92-100880 MECHANICAL PERMIT Imo)-Pb ERZ)
CITY OF g I LDI N PERMIT BUILDING INSPECTION
FEDERAL WAY u G 661-4140
PERMIT NO. 92-0913 M OWNER'S NAME CAMPBELL SITE ADDRESS 2132 SW 309TH CT
CONTRACTOR ARCO TNSTAT.T,ATTONS T,$DRESS 1908 S 341ST PL #9 FEDERAL WAY CONT.PHONE 952-5433
CONT.REG.NO. ARCOIL141LE EXP. 6/93 OWNER'S PHONE 927-7393 OWNER'S ADDRESS 2132 SW 309TH CT FEDRAL 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. 416790-0050 LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE C / (-% DATE OF APPLICATION 6-17-92
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
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE 10.00 DUCT WORK RECEIVED
SHOWFPS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 30.00 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 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
AMOUNT DUE 30.00 Total Fee $ 30.00 Receipt No. 0 2 /`r3 d 0
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 T:
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.4 OWNER OR AGENT
DATE (l ! F L�
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MECHANICAL PERMIT
CITY OF BUILDING PERMIT BUILDING INSPECTION
FEDERAL WAY 661-4140
PERMIT NO. 92-0913 M OWNER'S NAME ABET"' SITE ADDRESS 2132 SW 309TH CT
CONTRACTOR ARCO INSTALL _,3 ADDRESS 1908 S 34IST PL #9 FRT)' WAY CONT.PHONE 952-5433
CONT.REG.NO. A1�COILI4ILE EXP. 6/93 OWNER'S PHONE 927-7393 OWNER'S ADDRESS 2132 SW 309TH CT FEDRAL 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. 416790-0051) LEGAL DESCRIPTION
ISSUED BY J 4,E jO O DATE OF ISSUE DATE OF APPLICATION x---12-92
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
10.00
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. -2-0-.-00
RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 30.00 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 P/CFEE ?/((�J/!/G4BY � /
SEPA REVIEW GAS PIPING OK Date
WATER SERVICE
WATER MAIN CHG. 'C-t f z 6G,�
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE Total Fee $ 30.04 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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RSC is *mit # 1) --i10- r'`�
JUN 121992 .,
CITY OF FEDERAL WAY
°Infatigiapits3""34L wayBUILDING PERMIT APPLICATION
DEPT - Please Print-
BOX 1 TENANT NAME:
OWNER C,a r I,P .Q I SITE LOCATION r- / cJ. ?O 9 61,
OWNER'S ADDRESS c 3� c-5-• Uc/Sod C.. LD. 3O7 C?L CITY /ja PHONE 9027 '7 9.3
DESCRIBE JOB Ct cut) 'l qo A`Rw.V?1YJQ C� C)iGt/Y19-ecr
THE PROPERTY IS OWNED BY: SI GLE/M RIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME areo _Z/7SJa/f�.4D/2s/ x.770 CONTRACTOR'S REG. #9E&LZ L /yJZ
Card MUS be presented
CONTRACTOR'S ADDRESS I`?DOCy o'0.,3y/ Fl. - 9 CITY reek/22/ L_J PHONE ci5a- x/33
EXPIRATION DATE (p -/-9-3 410
( /
- OR -
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFLI-NiTifd OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON /? YY1 66i7/Z PHONE 95'09-6-5<_,',..3
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTIN UILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER /ILp 7`TD -0 050
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 / GARAGE I
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 ---C — $
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 $
SUPS, SPRINKLER VACUUM BREAKERS OTHER $
AINS $
HER
OT7 $
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 EMPLOYE S, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: '4 / DATE: Cl/'1-,) -9':z)Z-
ANP-008 3/90