91-101604 MECHANICAL PERMIT 9/' /D/ 6 oq
CITY OFBUILDING INSPECTION
� ' � D I
FEDERAL WAY u N G PERMIT 941-1555
PERMIT NO. 91-1574 M OWNER'S NAME ROSE MCNETT JOB ADDRESS 1019 SW 306TH STREET
CONTRACTOR BISCO ADDRESS 10719 "A" STREET S TACOMA CONT. PHONE 535-1163
CONT. REG. NO. BISCOIO99OF OWNER'S PHONE 941-9804 OWNER'S ADDRESS _ 1019 SW 306TH 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. 178870-0145 LEGAL DESCRIPTION ti
UED BY JOANNE JOHNSON DATE OF ISSUE �1 / DATE OF APPLICATION 11-6-91
BUILDING 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 10.00 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS j-10T WATER HTR. MISC.
SINKS MISC. CONVERSION BURNER BASIC FEE 70.00 RETURNED _
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 10.00 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
AII.AN CHECK FEE
)MBING FEE INSPECTION RECORD
MECHANICAL FEE 30.00
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
Asa,. .3_
AMOUNT DUE 30.00 Account No. 010-000-322-10-004 Total Fee $ 30. 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.
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 2-44/9A...., / F 7
DATE > % / 7
MECHANICAL PERMIT
CITY OF BUILDING 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
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 I1OT 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 SUF -
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION R 11
MECHANICAL FEE
TOTAL BLDG. FEES Water Line OK Mechanical Ins O li 1
PART P/C FEE ,
SEPA REVIEW GAS PIPING OK Date By
WATER SERVICE _ s J
A-4—
WATER MAIN CHG. DI?E
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE Account No. 010-000-322-10-004 Total $ ReceiM... pt 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: iccol
OWNER OR AGENT DATE
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�ary6 1991 CITY OF FEDERAL WAY
BUQ,WING�;E TWAY BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER i 2 !�'' I -S: J SITE LOCATION / . I '' :''
OWNER'S ADDRESS 0 ` AlltAr, CITY;W—/0/51/ PHONE ' -
DESCRIBE JOB fUST/9f/ J,2 // �ddZ../Llistef
THE PROPERTY IS OWNED BY: SINGLE/MARRIED . '--- PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME < ) j(
/ C0 CONTRACTOR'S REG. #l3isec'/ 9tfr
����11Card M ST be presented
CONTRACTOR'S ADDRESS /e17/1- S7 , S . CITY- e-41". -- PHONE,S-71-5-----7/‘7 1
EXPIRATION DATE S--- 7,V.
R—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITI OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUIN ERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON ,�`e,e T,�/S 0 A--- PHONEs3_3S // 3
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATI N
BOX 6 PROPERTY TAX ACCOUNT NUMBER f! g� ,7 0/ /
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 I
3RD FLOOR _J _ BASEMENT / DECK / _ GARAGE /
BOX 8'-f-I-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) MECHANIC APPLIANCES- BASJC FEE$
NO. WATERCLOSETS GAS PIPING,.FEET ' , X/-ST t'6 $
BATHTUBS NO. 1.- 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 $
// 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.
OWNER/AGENT:_ �'— „ " ��� DATE
ANP-008 3,90