92-101231 9a- /61).W
CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD92-2 042
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/12/92
Federal Way, WA 98003 BY: AJ
661-4000
SITE ADDRESS: 32239 8TH AVE SW
PARCEL NO.: 926492-0580
PROJECT DESCRIPTION: MECH
OWNER — CONTRACTOR — LENDER
MICHAEL DOUGHERTY CITY SHEET METAL
32239 8TH AVE SW 4202 AUBURN WAY N #8
FEDERAL WAY WA 98023 AUBURN WA 98002
852-2174
CITYSM173JA
BLD?: MEC?:X PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •7 FEES:
TYPE OF WORK:? USE:? 1ST.: 0: O:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS? •7 MEC PRMT ISSUANCE... S 20.00
CENSUS CATEGORY •7 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •s MEC APPLIANCE FEES.* $ 8.50
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS FIRE FLOW • 0 gpm
:? :7 :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 0 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:08/11/92
. 0: 0: 0: 0: TOIL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES 5 28.50
GAS PIPING.: 3 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ALL PERMITS EXPIRE 180 D ER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INF RMATION URNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF ` AL WAY REQUIREMENTS WILL BE M
OWNER OR AGENT -7-,j6: - /1/24/1c�-.tet- DATE �/ Ilk
bld_prmt 07/31/92 U
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DACE -
BY
• Pfnit #
RECEIVERECEIVEU CITY OF FEDERAL WAY
AUG 1 1 1992 BUILDING PERMIT APPLICATION
— Please Print—
n FEDERAL WAY
BOX1j�
OWNER rit\, Q 0 t SITE LOCATION 3 2-Z__21 R's-lel,
OWNER'S ADDRESS ZZ�,�, �, %4-' (, ��0 CITY PHONE
DESCRIBE JOB c .U4 (XI C1 12.A(
THE PROPERTY IS OWNED BY: SINGLE/fbRRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME C,tky i Y a CONTRACTOR'S REG. #C t � 17'S i►4
Card MUST be presented
CONTRACTOR'S ADDRESS 42-O2 W Mel CITY 1 u.Ia�t..w\ PHONE cz3 a. i
EXPIRATION DATE l "t —`13
— 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 4)ck.- `,t_Ann✓1 ./4t cv.h� PHONE G--G..l 1 +4
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 92t q2- — 6S-(60
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 = ) (X) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHA ICAL 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 ApAINST TFI E£ITY 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.
i „.
OWN ER/AGENT_, � &It isiY-- DATE: ` d f
ANP-008 3/90