92-101059 MECHANICAL PERMIT 7).401b5?240! b5r
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
92-1139MSTEVE WELDON 33701 32ND AVE. SW
PERMIT NO. OWNER'S NAME SITE ADDRESS - -
ENVIRONMENTAL DESIGN, L 25328 SE 200TH MAPLE VALLEY, WA CONT.PHONE 432-4247
CONTRACTOR S
CONT.REG.NO. ENVIRD1O98K1 EXP. OWNER'S PHONE 661-0221 OWNER'S ADDRESS 33701 32ND AVE. 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. 954280-1150 LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 7- L -1 DATE OF APPLICATION 7-23-92
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. 2-00 GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. 6.5O AIR HANDLING UNIT NUMBER _ _ -
LAVATORIES DRINKING FOUNTAINS _ - CONVERSION BURNER MISC.
SINKS MISC. BBQ BASIC FEE �� OO
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
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.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
-! AMOUNT DUE 28. SO Total Fee $ 28.50 Receipt No. 0 N531
/
A ALL PERMITS EXPIR 180 DAYS AFTER ISSUANCE IF NO WORK I- •RTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT T INFORMATION FURNISHED B M SIT- E •ND CORBECT,TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS W L :EM .6'
---,, 70,/ 41010. - 2 9
OWNER OR AGENT ���1 . AS J DATE
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
92-1139M STEVE W' LDON 33701 32ND AVE. SW
PERMIT NO. OWNER'S NAME2532 200m
MAPLE , SITE ADDRESSIA 432-4247
CONTRACTOR EVVIRu1098 ;1 UoarE%S 661-0221 33701 32ND •
CONT.PHONE
':1 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 _(UNITS )MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION
111.1' ;1 • :I,' v1/k. l 73-1- 1z-,....., 7-23-9
ISSUED BY _ DATE OF ISSUE 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. 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. —200 RETURNED
SINKS MISC. BBQ BASIC FEE 28.50
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL _ AMOUNT
VALUATION
I.,., GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE 8.50
•S® INSPECTION RECORD
CHANICAL FEE
METAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK Date ' '`lam By ri5
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES PERMIT
AMOUNT DUE $ Total Fee $ Receipt No. �`-Y ' IY7�1
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. \I--
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��V
REQUIREMENTS WILL BE MET: jjL�
OWNER OR AGENT DATE '.''( „,/,
r
RECEIVED E:Y
COMMUNITY DEVELOPMENT DEPARTMENT Permit # 1) - 1159 OA
1992 CITY OF FEDERAL WAY
JUL 2 7 1992 BUILDING PERMIT APPLICATION
or ,O FEDERAL.t-VAY — Please Print—
BiPi f4NG DEPT
BOX 1 TENANT NAME: 32,/6
OWNER 71 / _ SITE LOCATION
OWNER'S ADDRESS - - ' _� A / ' ` CITY - I ) • \ PHONELo( ' f - Z2./
DESCRIBE JOB 0.1fA/V(3%- /-k7- )d I��=k7 I /Vl<
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 6NVil/Ffi/1//Y1&V/T71L sbc=3/6/Y /n/'c, CONTRACTOR'S REG. #L.Wi,iiRiit 9ekj
Card MUST be presented
CONTRACTOR'S ADDRESS. '6./2-DX z.CY_)f- CITY Al L'' PHONE �'z - 4/7
EXPIRATION DATE 'y- /I -
— 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 0( LLL/,i PHONE �.3Z - 4/2 y7
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER C/ 11-i • Z 1 C= - I �•�
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 ( L-) 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- PIE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AN MPLIYEES, UPON TH £CP RACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/Aa N : ' 4091..1ry17" / t _ DATE: / 2 3 -
ANP-008 3/90