92-100819 MECHANICAL PERMIT 96) -106 ) 7
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 92-0858 M OWNER'S NAME HELMER PACIFIC INC SITE ADDRESS 3611 SW 311TH LANE
CONTRACTOR B & B HEATING & A/C ADDRESS 5309 84TH ST E TACOMA CONT.PHONE 536-6681
CONT.REG.NO. BBHEAAO94RC EXP. 1092 OWNER'S PHONE 432-5055 OWNER'S ADDRESS 22035 SE WAX RD STE 14 MAPLE VALL aY
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. 058755-0140-06 LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE ).../
DATE OF APPLICATION 6-2-92 _
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 100FfT 3.50 GAS LOGS
0 0
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE 10. DUCT WORK RECEIVED
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 40.00 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
LAN CHECK FEE
UMBING FEE INSPECTION RECORD
MECHANICAL FEE 40.00
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 q 13
OTHER FEES MECHANICAL PERMIT
�, � eipt No.
AMOUNT DUE 40.00 Total Fee $ 40
rEAR AFTER DATE OF ISSUANCE.
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERNIEKrAND THE APPLICABLE CITY OF FEDERAL WAY
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST r"
REQUIREMENTS WILL BE MET: i1 C J 'DATE �
OWNER OR AGENT ���
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 92-0858 OWNER'S NAME HELMER PACIFIC INC SITE ADDRESS 311T11 LANE
CONTRACTOR & B NB�AT '` ' ADDRESS 53"� 34Pft ST E TACOMA CONT._PHONE 536-6681
CONT.REG.NO. ABH$A ®FARC EXP. 10/92 OWNER'S PHONE 432-5055 OWNER'S ADDRESS 22035 SE ) STE 14 MAPLE VALLE!
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY.__ (UNITS )MULTI.ADD. SIGN GRADING j/ OTHER
TAX ACCOUNT NO. 5-0140-06 LEGAL DESCRIPTION (,f[/_
ISSUED BY +.i0 Nt; ..RaiUWWN DATE OF ISSUE Y7 �. DATE OF APPLICATION 6-2-92
• BUILDING INFORMATION
ZONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY _ TYPE OF CONSTRUCTION CENSUS NO. __TYPE OF HEAT - BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING. FT. _..`i L GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE 6.50 DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 40.00 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT S " ILPERMIT FEE •k
PLAN CHECK FEE X111
I FEE INSPECTION RECO'
siUMBING
CHANICAL FEE 40.00
TOTAL BLDG. FEES _ Water Line OK Mechanical Inspect •t' \
PART P/C FEE
SEPA REVIEW _ GAS PIPING OK ;0-7 per 0/ Date By �;'.\
i_/? /93.....--
WATER SERVICEsy, �'
WATER MAIN CHG. 1011.°5
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT ill i l
AMOUNT DUE Total Fee s9$' ' ' t 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
e Peet # 9 2 _ & j,ci
` •
... RECEIVED BY
COMMUNITY DEVELOPMENT DEPARTMENT CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
JUN 2 1992
-Please Print—
BOX 1 TENANT NAME: •3 l r
OWNER 4 i it _�li" i. '' SITE LOCATION --0/214.S ) 14-6" LAI
OWNER'S ADDRESS - ' _ i - 4 CITY/� Li'(Q (( y PHON -c05
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP Q►'PORAT ON
BOX 2 CONTRACTOR'S NAME 41 'r! L CONTRACTOR't AMA,
y Card MUST be presented
CONTRACTOR'S ADDRESS` g H CITY A- 4 CA.—. `-I '336--Z a I
EXPIRATION DATE O'-{"t-tt,
— OR— "
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AN I 'ECIALTY CONTR TORS AND
CHAPTER 18.27.110 WICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRAT 1 ,/'
BOX 3 CONTACT PERSON
�i2.�� PH E .��/‘:.6__S_L_
BOX 4 SEWER DISTRICT WA Ed DI RI
I
BOX 5 ESTIMATED PROJECT COST EXIST r B LDING VALUAT s
BOX 6 PROPERTY TAX ACCOUNT NUMBER 6 5 it,1.-; Nip 0
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal descr t ' .)
K.C. Plat Recording#
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Pro osell.) 1S1 FL I' 2ND FLOOR /
3RD FLOOR / BASEMENT /.1 DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY .SNE CONSTRUCTION
( ) MULTIFAMILY (NO. OF U = )\ ( ) (STING STRUCTURE
( ) COMMERCIAUINDUST' AL TOT•L AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(incl Ai, 1 ough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATER LO GAS PIPING, FEET 0.U.2h 100 r` $
BATHT NO. / FURNACE, ELEC. GAS $
SHOW,T` I GAS HOT WATER HEATER $
\..... ._\;_\
l' S CONVERSION BURNER $
BOILER, SIZE BTU $
DIS ASHERS 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: DATE:
ANP-008 3/90