90-101422 MECHANICAL PERMIT 9C. --/61 y)
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-1639M OWNER'S NAME MRS BROWN JOB ADDRESS 3310 SW 340 PL
CONTRACTOR NORTHWEST USI ADDRESS 1908 S 341 PL #9 FEDERAL WAY CONT. PHONE 661-2852
CONT. REG. NO. NORTHUS1O1JJ 4/91 OWNER'S PHONE 661-1853 OWNER'S ADDRESS SAME
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 MECHANICAL
TAX ACCOUNT NO. 858120-0430 LEGAL DESCRIPTION //NA
��
l..i
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE 1(
i3 . ler
DATE OF APPLICATION 10/10/90
BUILDING IN ORMATIO
NE NA OCCUPANCY NA TYPE OF CONSTRUCTION MEC ' CAL BLDG. SQ. FT. NA
WT BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS _ ELEC. HOT WATER HEATER GAS PIPING 10 FT. 2.00 BOILER i
RECEIVED
BATHTUBS _ LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS _ URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS 1OT WATER HTR. MISC. DRYER 6.50
SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 28_ 50 AMOUNT NONE
VALUATION NONE
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
MECHANICAL FEE $28-50
alOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
WART P/C FEE
SEPA REVIEW GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE g'
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE $28.50 Account No. 010-000-322-10-004 Total Fee $ 28.50 Receipt No.
--'' '....---L`°9144
ALL PERMITS EXPIRE 180 DYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFOR r1TION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: 74-1 / / J
(. v
OWNER OR AGENT , DATE G C
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY B U I LD I IV G PERMIT 941-1555
PERMIT NO. OWNER'S NAME JOB ADDRESS
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
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. BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS pOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 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
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART RIC FEE M � /0/ v,
SEPA REVIEW GAS PIPING OK �C/�' Date /0/
12.6
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE Account No. 0.10-000-322-10-004 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:
OWNER OR AGENT DATE
O -n O O o -o o m
m D m m m co
a� Cr\ o 0 CO I n
I ‘'''''N
rn z
•
C33
I -n II O
mZ o
D
z I. O
Oco
° -kii..,s, ts\ 1I
,,0 ,,,\,11,,k
0 0 OD D D D
m c 0 _, m
D 132) O
Z r O
O O m c
z 33
0
0
c
0
Q >
W -< o
z
\,\
o
; r
i
m r
r
em
r m m p Z W I Z
D n 1 O
D3 D O
c 1 r
D z 0
z I c
'U I Z
rn m
i 0 n
m O
m
oz
‘ co 1E33
r co1
'� li
J j
1
RECEDED Permit # QD 061
OCT 1 0 1990 CITY- OF FEDERAL WAY
CITYOFFEDERALDEPAY BUILDING PEReMIPTtAPPLICATION
BLDGBOX 1 TENANT NAME:
OWNER /hR_S -3,t2ck) n.J SITE LOCATION �--e-
OWNER'S ADDRESS --K3/ C 'i LJ 3 5/0 Pk, CITY{-e , ti/ y PHONE /oto/- / 8 .
DESCRIBE JOB .kti,..) i 0 1 Pe L.. G,4-1 ,4 bAl .0---\_
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME IV O14-n-/k)t ST U S 1 CONTRACTOR'S REG. # ,&JDRTN u S[D 13-S
Card MUST be presented
CONTRACTOR'S ADDRESS I DB S .,`{/ -Pt. SL.,4 c/ CITY � , (,)/1-1, PHONE Lolp 1 - aS� a
EXPIRATION DATE 4-/-5'9 I
— OR —
I HAVE READ CHAPTER 18.27.010 RELATI -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 evuµis 74A n3 PHONE (.o to I -a5 S-a
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER S / 0. 0 - 0_ y3 - �
LEGAL DESCRIPTION -) .-
(If
/(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 OTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ 2�'u
NO. WATERCLOSETS GAS PIPING, FEET /0 $ <-_--).
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 ZR y,Ede $ �7 _,
DRAINS / $
OTHER $ _
TOTAL FIXTURES $ '�j r
TOTAL MECHANICAL FEE $ -40
I CERTIFY U DER 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 AG' 1 THECITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS ANI MPLOYEE UPON -�
.9�. THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS AcP�ART OF THIS APPLICATION.
OWNER/AGENT: A. ^^-�-' `' ` DATE: !
- -D
ANP0083/90