92-101009 MECHANICAL PERMIT °fc),IbtOQ
CITY OF BUILDING BUILDING INSPECTION
FEDERAL WAY P ERM IT 661-4140
PERMIT NO. 92-1030 M OWNER'S NAME BOB WINES SITE ADDRESS 32820 20TH AVE S #41
CONTRACTOR THE PLUMBING JOINT INCADDRESS 351 UNION AVE NE RENTON CONT.PHONE 228-3204
CONT.REG.NO.. PLUMB132CB EXP 3/93 OWNER'S PHONE OWNER'S ADDRESS 32820 20TH AVE S #41 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. 144120-0410 LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE / 7-13-92
� — ��` 7.L� DATE OF APPLICATION
BUILDING INFORMATION
*ONE_ 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 34 FT. 2.00 GAS LOGS
RECEIVED
41 BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS 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 22.00 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
likECHANICAL FEE 22_00
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
AMOUNT DUE 22.00 Total Fee $ 22.00 Receipt No. a? - (i1"7//5/
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:
i
OWNER OR AGENT DATE ?`141(—` -----
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 66440
92-1030 h BOB WINE .,.. 32". 3 201.194 AVE S #41
PERMIT NO. OWNER'S NAME SITE ADDRESS
THE PLUMBING f.. 351 L 7Inlr AVE ZZ89320�4
CONTRACTOR P�132CB I .._ 328202-0711W11- -- 141 FEDERAL WAY
CONT.REG.NO. EXP. 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 (UNLTp
S _)MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 3 LEGAL DESCRIPTION --
ISSUED BY JUAMa� . �� � DATE OF ISSUE - DATE OF APPLICATION 0141 :'- 13-92
• 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. 4• GAS LOGS 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.
SINKS MISC. BBQ • i ' S/C /U Q/ / BASIC FEE 20.0ti RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 22.00 AMOUNT
VALUATION 7 ,/ y c
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
EUMBING FEE INSPECTION RECORD
CHANICAL FEE •001111
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: ('/9,5 ///)//L' C-
PART P/C FEE
SEPA REVIEW GAS PIPING OK /Kto By = /(7A)/72-
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
22IPAMOUNT DUE 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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%66l £ 1111 CITY OF FEDERAL WAY
U A13 UILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER /;.b ,sIL> SITE LOCATION 3 -2-53%If-) . 5 "'7l
OWNER'S ADDRESS zC"fes S- ST.-- 'It CITY PHONE N n
DESCRIBE JOB C,, 4ie.,5 {N.1-+'- -{- N-e ar��.,,_ �}�,- E 4.-.%‘-
THE PROPERTY IS OWNED BY: SI1 GLE/MGIAR131E� PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME t l CC , .[ Zry<- . CONTRACTOR'S REG. #
_ J Card MUST be presente
CONTRACTOR'S ADDRESS 351 ttn �a\I � ' lvY ' CITY "T'''r` PHONE 1
EXPIRATION DATE j _ `f 3
— 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 ��� ��� PHONE ' ''
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 13 � EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER I'f't l 7Q 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 /
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 3'i' $
BATHTUBS NO. j FURNACE, ELEC. GAS 1, $ /U
SHOWERS / GAS HOT WATER HEATER $ 6. 5-
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 $ 3 rY. s
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: Z.—
ANP-008 3/90
41110
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
re,-. cr.-a VI i
i" 0 Amount Date Receipt#
itrl' CT1
LA-3 1% BUILDING DEPARTMENT APPROVAL
RE BY DATE ACCEPTED FOR FILING
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