90-101135 citi -
MECHANICAL PERMIT /oil 35
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-1344M OWNER'S NAME GARY MOODY JOB ADDRESS 3611 SW 111 PT.
CONTRACTOR AMERICAN ENERGY SYS ADDRESS 2921 TALBOT RD S RENTON CONT. PHONE 255-1587
CONT. REG. NO. AMERIES147N1 891 OWNER'S PHONE 838-4941 OWNER'S ADDRESS SAME
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
TAX ACCOUNT NO. 873213-0140 LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE W iffialrAL DATE OF APPLICATION 8/10/90
BUILDING INFORMATION /
•NE_ NA -_ OCCUPANCY NA TYPE OF CONSTRUCTION MECHANTCAT. BLDG. SQ. FT. NA
SET 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 45 FT. 2-00 BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE Q AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS pOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE 90_00
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 22_00 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
ECHANICAL FEE $29-00
TAL 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 u- -71 C-'
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE $22.00 Account No. 010-000-322-10-004 Total Fee $ 22.00 Receipt No. W
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: n 'N,
(4); ,
OWNER OR AGENT_ J LZYT ( -i ��' DATE /i7/9
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CITY OF FEDERAL WAY
RECEIVED
BUILDING PERMIT APPLICATIONAUG 1 01990
— Please Print—
BOX 1 TENANT NAME: �/
OWNER V r SITE�ICATION �� SV---3 �'
OWNER'S ADDR S � CITY _ • _ PHONE iii41>�i'S2r
DESCRIBE JOB pc? S OD/ O de or a ti
THE PROPERTY I OWNED BY. SINGLE/MARRIED PARTNERSHIP CORPORAT ON
BOX 2 CONTRACTOR'S NAME '`t til i' r t -7 vl Vl e ht1�` S•�S
1—e"IA CONTRACTOR'S REG. #1 .' -r, c
i
11 ;� Card M ST be presented
CONTRACTOR'S ADORES `� ) T^ I ��c' tl S CITY 11 e La '1 OV/1 PHONE 15 5 15 1
EXPIRATION DATE Tol ^9- / 4'
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING T EFINITIONS 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 NUMBER a3413 ._... V `` z.,, V,)
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
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHA ICAL APPLIANCES — BASIC FEE$
nln WATERCLOSETS GAS PIPING, FEET $
LAVATORIES "" -- Q•' i J'F £ FL , GAS $
SINKS _CONVERSION BURNER
DISHWASHERS BOILER, SIZE BTU $
ELECTRIC HOT WATER HEATER AIR HANDLING UNITS $
$
---__LAUNDRY WASHER OUTLET HEAT PUMPS, SIZE
_URINALS UNIT HEATERS $
DRINKING FOUNTAINS AIR COOLING UNITS, SIZE $
SUMPS, SPRINKLER VACUUM BREAKERS COMMERCIAL HOOD $
DRAINS OTHER $
—_OTHER $
TOTAL FIXTURES $
$
TOTAL MECHANICAL FEE $
$
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT
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(INCLUDINGTO THE BEST OF MY KNOWLEDGE
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AIM ARISES OUT OF THECOSTS, INCLUDING EXPENSES,AND ATTORNEYS'
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SPL
IERELIANCE OF THE CITY,
D TO THE CITYITS
AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
ANP-008 3/90
MECHANICAL PERMIT f ®- I 4
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 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
'PONE 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;iOT 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
elECHANICAL 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
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