92-100817 7
MECHANICAL PERMIT g - 10.6t
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 92-0856 M OWNER'S NAME HELMER PACIFIC INC SITE ADDRESS 3617 SW 311TH LANE
CONTRACTOR B & B HEATING & A/C ADDRESS 5309 84TH ST E TACOMA CONT.PHONE 536-6681
CONT.REG.NO. BBHEAAO94RC EXP. 10/92 OWNER'S PHONE 432-5055 OWNER'S ADDRESS 22035 SE WAX RD STE 14 MAPLE VALLEY
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
TAX ACCOUNT NO. 058755-0140 LEGAL DESCRIPTION
579
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 6-2-92
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 10001 3.50 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. RETURNED
SINKS MISC. BBQ BASIC FEE 20.00
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL _4_0_111) 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 40.00
•TAL 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 n,,).../....."... I CI L q 3
OTHER FEES MECHANICAL PERMIT ll
AMOUNT DUE 40.00 Total Fee $ 40.00 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
.gEQUIREMENTS WILL BE MET:
OWNER OR AGENT �
Gam/ �--.� 'L.4-- 7,-- - - e ( DATE / ' i
-1
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. H OWNER'S NAME HELM— PACIFIC 'i`.,"' SITE ADDRESS 3617 F_, 311 8 LANE
CONTRACTOR g & B HEATING _& "~° ADD ESS NE
5309 84TH ST E CONT.PHO536-6681
CONT.REG.NO. BIBI�i094R1C EXP. 1O 92 OWNER'S PHONE 432-5055 OWNER'S ADDRESS 22035 SE ,1 STR 14 MAPLE VALLEY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAI COMMERCIAL ADD._ INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS y )MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 95871i —0140 LEGAL DESCRIPTION
ISSUED BYE Jua3ON
DATE OF ISSUE ! .2DATE OF APPLICATION 6-2-92
11110 BUILDING INFORMATION
ZONE __ SET BACKS:FRONT _ SIDE _ _ _REAR _ HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. ____ TYPE OF HEAT _ BLDG.SQ.FT. STORIES
~ v
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. _ `` GAS LOGS
10.00 RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. 5 50 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ BASIC FEE
0.00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 40.00 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WI ' 41 -I' d
F- :',
PERMIT FEE 11\ y .\
PLAN CHECK FEE . . ` „' ° 1'
LUMBING FEE INSPECTION 11•ECHANICAL FEE 0.00
TOTAL BLDG. FEES Water Line OK Mechanical Inspect 1. ot ‘1, •
PART P/C FEE '' * -7,' / ��
sig:/............„0/
SEPA REVIEW GAS PIPING OK I0-7- pn y1 Date By
WATER SERVICE 0 I
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES 40.�Q MECHANICAL PERMIT +00 U 1Ci 1
AMOUNT DUE 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
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
• •rmit # l _ SSM: r—A
RECEIVED BY
COMMUNITY DEVELOPMENT DEPARTMENT CITY OF FEDERAL WAY
JUN 2 1992 BUILDING PERMIT APPLICATION
- Please Print—
BOX 1 TENANT NAME:
OWNER `f-�1�_� .k F1 ?� `�U A L( _1L V1 SITE LOCATION
OWNER'S ADDRES ' `,�C f t.�C � KC?� � i-/ CITY/
Sy... ./� lea J y PHONE LL-V,1 - 56,;:c
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME e `F,E2"). 14J %/1*/ t > - �� CONTRACTOR'S REG. #6/1-)H64/9)e0.. Y, '-
Card MUST be presented
CONTRACTOR'S ADDRESS ,.6-,y)61 L <-41- PHONE 37`/1 "" S'
EXPIRATION DATE
— 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 tl-n tr PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 058755 /
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) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET ()L)`E- !E $
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: ✓ ,? f �� DATE: 6
� � ANP-008 3/90