92-100888 MECHANICAL PERMIT 9 ) -- /6It) eim
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 92-0921 M OWNER'S NAME _ BIRK LOWRIE SITE ADDRESS 3727 SW 336TH
CONTRACTOR PUGET SOUND HEATINGArss 11130 BRISTOL CT NW GIG HARBOR WA CONT.PHONE 858-7939
CONT.REG.NO. PUGETSH132RJ EXP. 1292 OWNER'S PHONE 838-5363 OWNER'S ADDRESS 3727 SW 336TH ST FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER _
TAX ACCOUNT NO. 921151-0340 LEGAL DESCRIPTION
I'cUED BY JOANNE JOHNSON DATE OF ISSUE Co.-'! ` — ` y DATE OF APPLICATION 6-15-92
lirBUILDING INFORMATION .
ZONE__ SET BACKS:FRONT _—SIDE REAR HEIGHT LIMIT
OCCUPANCY. TYPE OF CONSTRUCTION CENSUS NO. _ TYPE OF HEAT BLDG.SQ.FT. STORIES
PLUF ING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. 2.00 GAS LOGS
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE 10-00 DUCT WORK RECEIVED
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 38-50 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
M4ELUMBING FEE INSPECTION RECORD
CHANICAL 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 "I,'AMOUNT DUE 38.50 Total Fee $ 38.50 Receipt No.
ALL PERMITS EXP‘I80 180 AYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
'CERTIFY THAT HE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS ILL BE ME
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bWNER OR AGE T a 116L171/ DATE r� & - 2
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MECHANICAL PERMIT q ) " /0 ) c
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 92-0921 M OWNER'S NAME BIRK LOWRIE SITE ADDRESS x'727 SW 336TH
PUGET S(3'. 11130 BRISTOL CT NW GIG P ±R WA, 858-7939
CONTRACTOR rAD S CONT.PHONE
CONT.REG.NO. PUGETSH132 i • EXP. 92 OWNER'S PHONE 838-5363 OWNER'S ADDRESS 3727 SW 33 FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIA' NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC __ PUBLIC ADD.
NEW MULTI-FAMILY i(UN TS )MULTI.ADD. SIGN GRADING OTHER_
TAX ACCOUNT NO. 92115--03 LEGAL DESCRIPTION
ISSUED BY J JOHNSON6-15-92OF ISSUE _ DATE OF APPLICATION
411 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 lti, �� DUCT WORK
6.
SHOWERS - URINALS GAS HOT WATER HTR. 50 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED
SINKS MISC. BBQ BASIC FEE 20.00
DISHWASHERS TOTAL FIXTURES DRYER J TOTAL MECHANICAL ? AMOUNT
`� Y
VALUATION
GAS PIPING TEST MUST B4 W4NESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
ifiELUMBING FEE INSPECTION RECORD
CHANICAL FEE 33.5U
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE i, " ,
SEPA REVIEW GAS PIPING OK/,�2c- f/ 2.. Date;_,,/z_;,ma y f!..=-, /,. /
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE 18.50 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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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER 13ifi< ? AL git SITE LOCATIO
OWNER'S ADDRESS 3W7 w 33&?s7 CITY L- PHONE 3T-5 3
DESCRIBE JOB /A15'T t-t_ 1)1r..EJ"4t iii) (74 44.141T /05-177,2-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED L PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ttk --7 115;C%-).4;'1) //9.(1(( CONTRACTOR'S REG. #ThGrTsHJ:;L-.1
Card MUST be presented
CONTRACTOR'S ADDRESS /1/30 13y'6" Z., C°'_T 44,6 CITY C'G , "W ? PHONE %T-79-3(2
EXPIRATION DATE / %
— 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 fi'woe ow.ti v PHONE g'5 "-79354
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER CIZI /5 / -6 .::.-54i1)
`�4fh
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 J 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. / FURNACE, ELEC. GAS X $
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 A • E TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES INCURRED I INV` TIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAI ST THE ITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND 'MPLOYE•., UPON HE OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGEN DATE: (l/ - -9 2--.-
ANP-008 3/90