90-100100 MECHANICAL PERMIT 96'/00/60
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 0- OWNER'S NAME JON REYNOLDS JOB ADDRESS 3610 SW 322 PT.
CONTRACTOR AUBURN GAS ADDRESS 8201 DURANGO ST SW TACOMA CONT. PHONE 984-1020
CONT. REG. NO. VCRIN1O8DL 3/91 (OK) OWNER'S PHONE 838-0516 OWNER'S ADDRESS SAME
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 MECHANICAL ONLY
TAX ACCOUNT NO. 873213-1110 LEGAL DESCRIPTION NA
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ISSUED BY ELIZABETH SNYDER DATE OF ISSUE VDATE OF APPLICATION 8/9/90
BUILDING INFORMATION
ONE NA OCCUPANCY NA TYPE OF CONSTRUCTION MECHANICAL BLDG. SO. FT, NA
T BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. 3.50 BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHC':NERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVA TORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MIScLOGS 6. 50
SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED
DISHV7/ASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 29_50 AMOUNT NONE
VALUATION NONE
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE __ INSPECTION RECORD
MECHANICAL FEE $29 50
STAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
RT P/C FEE
SEPA REVIEW GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE ^.,
OTHER FEES MECHANICAL PERMIT 7c9 ,''.----
AMOUNT DUE $29.50 Account No. 010-000-322-10-004 Total Fee $ (
]- " r Receipt No. 1 66
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. i 1041
3
I CERTIFY THAT THE INFORMATION FURNISH D BY ME IS TRUE •ND CIRRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL di v-r: ,.`
5"OWNER OR AGENT di _ Ate.i DATE �/C
MECHANICAL PERMIT
CITY OFBUILDING INSPECTION
FEDERAL WAY BUILDING P E R M 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. SO. 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 GAS HOT 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 Date By
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 rmit #
AUG 0 9 1990 CITY OF FEDERAL WAY
CITY ODE AL WAY BUILDING PERMIT APPLICATION
BUILDING DEPT. - Please Print-
BOX 1 TENANT NAME:
OWNER ,..IOi.I p\ipCJS S SITE LOCATION 3(4110 5u.) 325 PL.
OWNER'S ADDRESS 34910 Sui 32 g P/ . _CITY Wa_.c/ PHONE 238- OS/�
DESCRIBE JOB INsTac� 6A 5 LOE-5 //
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP_ CORPORATION
BOX 2 CONTRACTOR'S NAME VCS INC ABA/ IUF tPN el 4s CONTRACTOR'S REG. # VC9.IN/O.8d C.
Card MUST be presented
CONTRACTOR'S ADDRESS 8Z01 LLL- 4N610 STStdCITY 7-4M/1.1 f} PHONE Q /-iOZO
EXPIRATION DATE 3 - /3-9/
- 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 .S7- 2_€t_1 CPHONE 9.e./-16Z0
BOX 4 SEWER DISTRICT WATER DISTRICT _.
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION --
BOX
BOX 6 PROPERTY TAX ACCOUNT NUMBER 1 `�,
LEGAL DESCRIPTION4 ` �' j
(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 -(-1--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$ 2D.Yr J '
NO. WATERCLOSETS GAS PIPING, FEET $ .3.
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 61F? $
DRAINS 1/5 cWEC.. LIJ/L • $
'OTHER $
TOTAL FIXTURES $ 7,K9
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 EMPLO` S, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGEN +41111 - - d DATE:
/-) ANP-008 3/90
S
OFFICE USE ONLY (PLEASE DG NOT WRITE BELOW THIS LINE)
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
O6 I /0O 8 ASSIGNED ADDRESS:
03 0
, b' PARTIAL PLAN CHECK FEE RECEIVED
�
Jl ../j$ Amount Date Receipt#
V BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING