92-101050 MECHANICAL PERMIT 9, 401 J
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 92-1117 M OWNER'S NAME BRYANT HOLT SITE ADDRESS 2742 SW 312TH STREET
CONTRACTOR ARCO INSTALLATIONS LTIXDDRESS 1908 S 341ST PL #9 FEDERAL WAY CONT.PHONE 952-5433
CONT.REG.NO. ARCOIL141LE EXP. 1292 OWNER'S PHONE 838-1701 OWNER'S ADDRESS 2742 SW 312TH STREET FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY )MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 150320-0532 LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 447- 7:)-2)---7 ,t=- DATE OF APPLICATION 7-21-92
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 8 FT. 2.00 GAS LOGS RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS 2GAS HOT WATER HTR. 13. 00 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ BASIC FEE 20_00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 35-00 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
LUMBING FEE INSPECTION RECORD
MECHANICAL FEE $35.00
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 i 5� �
AMOUNT DUE 35.00 Total Fee $ 35. 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 UR. ISHED BY ME IS 'UE AND CORRE2T-16 THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
f/ -
'Z)WNER OR AGENT, ' /4_ ' i/ DATE
MECHANICAL PERMIT 440/ 0S-0
� �0/ U
CITY OF BUILDING INSPECTION
BUILDING PERMIT 661-41x0
92-1117 i f°:21Y .NT flOLT 2.742 4W 312TH STREET
PERMIT NO. OWNER'S NAM SITE ADDRES
.<;RDO TPISTAL. 1906 3 341ST PL ;9 �wY 95.7?-5433
CONTRACTOR .... PHONE
.::0..: .141X. 1'2 838-1701 1742 SSP , "" .'tcp•:tit., NAY
CONT.REG.NO. EXP. 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 (UNLTS0532 )MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. LRIPTION
ue. ' r<. :tiD83°° �td7-21
SUED BY ".------- DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
DNE 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. A:• `- GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. 13.00 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ BASIC FEE
20.G fj RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 35-00 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
•LUMBING FEE INSPECTION RECORD
HANICAL FEE "0'3 '(1!3
MECTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK 7-2 9-9 )' ate 42_ By
-,7-/
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT =
AMOUNT DUE 3�a 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. 1 I
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 (1� 2�
REQUIREMENTS WILL BE MET: /�2J
OWNER OR AGENT DATE
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RECEIVED
JUL 2 1 1992 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
0.4re OF FEDERAL WAY — Please Print—
BUIL.DlNG DEPT.
BOX 1 TENANT NAME:
OWNER I C 1 .�• SITE LOCATION, c . .: .
OWNER'S ADDR SS -0 `/11E• . 3 _ S • CITY & PHONE 3'•—/ 7o/
DESCRIBE JOB J fc . Jr, 96?... LU C'hCx,71getto1(
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
•
BOX 2 CONTRACTOR'S NAME .� . ' `d ./ _ CONTRACTOR'S REG. # /e S�/.2
9 Card MUS be presented
CONTRACTOR'S ADDRESS MAR .G7-,3'�/ ,�. `9 CITY Jim/2L Za1 j/ PHONE 9-_52
EXPIRATION DATE —31- 9� i/
— 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 7/71 /717 PHONE y! —6-/
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER I.5 0,3:: -- D
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) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET 3 $
BATHTUBS NO. 0 FURNACE, ELEC. GAS $
SHOWERS •.2 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 OTHER $
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: � �/jun- DATE: 7 /— 9
ANP-008 3/90