92-100986 MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 92-0996 M OWNER'S NAME RON SANDER SITE ADDRESS 30831 22ND AVE S.
CONTRACTOR NORTHWEST WATER HEATE DDRESS 8201 DURANGO ST SW TACOMA CONT.PHONE 984-6404
PO 053700-0565 EXP. OWNER'S PHONE 941-9133 OWNER'S ADDRESS 30831 22ND AVE S FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION __ NEW INDUSTRIAL NEW COMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY_ (UNITS )MULTI.ADD. SIGN GRADING OTHER _
Cpisiwww TNORTHWH103RQ LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 7 1 3 �. _DATE OF APPLICATION 7-6-92
BUILDING INFORMATION
411110 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 30 FT. ___.2_._00 GAS LOGS RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE 10_00 DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. 6_50 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 38.50 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
•OTAL
ECHANICAL FEE 38.50
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 38.50 Total Fee $ 38.50 Receipt No. C? 2 - t ( ' `j
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 INFORMATIO URNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL ET:
OWNER OR AGENT ( 6'f (/ DATE �
.) ) • )ub 9"-S (r2
•
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
92-0996 M :W7 SATiDF,11 31 22' .:7R
PERMIT NO. OWNER'S NAME SITE ADDRESS
. 8201 DURAN O ST SW 984-6404
CONTRACTOR ADDRESS CONT.PHONE
053700-0565 941-97.33 3083:. s MEM. WAY
CONT.REG.NO. EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. _ NEW PUBLIC _PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADINGOTHER
TAX ACCOUNT NO. _ _ LEGAL DESCRIPTION _.
JAB JOHNS i
ISSUED BY DATE OF ISSUE ! ' f �/ 4. DATE OF APPLICATION
NONE
BUILDING INFORMATION
NONE - _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 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 BASIC FEE 20.JO RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 38.50 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
ECHANICAL FEE 38.50
•)TAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SIEPA REVIEW GAS PIPING OK 9-.2-9•Z 6 Date 9-.24 z By
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
773
AMOUNT DUE '50 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 it`-�v�
REQUIREMENTS WILL BE MET: �+)
OWNER OR AGENT DATE t
0 •rmit # 9 - C
RECEIVE) CITY OF FEDERAL WAY
JUL 61992 BUILDING PERMIT APPLICATION
orry c1r FEDERAL WAY —Please Print-
eU DEF
BOX 1 TENANT NAME:
OWNER f • a 1•-.1_ SITE LOCATIS 2,0 I 99 a R . ,`-socitk
OWNER'S ADDRESS 3O13I D — A A. CITY' i r ' # A.. PHONE — ' 3
DESCRIBE JOB I h\\\ ' kV►/Nct e q J c=t5 uA- , ' e ' .
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP'_ CORPORATION
E �,
BOX 2 CONTRACTOR'S NAM �'� l iii CONTRACTOR'S REG. #\la i ■
./�/� d-aCA:WOCI--/
Card UST be presents
CONTRACTOR'S ADDRESS A .. &'Y) .a .: . ITY PHONE - 0
EXPIRATION DATE I)- a< - q P •
— 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 a,oc,,4, PHONE q -I-Li,U U("
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST At I , 31 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER OG.1T C.)— Or l0S--
LEGAL
-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) MECHANA(_APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET u $
BATHTUBS NO. I 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 _ , $
c HER .. t•-,.....411•.! , ..:�� $
TO ' 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 WHICI-fPERMIT 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 TF(E CITY,INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF HE INFORMATION SUPPLIED TO E CITY AS A PART OF THIS APPLICATION.
I I_� �j
OWNER/AGENT: a. I'S Pt,- ( f 61,2
ANP-008 3/90