92-100657 MECHANICAL PERMIT 9,;-/ab 657
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 92-685 M OWNER'S NAME MICHAEL BOYD JOB ADDRESS 2222 SW 307TH STREET
CONTRACTOR NORTHWEST USI ADDRESS 1908 341ST PL S #9 FEDERAL WAY CONT. PHONE _952-5433
CONT. REG. NO. NROTHUW101JJ 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. _ _ _416770-0250 LEGAL DESCRIPTION l
s„...
ISSUED BY JOANNE JOHNSON DATE OF ISSUE ce , DATE OF APPLICATION 5-4-92
BUILDING INFORMATION
ONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
T BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
I
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 frIOT WATER HTR. 6 50 MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE 20_00
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 3.6_„_5.0 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 36.50
OTAL BLDG. FEES _ Water Line OK Mechanical Inspection Notes:
ART P/C FEE
SEPA REVIEW GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
.B.C.C. FEE
N- rI OTHER FEES MECHNICAL PERMIT (��"/
AMOUNT DUE 36.50 Account No. 010-000-322-10-004 Total Fee $ 36.50 Receipt No.
ALL PERMITS EXPIRE 180 DAYS ASTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFO'MATION FURNISHED BY ME IS TRUEA,ND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
11EQUIREMENTS WILL BE M e.i :
(//-- -->_..._..._ '
s,.... y
OWNER OR AGENT " l �' DATE
f
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. 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 frIOT 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 Inspecti Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK L ,/ r r Date , :y
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE Account No. 010-000-322-10-004 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
1
l
1 J
J
m Z CO > CO
O
p w II
Z a_ ca I
O Z C
cc 1 J p 1
0 Q m
U Q
Z a j 0 1
m
D I-• w 0 I- J Iw-
w <
d < 2 o o
1 1
c
J p
J cn
Q a
z
1= m m
a
p
z
n
O Y Y
Li_
O
im w
D
Z
O
Z O
O Z
a J a t=
a
w
O Q C Q Q
Z U
O p 0 - p p
I
I
I ‘al
O I Z
Z
}
0 m m Q m a CO
O z Cr p \\�
O U w U
p = 0 O \1
Z O O 1 O JAXl�
U l
h h ! d
•ermit # e/ 2
RECEIVED CITY OF FEDERAL WAY
MAY 0 4 1992 BUILDING PERMIT APPLICATION
°RY OF FEDERAL wAM — Please Print—
BUILDINCI OEP
BOX 1 TENANT NAME:
OWNER (l t c,•tc�ei. cd& SITE LOCATION _c Q S S.
OWNER'S ADDRESS ca 3 S,.u). 64 S-k- CITY ti i - i PHONE '�
DESCRIBE JOB 3ek..S -1-a Ea_a e.e.v cwt v►e�k Fr..eina.wc f Oc.±ee_. ec te.0._
THE PROPERTY IS OWNED BY: SINGLE/MARRI D PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME NPS(Zk:I th e.51- fil.%S.I CONTRACTOR'S REG. #/Kf)(L' i- CL
Card MUST be presented
CONTRACTOR'S ADDRESS I ?O 3LII st P/, S 9 CITY rekel2itti t^ PHONE 9S0--.51/33
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 LJP,Yt'nt PHONE 9s?-S933
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER `-116 + 1-C) - ODSL,
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 /
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 O
BATHTUB NO. / FURNACE, ELEC. GAS $
SHOWER / GAS HOT WATER HEATER $
LAVATO IES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DIS ASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
AUNDRY WASHER OUTLET UNIT HEATERS $
1RINALS 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 MPLOYEES, UPON THE AC TRACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
•
._ j ,)
OWNER/AGENT: DATE:
ANP-008 3/90