91-100646 MECHANICAL PERMIT 91 - 1136 (9%
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
91-618 MWALLER SUMMER 27929 22 AVE S
PERMIT NO. OWNER'S NAME JOB ADDRESS
WESTERN FURNACES 2901 S TACOMA WAY TACOMA 474-8401
CONTRACTOR CONT. PHONE
WESTEF*372ND 12/91 ADDRESS 839-6171 SAME
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 BELOW
TAX ACCOUNT NO. 757561-000 LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 5/10/91
• 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 85 FT. 2.00 BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GASIIOT WATER HTR. MISC.,OGS 6.50
SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED
DISHWASHE!I S TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 28.50 AMOUNT NONE
VALUATION NONE
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
ePLUMBING FEE INSPECTION RECORD
MECHANICAL FEE $28.50
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.
.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE $28.50 Account No. 010-000-322-10-004 Total Fee $ 28.50 Receipt No.Jq
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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: 1
- t' I� j��r�..�.F� l I i
OWNER OR AGENT �,/ DATE " l I - I
l
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY U I L ® ' G 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 INDUSTRIALNEW 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 •
NE 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 GASpOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSIO+''I BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPE OP. a
. � ' 4 1 Ili IPERMIT FEE
PLAN CHECK FEE 1 if
UMBING FEE INSPE • R� 'il[
CHANICAL FEE tTI: •:::12m!!!!
OTAL BLDG. FEES Water: Line OK Mechanical Inst do es:
PART P/C FEE p�
SEPA REVIEW 6AS PIPING OK : /. -- -/ Date By _ /I 1
WATER SERVICE glia.......--
WATER
lia_.WATER MAIN CHG. 10
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 ANT 1RADING 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
0
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE BY DATE BY DATE BY
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE BY GAS PIPING O.K. 4, -/1"*//73 DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY DATE BY DATE BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE BY
. _
S .-
• it # q1 Lo\ r\ —
. i
CITY OF FEDERAL WAY RECEIVED
BUILDING PERMIT APPLICATION MM 1 31991
— Please Print—
BOX 1 TENANT NAME:
OWNER Wal 1 er Summer SITE LOCATION 27929- 22nd Ave. So.
OWNER'S ADDRESS 27929-22nd Ave . So. CITY Federal Way PHONE 839-6171
DESCRIBE JOB Installing 18" Golden Oak gas logs
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Western Furnaces , Inc. CONTRACTOR'S REG. #WESTEF*372ND
2901 South Tacoma Way Card MUST be presented
CONTRACTOR'S ADDRESS P.O. Box 11145 CITY Tacoma , Wa PHONE 474-8401
EXPIRATION DATE 12/31/91
!' — 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 Vivian Douglas PHONE474-8401 Ext . 11
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 7,5"--q____se—le / — „DeLEGAL 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$ pp
NO. WATERCLOSETS GAS PIPING, FEET 85 $ iQ
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 $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
RAINS 1/ 18” Golden Oak gas logs $ �.
OTHER #RG-4-18 $
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.
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OWNER/AGENT: V Lea-i`� r%-t� 1-
IV-ea-ix-1` 1a--- DATE: 5/10/91
ANP-008 3/90