92-100794 MECHANICAL PERMIT 9 . .— )c ' 9 '/
CITY OF I BUILDING INSPECTION
FEDERAL WAY U LDI NG PERMIT 661-4140
PERMIT NO. 92-0834 M OWNER'S NAME HOWARD DIERKING SITE ADDRESS 2602 SW 332ND PL
CONTRACTOR ARCO INSTALLATIONS, LT DRESS 1908 341ST PL S #9 FEDRAL WAY CONT.PHONE 952-5433
CONT.REG.NO. ARCOIL141LE EXP. (.‘147.3 OWNER'S PHONE 838-3062 OWNER'S ADDRESS 2602 SW 332ND PL FEDERAL 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. 894430-0700 LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE / DATE OF APPLICATION 5-29-92
IPBUILDING`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
10.0 O 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.
SINKS MISC. BBQ BASIC FEE 20_00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL _30- 0 0 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
CHANICAL FEE 30.00
OTAL 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 3 0.0 0 Total Fee $ 30.00 Receipt No. 0.245/ 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:
OWNER OR AGENTS n �`1^ DATE
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9 , ,00- 2 (1
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
92-0834 M HOWARD DIERKING 2602 SW 332 #') PL
PERMIT NO. AM SITE ADDRESS
RICO INSTAL.IA , FLirp 1908 341ST FL S #9 _Y 952-5433
CONTRACTOR ADDR,ESS CONT.PHONE
CONT.REG.NO. COIL141LB EXP. i, OWNER'S PHONE 838.306 OWNER'S ADDRESS 2602 SW 37 FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIA' NEWCOMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC _ PUBLIC ADD.
NEW MULTI-FAMILY UNITS3MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 894 LEGAL DESCRIPTION
ISSUED BY J E JOt .iO DATE OF ISSUE DATE OF APPLICATION 5-29-92
BUILDING INFORMATION
JNE__ 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
moo
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK RECEIVED
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ BASIC FEE
20.00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 30.00 AMOUNT
VALUATION
GAS PIPING TEST MUST,BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
CHANICAL FEE 30.00
•TAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE /
SEPA REVIEW GAS PIPING OK Date -i-2-`I z By �L19 i✓
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE 30.00 Total Fee $ 3O°00 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.
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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: V^ G\
OWNER OR AGENT �`" 2 DATE ,
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flece1VED Femit # ' ^ 13 Li ,
MAY Z 91992 CITY OF FEDERAL WAY
y� Y BUILDING PERMIT APPLICATION
col ��{ — Please Print—
OW
BOX 1 TENANT NAME:
OWNER /`/Oc.A_ c 9 L7;e2_ SITE LOCATION � 2 O 330 PL
OWNER'S ADDRESS CITY PHONE 5?-_10(,(,)
DESCRIBE JOB S c� �C S Q�,o��e �. eep(at+�,n,e.
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PAI TNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME n,acim 5 t LTA J CONTRACTOR'S REG. # gar)
# Card MUST be presented
CONTRACTOR'S ADDRESS (CI A 31 I rt..S, f CITY( ke-C.0.1. Z PHONE Ck `��.
EXPIRATION DATE -"?O - 3
— 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 9 -5V.33
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 99'1'43
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 4 x;st 's- s $
BATHTUBS NO. I FURNACE, ELEC. GAS bk. $
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 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.
L •
OWNER/AGENT: 1 E DATE: 5 - c 9 'C
ANP-008 3,90