91-101639CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING PERMIT
BUILDING INSPECTION
941-1555
PERMIT NO. 91-1597 M OWNER'S NAME JOHN MARSDEN JOB ADDRESS 127 S 324 PL
CONTRACTOR FIREPLACE & PATIO SHOP ADDRESS 707 AUBURN WAY NO AUBURN CONT. PHONE 833-4246
CONT. REG. NO. FIREPPS141J4 (3192) OWNER'S PHONE 661-9232 OWNER'S ADDRESS SAME AS JOB 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 PELLET STOVE INSTALLATION
TAX ACCOUNT NO. 701680-0440 LEGAL DESCRIPTION
SUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 11/12/91
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
RECEIVED
BATHTUBS LAUNDRY DRAINS
COMPRESSOR TANK(S)
SHOWERS URINALS
FORCED AIR FURNACE AIR HANDLING UNIT
NUMBER
LAVATORIES DRINKING FOUNTAINS
GAS POT WATER HTR. MISCPELLET S 6-50
RETURNED
SINKS misc.
CONVERSION BURNER BASIC FEE 20-00
DISHWASHERS TOTAL FIXTURES NONE
UNIT HEATER TOTAL MECHANICAL 26-90
AMOUNT NONE.
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
AN CHECK FEE
PLUMBING FEE
INSPECTION RECORD
MECHANICAL FEE $26-50
TOTAL 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 $26.50
Account No. 010-000-322-10-004 Total Fee $ 26.50 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:
�/ 7
CC'` G (J
OWNER OR AGENT -�� �� DATE
MECHANICAL PERMIT
CITY OF
FEDERAL WAY BUILDING PERMIT
c� -- ICA bac,
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
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
RECEIVED
BATHTUBS
LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS
URINALS FORCED AIR FURNACE AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS GAS POT 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
.
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
_
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 . .... ..
WATER LINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE -_
O.K. TO ENCLOSE FRAMING
BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE . . . . .... ..... . . ........ . . ..... . --..,BY
FINAL O.K. TO OCCUPY
DATE- — BY -
DCD
PSD
FD
I
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Or, b2 (�l
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RECEIVED 0 Perle # I I
NOV 12 1991 CITY OF FEDERAL WAY
On OFFEUERALWAY BUILDING PERMIT APPLICATION
WILDIM DEPT — Please Print —
BOX 1
TENANT NAME:
( ) MULTIFAMILY (NO. OF UNITS
OWNER ; ' OHN C l`'/N 5 Uc= /l= SITE LOCATION IZ S
/`'A-
( ) COMMERCIAL/INDUSTRIAL
OWNER'S ADDRESS 4,'/ ,>O 3 q /'� CITY /4 6&X:/94 ��}<��
PHONE C 6,-,1- 92?
BOX 9 PLUMBING FIXTURES (including rough -ins)
DESCRIBE JOB i�, %K'E!J
$ 2A.
NO. WATERCLOSETS
THE PROPERTY IS OWNED BY: SINGLE/MARRIED /rv/ti, IAEA) PARTNERSHIP --
CORPORATION —
BOX 2
CONTRACTOR'S NAME F/i: / h/A�� 1'1,-r/y CONTRACTOR'S REG. #
$
SHOWERS
Card MUST be presented
$
CONTRACTOR'S ADDRESS 701 /-7Ui3UkN tn,417Na n CITY / UBCII'A,.
PHONE 833' 4.46
$
EXPIRATION DATE
BOILER, SIZE BTU
$
—OR—
AIR HANDLING UNITS
$
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
HEAT PUMPS, SIZE
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
LAUNDRY WASHER OUTLET
BOX 3
CONTACT PERSON J0 14/i /`�/1�:5 ��_'�
PHONE ECL
�— BOX 4 SEWER DISTRICT WATER DISTRICT
$
- BOX 5
ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
$
BOX 6
PROPERTY TAX ACCOUNT NUMBER _j L
$ 1
$
LEGAL DESCRIPTION 11 '
$
TOTAL FIXTURES
(If necessary, please submit a separate page with the legal description.)
$
,,,OTHER
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
EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY _
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE
$ 2A.
NO. 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
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
/ THER
$ 1
$
`
$
TOTAL FIXTURES
$
,,,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 OFTHE 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/AGEN ��'�` �� DATE: / 11V
ANP -008 3/90