92-101049 MECHANICAL PERMIT g1-1°Pa 99
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
92-1114 MSTEPHEN JONES 31908 31ST PL SW
PERMIT NO. OWNER'S NAME SITE ADDRESS
PUYALLUP GAS APPLIANCgate P 0 BOX 95 PUYALLUP WA 848-1549
CONTRACTOR D CONT.PHONE
CONT.REG.NO. PUYALGA285R1 EXP. 3/93 OWNER'S PHONE 927-6306 OWNER'S ADDRESS 31908 31ST PL SW FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC _ PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD._ SIGN GRADING OTHER
TAX ACCOUNT NO. 698000-0020 LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 7 -` DATE OF APPLICATION _ 7-21-92
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 11 FT. 2_00 GAS LOGS RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT _ NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED
SINKS MISC. BBQ BASIC FEE 20.00
DISHWASHERS TOTAL FIXTURES DRYER _ TOTAL MECHANICAL 28.50 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 28.50
•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 28.50 Total Fee $ 28.50 Receipt No. Cj —t 1'19.7
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 INFOR TION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
'REQUIREMENTS WILL BE ET:
OWNER OR AGENT e-t-v---- - -',r DATE t
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 66,-4140
12-1114 14 r'!'ENIEN JONES '?ST 2_ .,
PERMIT NO. OWNER'S NAMESITE ADDRESS
PUTALLUY uA. ,r P O BOX 95 P1ITA1,L.UP -INA 848-154u
CONTRACTOR ru/ALGA28581 ADDRESS 927-6306 3190 11- CONT..PH+
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 jUNITS )MULTI.ADD._ SIGN GRADING OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY J�ES JORNS(X4 -_DATE OF ISSUE I
'"- ,. DATE OF APPLICATION
BUILDING INFORMATION
NE - - 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. 2.00 GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED
SINKS MISC. BBQ 4 f / LI • BASIC FEE 20•0tj"
DISHWASHERS _ TOTAL FIXTURES DRYER TOTAL MECHANICAL 28.50 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
CHANICAL FEE 28.50
TAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART PIC FEE )
SEPA REVIEW GAS PIPING OK Date 5-5-l"By /7
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE 78•5� Total Fee $ X8.50 Receipt No. - 111-161 .
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. c rV
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 l ��,�
REQUIREMENTS WILL BE MET: C
/
OWNER OR AGENT DATE - -
• • . RECEIVED BY S •ermit # 61?` l 1 ) (1(\
COMMUNITY DEVELOPMENT DEPARTMENT
RECIEWED92 CITY OF FEDERAL WAY
JUL 2 i 1992 BUILDING PERMIT APPLICATION
- Please Print—
BOIF FeVeRAL
� DEPT
OWNER S/2/'iVCAJ J QAI5 SITE LOCATION
OWNER'S ADDRESS s%`916 J 3%' /L, S, i.>l CITY moo; til-// PHONE 9 z 9 - 3 aG
DESCRIBE JOB /, c7-& . G4s bast-6r( f,%sd rcfc
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ,,&7/Z&U/ 62-faS., 'PL/.tIG)c /1)4 < CONTRACTOR'S REG. t_/U ,___s2)
/ Card MUST be presented
CONTRACTOR'S ADDRESS ).� X G� / CITY��y�� /1�" PHONE V 1V-5-Y2
EXPIRATION DATE 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 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit.ksekarate page with the legal description.)
K.C. Plat Recording # 6 c76.n - 0 0 Z.0
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
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 $
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT 1 DATE: /9 ` / Z
ANP-008 3/90