92-100864 MECHANICAL PERMIT 9 a /00 8'60Y
CITY OF BUILDING INSPECTION
FEDERAL WAY ILDING PERMIT 661-4140
PERMIT NO. 92-894 M OWNER'S NAME ROBERT THEW SITE ADDRESS 2001 S 300 ST
CONTRACTOR NW WTR HTR ADDRESS 8201 DURANGO ST SW TACOMA - _ CONT.PHONE 984-6404 _
CONT.REG.NO. NORTHWH1O3R2 EXP. 12/92 OWNER'S PHONE 839-8359 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. 798300-0260 LEGAL DESCRIPTION
ISSUED BY EBS DATE OF ISSUE ( ( 5-- T DATE OF APPLICATION 6/10/92
1111
BUILDING INFORMATION
ZONE SET BACKS:FRONT SIDE REAR_
MECHANICAL APPLIANCES AMT.
_HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES
PLUMBING NO. NO. AMT. BOND
TATER 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. RETURNED
SINKS MISC. BBQ BASIC FEE 20.00
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
UMBING FEE INSPECTION RECORD
.ECHANICAL FEE $26.50
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 $26.50 Total Fee $ 26.50 Receipt No. - 7" ' -
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:
A/� S �-
OWNER OR AGENT✓"V - DATE '
' MECHANICAL PERMIT Q6.'
CITY OF BUILDING PERMIT BUILDING INSPECTION
661-4140
FEDERAL WAY
PERMIT NO. 92-894 OWNER'S NAME ROBERT THEW 2001 S 300 ST
SITE ADDRESS
CONTRACTOR NK f TR HTR A 8201 DURANGO ST SW TACOMA CONT.PHONE 984-6404
CONT.REG.NO. EXP.EXP. � E� 2 OWNER'S PHONE <339-8359 OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL_ COMMERCIAL ADD. INDUSTRIAL ADD. _NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY___ 47j80_026 MULTI.ADD. _ SIGN _GRADING OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION
7.-,p,,,- 6/10/92
ISSUED BY DATE OF ISSUE - . DATE OF APPLICATION
41) 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 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.
20.00 RETURNED
SINKS MISC. BBQ BASIC FEE
26.50
DISHWASHERS TOTAL FIXTURES _. __ DRYER _ TOTAL MECHANICAL AMOUNT
a
VALUATION
i'''4%1/2 /411
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
MLUMBING FEE INSPECTION RECORD
ECHANICAL FEE $26.50
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK6�/ /14-`Z Z Dateakh�.By (v'"I%/
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES _ MECHANICAL PERMIT
AMOUNT DUE t26. 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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JoinCn,oQ CITY OF FEDERAL WAY
toBUILDING PERMIT APPLICATION
a�� — Please Print-
Y
BOX 1 TENANT NAME:
OWNER D�2v�r `C�/� ? SITE LOCATI
OWNER'S ADDRESS CITY .X, i�ct PHONE
DESCRIBE JOB 1 V�`-�Fz�l� �,J�• ,,� ti
THE PROPERTY IS OWNED BY: SINGLE/MARRIED fG PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME f\> /lL&it _i- CONTRACTOR'S REG. # Nallk WN10-64-
Card MUST be resented
CONTRACTOR'S ADDRESS CMI 4,--a4,\T3 CIT C lDYYNC.`. PHONE q -I-- L10-4
EXPIRATION DATE 1 — 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 l PHONE c I- LIn \
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST OLA EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER —TY 3bO hF (_c C�
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
( ) COMMERCIAUINDUSTRIAL 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 ` $
I OTHER U: )r tLv $
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.
•OWNER/AGENT: 11• ..q__v 1�1i� /1' �► �-' DATE: +I
ANP-008 3/90