90-100157CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING PERMIT
gO—lo 15 -:1 -
BUILDING INSPECTION
941-1555
PERMIT NO. 90-0206M
OWNER'S NAME GEORGE KCICHMAR JOB ADDRESS 301-3-4 1 AZE
c
CONTRACTOR RENN,IE SHEET
METAL ADDRESS 6979 R Sn ATIAMS TACOMA 0
CONT. PHONE 472-4099
CONT. REG. NO. RENNTSMI
1_00N 11.190 OWNER'S PHONE 839-7419 OWNER'S ADDRESS SAME -A -S SITE
-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 mEC1I-ANIC=IT_
TAX ACCOUNT NO. NA
LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH
SUVEJER DATE OF ISSUE DATE OF APPLICATION 3/22/90
_
BUILDING INFORMATION
WETNE NA
OCCUPANCY NA TYPE OF CONSTRUCTION N
BLDG. SO. FT. N
BACKS: FRONT NA
SIDE NA_ REAR NA STORIES NA
HEIGHT LIMIT NA
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING Z_ FT. 2_00 BOILER
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR TANK(S)
RECEIVED
SHOWERS
URINALS
FORCED AIR FURNACEeJAw 1 n _ 00 AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC.
SINKS
MISC.
CONVERSION BURNER BASIC FEE n n n
RETURNED
DISHWASHERS
TOTAL FIXTURES NONE
UNIT HEATER TOTAL MECHANICAL 32 nn
AMOUNT NONE
VALUATION
NONE.
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
INSPECTION RECORD
MECHANICAL FEE $32-00
ISTAL 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 ov
AMOUNT DUE $32.00
Account No. 010-000-322-10-004 Total Fee $
Receipt No. kh
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�BjE MET:
OWNER OR AGENT /;
C�
`� c DATE
CITY OF
FEDERAL WAY
MECHANICAL PERMIT
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
OED BY
DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE
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
RECEIVED
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR TANK(S)
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
CHECK FEE
Jt
BING FEE
INSPECTION RECORDvU
MECHANICAL FEE
TOTAL BLDG. FEES
Water Line OK Mechanical Inspection
Notes:
PIC FEE
SEPA REVIEW
GAS PIPING OK Date 5 ;5h/ By
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
0 0 0 0
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. . .... . .. . .... ... . . .. ...
de I I N
GAS PIPING OXA�!
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 _5 BY
DCD
PSD
FD
JAAA=lA
JLkf_j�:
BOX 1
REVISION
RECEIVED
01�F, 4K Z 3 bSJ
CITY OF FEDERAL WAY PERMIT:
BUILDING PERMIT APPLICATION
— Please Print —
OWNER H
OWNER'S AbDRES .30
DESCRIBE JOB
THE PROPERTY IS OWNED BY
BOX 2 CONTRACTOR'S NAME
JOB LOCATION 3l i 5 14 5• (-C'
CITY e °ray- itl PHONE 939- 741
SINGLE/MARRIED PARTNERSHIP CORPORATION
I z 6 ect L L c CONTRACTOR'S REG. # Xl%L51171i It`
Card MUST be
CONTRACTOR'S ADDRESS CITY• 1 4,Cc'Mk,, 6 a PHONE_�F�%�"`�� 1
EXPIRATION DATE //- I -YO
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 PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMB
LEGAL DESCRIPTION
(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
M •
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 I'
$
NO. 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
$
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 PER7A&_ue_1
T APPLICATION IS MADE.
OWNER/AGENT: 6g4" � DATE:
ANP-006 2/90