92-100858 MECHANICAL PERMIT 9).4o0.&sg
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 92-903 M OWNER'S NAME RONNIE NEWTON SITE ADDRESS 5120 SW 326 ST
CONTRACTOR WASH NAT GAS _ ADDRESS_ 3130 S 38 ST TACOMA CONT.PHONE 475-6700
CONT.REG.NO. WASHING285CB EXP.- 3/93 OWNER'S PHONE 874-6373 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.. 189830-0070 LEGAL DESCRIPTION
ISSUED BY EBS DATE OF ISSUE r, DATE OF APPLICATION _ 6/10/92
• 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 PIPING25 FT. 2.00 GAS LOGS RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
S,°IOWERS - URINALS GAS HOT WATER HTR. _ AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ RANGE __6-50 BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 28.50 AMOUNT
VALUATION
' GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
Awe LUMBING FEE INSPECTION RECORD
liPAECHANICAL 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 Total Fee $ 28.50 Receipt No. ( -2 --/ "7Q
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: l { +-�
(' OWNER OR AGENT tt c DATE
6 - (/ ^ gC7`
R..
MECHANICAL PERMIT 9), /00E5
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
92-903 P1RONNIE NEWTON 91.20 SW 326 ST
;STASH NAT GASa
PERMIT NO. WNER'S NAME
313 0 S 38 ST TAM, SITE ADDRESS
Q
475-6700
CONTRACTOR WASHINCZU5CB ADpF S74-6373 CONT.PHONE
CONT.REG.NO. EXP. s/y OWNER'S PHONE_ OWNER'S ADDRESSTYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL_ NEW COMMERCIAL _COMMERCIAL ADD. INDUSTRIAL ADD._ - NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNIT )MULTI.ADD. SIGN GRADING- OTHER
TAX ACCOUNT NO. - .7 —_ - LEGAL DESCRIPTION —_—
- -- - - - - -- - - — 6/1O/92
ISSUED BY —_ __ —__- DATE OF ISSUE - - _ DATE OF APPLICATION
IIIBUILDING 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. AIR HANDLING UNIT NUMBER - - -
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED
SINKS MISC. BBQ BASIC FEE ����a
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 28.50 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
liiPERMIT FEE
PLAN CHECK FEE
.UMBING FEE INSPECTION RECORD
CHANICAL FEE $28.50
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE / G� /
SEPA REVIEW _ -_ GAS PIPING OK(o/ �� DateC-'�.��/�A y( +
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE $28 50 Total Fee $ 28.50 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 FU NISHED BY ME IS TR E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: ,
i ,.."
fi-- -f- - n•
1
OWNER OR AGENT / +` ; ' ' DATE /-o -,. 9
0 0
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE BY DATE BY DATE BY
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE BY GAS PIPING O.K. DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY DATE BY DATE BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE 7/ 5_h 2-BY 'CA/
RECEIVED BY Permit # 2 D3
COMMUNITY DEVELOPMENT DEPARTSE
NT
CITY OF FEDERAL WAY
192
JUN 1 U 9BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER RbNNIE NEWTON SITE LOCATION SX 5120 SW 326 ST
OWNER'S ADDRESS SAME CITY FEDERAL WAY PHONE 874-6373
DESCRIBE JOB GAS PIPING AND HOOK UP CUSTOMER'S RNA RANGE
THE PROPERTY IS OWNED BY: SINGLE/MARRIED X PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME WASI3.TNGTON NATURAL, GAS CO CONTRACTOR'S REG. #xNAMINX WASHING285cb
Card MUST be presented
CONTRACTOR'S ADDRESS 3130 S 38 St CITY TACOMA PHONE 475-6700
EXPIRATION DATE 3-1-93
Imo, — OR —
I HAVE READ CHAPTER 18.27.010 REL A ING 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 DENA IVEY PHONE 4773--EM7
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 189830-0070
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 x() 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 25' $
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 X OTHER RANGE $
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.
1
OWNER/AGENT: i 44DATE:\ C
ANP008x::/90