90-100376 MECHANICAL PERMIT 9 b' /b -2 '
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-519 M OWNER'S NAME CRYSTAL CONSTRUCTION JOB ADDRESS 1010 S.W. 330TH ST
CONTRACTOR PACIFIC AIB SYSTEMS ADDRESS 11121 34TH AVENUE -S TACOMA CONT. PHONE 581-5272
CONT. REG. NO. PACIFAS14VIC OWNER'S PHONE 765-0188 OWNER'S ADDRESS 21 9 T.TNDEN ST MOSES LAKE
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 E.-i,,01y._ 1 ' L--
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 5-3-90
BUILDING INFORMATION
ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. 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. —2-.410 BOILER
RECEIVED
_ BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE 1-0-.A10 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC.
RETURNED
;SINKS MISC. CONVERSION BURNER BASIC FEE 20.00
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 38.50 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 38.50
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 1
AMOUNT DUE 38- 50 Account No. 010-000-322-10-004 Total Fee $ 3R_ In Receipt No. 419 ------72:3
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 d .�00"19 DATE 7.- f
MECHANICAL PERMIT
CITY OF , I/'a�� BUILDING INSPECTION
FEDERAL WAY19Pir':
� BUILDING PERMIT 941-1555
* ____,,
PERMIT NO. OWNER'S NAME JOB ADDRESS
5
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
41,NE _._ OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT.
SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. I 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 19_25-
Li)
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
ECHANICAL FEE
TAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK :j /l I ?
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:
A .y;-- .r _.c_..,.,e—
OWNER OR AGENT DATE
• •
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 BY _.....
5-9 - a t_-c. /4o-r PNp Ic5 ApprzE,ce
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• '•mit # -(D -5 ( 9 ,
CITY OF FEDERAL WAY RFC
BUILDING PERMIT APPLICATION key > �'
— Please Print—
CM,OFAC1�3 �'gyo
BOX 1 TENANT NAME: �� `D�NO' fir!LvAy
OWNER al . , . mo 01101 SITE LOCATION j 0/ 0 3,W. 33a 1h
OWNER'S ADD•ESS ?l61 .C/nd-n S CITY ine sos /c4 A- PHONE7bb. v 1 Sf
DESCRIBE JOB C ac, (-)i pini l)f i-e i d e vI c e_
THE PROPERTY tS/JWNED BY: SINGLARRIED X PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME `Pao,is cl'o_ fl-is(' 2y s le m-S CONTRACTOR'S REG. #/49C/Ff9-S/V.3 8e-
Card MUST be presented
CONTRACTOR'S ADDRESS 1 1 I a I 3 ;n fJoc ' S. CITY I ace m ct PHONE Se'-5 d 7,,_
EXPIRATION DATE 9-ii-9t'
— 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 e8 h i r I to S n-1 i Lh PHONE *-If --Sod 7
BOX 4 SEWER DISTRICT -----^ WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST �__ EXISTING BUILDING VALUATION -----
BOX 6 PROPERTY TAX ACCOUNT NUMBER -----
LEGAL DESCRIPTION -
--.03A '1211072IIMMJCZAIMM=11filatiiin
(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 (y) SINGLE FAMILY ()0 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$ .2e'oa
NO. WATERCLOSETS GAS PIPING, FEET 0TO $ x.00
BATHTUBS NO. I FURNACE, ELEC. GAS K $ 10, '°
SHOWERS I GAS HOT WATER HEATER $ lc, Sr
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 $
D• 'INS $
_ STHER $
I. TOTAL FIXTURES $
•' TOTAL MECHANICAL FEE $ ,'3 3T..5C
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 HE A ACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE: -5--" 3 --7e2
ANP-008 3/90