91-101275 MECHANICAL PERMIT 9)-)O i°2?`�
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 91-1231 M OWNER'S NAME RONALD RNGEBO JOB ADDRESS 835 SW 312TH STREET
CONTRACTOR RISCO ADDRESS 10 /19 A STREET S #A TACOMA CONT. PHONE 535-1163
CONT. REG. NO. BISCOIO99DF OWNER'S PHONE 839-6138 OWNER'S ADDRESS 835 SW 312TH STREET
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. 072104-9124 LEGAL DESCRIPTION A
C,' C 1
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 9-9-91
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 AILIFT. 2.00 BOILER RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR DRYER TANK(S) 6-5O
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS pOT WATER HTR. MISC.
SINKS MISC. CONVERSION BURNER BASIC FEE 9n_00 RETURNED
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 78_ co 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 28.50
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 28-50 Account No. 010-000-322-10-004 Total Fee $ 28.50 Receipt No.
Mr_
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 �y�. ` DATE ✓
MECHANICAL PERMIT
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
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 GASpOT 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 7`% `",/' Date .9-74i:--97 By ,41'
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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RECEIVED
SEP 9 1991
Permit # i 7
.A
J.
CITY OF FEDERAL WAY
BUILDING DEPT CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print— L2 I/-11 2-9
BOX 1 TENANT NAME:
OWNER SITE LOCATION 3- '
OWNER'S ADDRESS CITY j f ' , �j PHONE 7-645s---
DESCRIBE JOB 2.7/1457-4// /, 4 ,e,e e /
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ---PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME t3 /'S I' 0 CONTRACTOR'S REG. #BicoI -019Z)/:
Card MUST be presented
CONTRACTOR'S ADDRESS /.7/9 /2 Ste. .S. CITY-72/2e1/9,,V- PHONE_..5 3-S /!1 3
EXPIRATION DATE -,
7— 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 c _ l PHONE . 13- // 3
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 74=1/��
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 (—)—STNGLE 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$
NO. WATERCLOSETS GAS PIPING, FEET /c' $
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 $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL J-1O0D $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER6/15- L)/2 -e-/Z $
DRAINS $
OTHER $
TOTAL FIXTURES $
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 ' "0YEES3 UPON THE ACC RACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGEN DATE:
ANP-008 3/90
CITY OF FEDERAL WAY PERMIT NO: BLD97-0448
33530 Fi rst Way South .ifl „„it X IL.0., ° 111:9111a irk i ".:'il' k!mi., . '1Mi°. ISSUED: 07/22/97
Federal Way , WA 98003 Building Inspection Requests 661-414U BY: FC2
661-4000 EXPIRES : 01/18/98
ADDRESS: 1208 SW 312TH ST
NO. : 072104-9188
PROJECT DESCRIPTION :BATHROOM REMODEL. REPLACING PLUMBING FIXTURES, WINDOW, SKYLIGHT AND BATHROOM FAN.
LENDER __._--.-__. i
F` OWNER -------- -- _.===x- CONTRACTOR -----__.. _. ._ ._-_ ,�
ROGER HERSHEY j PUGET SOUND DESIGN/BUILD 'I
1208 SW 312TH ST. P.D. BOX 24311 s
FEDERAL WAY WA 98023 j1717 S 341ST PL SUITE 4101 1
1 FEDERAL WAY WA 98093-1311 1
(206)941-2715 of 874-5160 1
PUGETSD055PR 1
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% ***
-- ----- ----_---- --
BLD?:X MEC?:X PLM?:X FIR--EXIST--PROP--- DWELLING UNITS: 0 ) COMP PLAN •' I FEES:
TYPE OF WORK:ALT USE:RES 1ST.: 0: O:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' '' BUILDING PERMIT....* $ 72.00
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •' i Mechanical Permit* $ 22.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm I PLUMBING FIXT....93* $ 21.00
:R3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 1 FRONT • 0.00 ft 1 SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 5000 j SIDE ' 0.00 ft WATER SERVICE..:? 1
:5N :? :? :? DECK: 0: O:sf ; REAR • 0.00:ft SEWER SERVICE..:? 1
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:07/22/97
: 0: 0: 0: 0: TOIL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? 1
-- -1 _--1
FUEL TYPES.:? ? FANS 1 BOILERS/COMPRESSORS I WATER CLOSETS • 1 URINALS • 0 i TOTAL FEES $ 119.50
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 j BATH TUBS • 1 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK 0 3-15 HP • 0 1 SHOWERS 0 SUMPS ' 0 1
GAS NWT 0 WOOD STOVES...: 0 15-30 HP 0 d LAVATORIES • 1 VAC BREAKERS...: 0 1
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS 0 ;
BBQ • 0 MISC 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 1
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 Y
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 E
,1 _
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 0 NOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _____ __/ ____ _ _ — ' DATE _41:-V.2. ,_?...- ..,!;:,;>
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