92-101019 MECHANICAL PERMIT G� Jn/b ! g
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 92-1077 M OWNER'S NAME SMITH SITE ADDRESS 517 SW 327TH PL
CONTRACTOR AMERICAN HEATING ADDRESS 7517 PORTLAND AVE TACOMA CONT.PHONE R47-R399
CONT.REG.NO. AMERIHS1O7M6 EXP. 7/72 OWNER'S PHONE 838-3472 OWNER'S ADDRESS 517 SW 327TH PI. FEfF..RAT. WAY
TYPE JOB: NEW RESIDENCE ADDITION _ NEW INDUSTRIAI NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 926491-0900 LEGAL DESCRIPTION
ISSUED BY _ JOANNE JOHNSON DATE OF ISSUE 2 • C1 DATE OF APPLICATION 7-15-92
BUILDING INFORMATION
•ONE_ _ 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 30 FT. 2.00 GAS LOGS RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE 10.00 DUCT WORK
SHOW'RS 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 38.50 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 3850
10 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 38.50 Total Fee $ 38.50 Receipt No. 0,-/f. 4,L
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:
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OWNER OR AGENT -1 ��-" ' G- DATE 7 - -L ' — 1 Z
-
MECHANICAL PERMIT 9) )J/U / ?
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 92-1077OWNER'S NAME ..,_4''TS SITE ADDRESS 517 SW 327TH PL
CONTRACTOR ANERIC `; _ ADDRESS 75' 7 PORTLAND AVE TAC CONT.PHONE847`8399
CONT.REG.NO. M H51 8 I -EXP. p7/72 OWNER'S PHONE 838-3472 OWNER'S ADDRESS 527 327TH FEDERAL
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL_- NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD._ NEW PUBLIC PUBLIC ADD._ -_
NEW MULTI-FAMILY r (UNITS )MULTI.ADD. SIGN GRADING - OTHER
TAX ACCOUNT NO. 926491--0900 LEGAL DESCRIPTION _ -
k.ISSUED BY JOAEIE JOHNSON DATE OF ISSUE _ - " v DATE OF APPLICATION 7-15-9d:
BUILDING INFORMATION
SNE 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. `40 GAS LOGS10RECEIVED
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. 280 RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER ` TOTAL MECHANICAL 38 5 AMOUNT
VALUATION r// •
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
illiCHANICAL FEE
11411"TAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK /�`, " /3 Date/D- (-92 By
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE Total Fee $ Receipt No.
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORldS 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 [+' ---".17-<7, 4---,.."14 DATE
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Serrnit # 9) 7 r
CITY OF FIEDE4AL WAY RECEIVED BY
BUILDING PERMIT APPLICATRII ire OEvELoPmENTOCPARTMENT
RECEIVED — Please Print—
� ���
JUL 141992
BOX 1 T T i92
`'!+ . 'xt+t„r. =:•+/ SITE LOCATION '
1► �;'"" — A/��' CITY ,.A• 2, PHON i i— —
DESCRIBE JOB c... ` Q'' 49 4- z 2 g- ,t.l ?,
THE PROPERTY IS OWNED Y: SIRE/MAfiRIED X. PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME L % g%LCP-Q2i CONTRACTOR'S REG. •I ' ' S' r7/
Card UST be presented
CONTRACTOR'S ADDRESS 75/2 #7 mel 2l.Q CITY PHONEr� � �T
EXPIRATION DATE
— OR —
I HAVE READ CHAPTER 18.27.01V ELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH.' IBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON I/i f / PHONE 3' —
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER � y/— 9,oO
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 I GARAGE /
BOX 8 (}C).._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
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 t EDERAL WAY BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEE PriN THE AC C F r INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: " DATE: / 9— %
ANP-008 3/90
•
OFFICE USE ONLY (PLEASEDO NOT WRITE BELOW THIS LINE)
4- •
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT_.
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
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:
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
rn M ASSIGNED ADDRESS:
`;3 a
te, rn
PARTIAL PLAN CHECK FEE RECEIVED
" Amount Date Receipt#
ait
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING