
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
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
BUILDING DEPARTMENT APPROVAL L� q
BY DATE
ACCEPTED FOR FILING