92-100964 MECHANICAL PERMIT 9Z' !a6 54 y
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 92-0988 M OWNER'S NAME LEE MEREDITH SITE ADDRESS 1134 S. 313TH STREET
CONTRACTOR NORTHWEST WATER HEAT/KESS 8201 DURANGO STREET SW TACOMA CONT.PHONE 984-6404
CONT.REG.NO. NORTHWH1O3R2 EXP. 1292 OWNER'S PHONE 946-3112 OWNER'S ADDRESS 1134 S. 313TH STREET FEDERAL WAY
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. 787540-0070 LEGAL DESCRIPTION _
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 7` (o ( _ _____DATE OF APPLICATION 7-1-92
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 FT. GAS LOGS RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE 10.00 DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER _ MISC.
SINKS MISC. BBQ _ BASIC FEE _2_0-00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 30.0C 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 30.00
•TAL 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 `' 3
AMOUNT DUE 30.00 Total Fee $ 30.00 Receipt No. 0 2_ /x'370
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 INFORMATI N FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET-
I , OWNER OR AGENT DATE
• •ermit # ' qkx
Cu
JUL 1 _ 1992 CITY OF FEDERAL WAY
rrv, BUILDING PERMIT APPLICATION
W") - Please Print—
DEPI
BOX 1 TENANT NAME:
OWNER 1 _ SITE LOCATIO L ` c-1
OWNER'S ADDRESS ti ` • CITY - ci.ti PHONE ° 1 C)-
DESCRIBE JOB \ vva, c�
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ) PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME gy" NW-Q-* �_� 1� ��t an.A. CONTRACTOR'S REG. #W, 11- ' 1I o r3e
Card MUST be presented
CONTRACTOR'S ADDRESS g0� 1X ��CITI�-C-ACA -V'lc . PHONE c:-Ag--1 LoLP-1
EXPIRATION DATE 1 D r a i'
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO I FINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON Q- PHONE q ;-t _ (01-4 U-1
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST ` 14 01 S EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER D 1
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 $
BATHTUBS NO. I FURNACE, ELEC. ( GAS $
SHOWERS GAS HOT WATER HEATE' $
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 T . INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT :� � CAL )j ' ) L • ti DATE: D-3
ANP-008 3/90
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
92-0988 LEE MEREDITH1134 S. 313TH STI_.. _:
PERMIT NO. OWNER'S NAMENORTHWLTE ADDRE$$� 9 4-b404
R
CONTRACTO ' ADDRESS T
l'tiliti i. 946-3112 1134 s. 31 P g•+•EE'! FT'fIL WM
CONT.REG.NO. EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL _COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLICPUBLIC ADD._
NEW MULTI-FAMILY797�(lW1TS� o )MULTI.ADD. SIGN GRADING__ OTHER
TAX ACCOUNT NO. QQ� LEGAL DESCRIPTION --- -
ISSUED BY
JOANNE J r- S
DATE OF ISSUE _ _DATE OF APPLICATION
BUILDING INFORMATIONIII
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. A
SINKS MISC. BBQ BASIC FEE c:0.00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 711 •0^ 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 .y1
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK Date7/3$7By �(/
WATER SERVICEr
WATER MAIN CHG. G S (06,,s FLA v%/!L, e
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE 3S 00 Total Fee $ Receipt No. J 2 - /4'370
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 '� / .f.
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