92-100931 MECHANICAL PERMIT l' - MO 9W
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 92-0954 M OWNER'S NAME DAVE DAILEY SITE ADDRESS 2261 SW 313TH STREET
CONTRACTOR J & J HEATING ADDRESS 446 6TH AVE FOX ISLAND WA CONT.PHONE 549-2511
CONT.REG.NO. JJHEAO99RQ EXP. 12/92 OWNER'S PHONE 874-0573 OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIA! NEW COMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 178990-0055 LEGAL DESCRIPTION
-
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API _
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 6-24-92
.01
BUILDING INFORMATIO
411kONE _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 RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 26.50 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
ECHANICAL FEE 26. 50
OTAL 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 l- ,�' --- t q
AMOUNT DUE 26.50 _ 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 APPLICA LE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
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OWNER OR AGENT ( ZS��--. anik.n./ DATE C l X c
MECHANICAL PERMIT 9
) /
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 92-0954 M OWNER'S NAME DAVE DAILEY SITE ADDRESS ?261 SW 313TH STRE''
CONTRACTOR J ii J HEATING ADDRESS 446 6TH AVE FOX ISLAND Wt'_ CONT.PHONE 549-2511
CONT.REG.NO. JJBEA099RQ EXP. 12/92 OWNER'S PHONE 874-0573 OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIA! NEWCOMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD._ SIGN GRADING OTHER
TAX ACCOUNT NO. "0''''`00!; LEGAL DESCRIPTION
n
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ISSUED BY JOAAINE JO SON DATE OF ISSUE t DATE OF APPLICATION
illBUILDING 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
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. -5Q AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ BASIC FEE
20.00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANIC 6.5n AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY IN , W. i:'VIT WILL NOT SUFFICE.
PERMIT FEE "N "
PLAN CHECK FEEAlla /�
UMBING FEE IN • & It) z.L;. �/�
CHANICAL FEE 26.50 \'
TOTAL BLDG. FEES Water Line OK Mech. , h. I Note .
PART P/C FEE •
SEPA REVIEW GAS PIPING OK Da i' :y
WATER SERVICE '„ ; OP
WATER MAIN CHG. ,.
S.B.C.C. FEE \` \ J1� i
5,;
1' ''
OTHER FEES MECHANICAL PERMIT
II 7-:) .
AMOUNT DUE 26.50 •` Total ee $ 26.50 Receipt No.
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ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND G-ADINNMMMMNc PE TS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF M4,1 WLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
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L21 CITY OF FEDERAL WAY
J , Ay BUILDING PERMIT APPLICATION
reVi_EDE - Please Print—
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BOX 1 TENANT NAME:
OWNER t;x-.J( V) (-€`3 SITE LOCATION22(a I 5t-,3 ' l- li'T
OWNER'S ADDRESS CITY FecIv-W 60 . PHONE ,�'7Y -O-S) 3
DESCRIBE JOB • h.,i0-1 l c cg&- /)-S ��c'.4 - 1,.��•� .� )
THE PROPERTY IS OWNED BY: SIOLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME --Tex-N.c < eu�}f�� CONTRACTOR'S REG. # ti€1\ 1( Cs?
f _ �/ Card MUST be presented
CONTRACTOR'S ADDRESS 'NG L �^ �`�<'_ CITY f-ox 151o.n PHONE 5- -DS-1
EXPIRATION DATE /)ZiO--cf 2,
- 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 PHONE `f( ) I I
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER .f ( I 9c10 ` C'(-T '�
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 'O $
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 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,347114_ ..--
UPON THE ACCUR OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: 4 DATE: '' -61 2
ANP-008 3/90