92-100903CITY OF
FEDERAL WAY
MECHANICAL PERMIT
BUILDING
PERMIT
C- C, ("I
BUILDING INSPECTION
661-4140
PERMIT NO. 92-0933 M OWNER'S NAME FREDDIE SIMPSON SITE ADDRESS 1010 S 327TH STREET
CONTRACTOR ARCO INSTALLATIONS LDREss 1908 S 341ST PL #9 FEDERAL WAY CONT. PHONE 952-5433
CONT. REG. NO. ARCOIL141LE EXP. 6/93 OWNER'S PHONE 839-7248 OWNER'S ADDRESS 1010 S 327TH STRF.F:T FEDERAL WAY
TYPEJOB: NEWRESIDENCE 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. 326070-0890 LEGAL DESCRIPTION
Itv e-7
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 6-17-92
BUILDING INFORMATION
ZONE SET BACKS: FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. STORIES
PLUMBING NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS ELEC. HOT WATER HEATER
GAS PIPING FT. GAS LOGS
100 0
RECEIVED
BATHTUBS LAUNDRY DRAINS
.
FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES DRINKING FOUNTAINS
CONVERSION BURNER MISC.
SINKS MISC.
BBQ BASIC FEE 20.00
RETURNED
DISHWASHERS TOTAL FIXTURES
DRYER TOTAL MECHANICAL 30.00
AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
LUMBING FEE
INSPECTION RECORD
ECHANICAL FEE 30.00
TOTAL BLDG. FEES
TOTAL
Water Line OK Mechanical Inspection Notes:
PART P/C FEE
REVIEW
GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
C�?
S.B.C.C. FEE
OTHER FEES
MECHANICAL PERMIT
AMOUNT DUE 30.00
Total Fee $ 30.00 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 TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE M
OWNER OR AGENT'Cr��' DATE
N.
MECHANICAL PERMIT
CITY OF
FEDERAL WAY BUILDING PERMIT
000((
BUILDING INSPECTION
661-4140
920933 H i IRMDIS SIMPSON SITE ADDRESS 1010 S 327""'.:� " • ,
PERMIT NO. OWNER'S NAME _
CONTRACTOR AMID
j
INSTALlu, ADDRESS 140P S 341ST PL #9 FEDERAL WAY CONT..: 952-5433
CONT. REG. NO.
ARMIL141LE EXP. 6/93 OWNER'S PHONE 839-7248 OWNER'S ADDRESS 1.010 S 327TH W FFDRRAT, WAV
TYPEJOB: 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.
326070-0890 LEGAL DESCRIPTION
`
i
ISSUED BY
JO)ME ic"WS0:3 DATE OF ISSUE DATE OF APPLICATION 6-17--92
BUILDING INFORMATION
ZONE
SET BACKS: FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY
TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. STORIES
PLUMBING
NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
BATHTUBS
ELEC. HOT WATER HEATER
LAUNDRY DRAINS
GAS PIPING FT. GAS LOGS
10 ' 40
FORCED AIR FURNACE DUCT WORK
RECEIVED
SHOWERS
URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES
SINKS
DRINKING FOUNTAINS
MISC.
CONVERSION BURNER MISC.
BBQ BASIC FEE 20.00
RETURNED
DISHWASHERS
TOTAL FIXTURES
DRYER TOTAL MECHANICAL 30.00
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
Total Fee $ -f - ` 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: %
t ,
OWNER OR AGENT '�' DATE
SET BACKS AND FOOTINGS
DATE--
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
DATE -- -- BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE . .. ....... BY . . ... .. ...
FINAL O.K. TO OCCUPY
DATE 7, BY
DCD
PSD
FD
0 0
TeCEIVED • P1pit# 9 2 -��
JUN 1 71992 CITY OF FEDERAL WAY
rnr` � AY BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNERr SITE LOCATION /D/D �D . j2'7 z:Lt,
D
OWNER'S ADDRESS /D o2 1 CITV1 4p( -n/ WO ✓ PHONE 7, S/�F
DESCRIBE JOB 6 C x
THE PROPERTY I§ OWNED BY: S NGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG.
Card MUST be presented
CONTRACTOR'S ADDRESS //DS -5D • SW' 641 • � % CITY / V PHONE-&"
EXPIRATION DATE Z2 —/- !73
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 m bl,
PHONE
BOX 4 SEWER DISTRICT
WATER DISTRICT
BOX 5
ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION
BOX 6
PROPERTY TAX ACCOUNT NUMBER
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 (NO. OF UNITS = ) ( )
EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
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
MECHANIPAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET D $
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 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/AGENT:
DATE: 41;1
ANP -008 3/90
0
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
SIDE R
HEIGHT LIMIT
DA
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 SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
kSSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
kmount Date Receipt #
BUILDING DEPARTMENT APPROVAL
3Y DATE
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