91-100191 MECHANICAL PERMIT 9/-/66/,/
CITY OF BUILDING INSPETION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 91-0167 M OWNER'S NAME STEVE & TRACY BECHT JOB ADDRESS 2134 SW 339TH ST
CONTRACTOR ROSSOE ENERGY SYSTEMS ADDRESS P 0 BOX 18259 SEATTLE CONT. PHONE 725-7555
CONT. REG. NO. ROSSOES1O1LL OWNER'S PHONE 838-5812 OWNER'S ADDRESS 2134 SW 339TH ST FEDERAL WAY
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. 330620-0215 LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE /
DATE OF APPLICATION 2-12-91
BUILDING INFORMATION
ONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. 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 3.50. 3.50 BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS-1 OT WATER HTR. 6_50 misc. RANGE 6 50 RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE 20 00
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 4.6.._50 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 46_50
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 r
AMOUNT DUE 46- 50 Account No. 0.10-000-322-10-004 Total Fee $ 46. 50 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 i 2 %1y- _� �� DATE7 `� r�
MECHANICAL PERMIT
CITY OFBUILDING INSPECTION
FEDERAL WAY BUILDING 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
ilkBUILDING INFORMATION
ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. 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
1/4/
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
.CHANICAL FEE
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE •
_//c
SEPA REVIEW GAS PIPING OK z/ (l/ VDate ')I;gl`('ey Wll'vv�
WATER SERVICE 111///
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
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•mit # q / k7 //7
CITY OF FEDERAL WAY RECEIVED
BUILDING PERMIT APPLICATION FEB 1 3 1991
— Please Print—
BOX 1 TENANT NAME:
OWNER ^.� t 4C 40401,p SITE LOCATION _ 3 1±
OWNER'S ADD'ESS 5,449/1/ a— CITY — -ER;L. .i PHONE , R 2.__
DESCRIBE JOB/fST Oremt •ale ;&5 Iwo/4-4-e-O4e //eVEiC /s//K
THE PROPERTY IS OWNED BY: SINGLE/MARRIED 60q "I— PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME /COS Sob A.veza y Y.S, LS CONTRACTOR'S REG. it 10556e3 /d/1-L
' /C,ard MUST be presented
CONTRACTOR'S ADDRESS f�1 x /22 Ss7 ?GE (
CITY 5 � - PHONE �9.5
EXPIRATION DATE // (II /9 2_-
— 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 (,(/r L(C f}(1i /49)12G'f 5 PHONE7-2S 7SSs
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COS EXISTING BUILDINGAV LUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 33 o 62. 00 2
LEGAL DESCRIPTION
(If necessary, please sub it a s arate page with the legal description.)
K.C. Plat Recording # �>•<
BOX 7 BUILDING FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD F / 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. WATERCLOSET, GAS PIPING, FEET $ 3.
BATHTUBS / NO. I FURNACE, ELEC. GAS K $ 0.
S WERS 1 GAS HOT WATER HEATER $ (_s---4)
LAV'' ORIE CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWA`,, RS AIR HANDLING UNITS $
ELECTRI'it -OT WATER HEATER HEAT PUMPS, SIZE $
LAUND' 'SHER OUTLET UNIT HEATERS $
URIN, • AIR COOLING UNITS, SIZE $
DRI .1G FOU TAINS COMMERCIAL HOOD
SUMP, SPRINKLER VACUUM BREAKERS f OTHER /e j.1(�''.S" $ L-s ,)
DRAI S $
OTH ' $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ 5(- :; (-)
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 EDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYES, '0 THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
- iOWNER/AGENT DATE: 7_— lam~ 9 /
ANP-008 3/90