90-100652 MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
B U I LDI N
FEDERAL WAY G PERMIT 941-1555
5`t.406 656)
PERMIT NO. 90-920M OWNER'S NAME GREG WALLIS JOB ADDRESS 3808 SW 326 ST
CONTRACTOR NW WATER HEATER ADDRESS 8201 DURANGO ST SW TACOMA CONT. PHONE 9R4-6404
CONT. REG. NO. NORTHWH137KJ OK OWNER'S PHONE 874-4032 OWNER'S ADDRESS SAME AS SITE
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 MECHANICAL ONLY
TAX ACCOUNT NO. NA LEGAL DESCRIPTION EXISTING HOUSE - GAS TO GAS
ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 6/1R/90
BUILDING INFORMATION
OE NA OCCUPANCY NA TYPE OF CONSTRUCTION MECHANICAL ONLY BLDG. SQ. FT. NA
BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE 20_00
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 10_00 AMOUNT NONE
VALUATION NONE
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
MECHANICAL FEE $30.00
TT P/C FEE AL BLDG. FEES Water Line OK Mechanical Inspection Notes:
0
SEPA REVIEW GAS PIPING OK Date By
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT /
AMOUNT DUE $30.00 Account No. 010-000-322-10-004 Total Fee $ ,30. - Receipt No. /7,-,/, / JAZ
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 IORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL B ET: �j/1
OWNER OR AGENT Cil.A/V /�-Z4lit-/ DATE . /9 .' ! (J
MECHANICAL PERMIT
•
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
'b- /00 0Sd
PERMIT NO. OWNER'S NAME JOB ADDRESS
CONTRACTOR ADDRESS CONT. PHONE
CONT. REG. NO. 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
ISSUED BY DATE OF ISSUE . _ DATE OF APPLICATION
BUILDING INFORMATION
1111111 OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
ACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
RETURNED
SINKS MISC, CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 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
T�BLDG. FEES Water Line OK Mechanical Inspection Notes: F-tN� �
{
P/C FEE
SEPA REVIEW GAS PIPING OK Date/a-214/03y S(7
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE Account No. 010-000-322-10-004 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
• i
g'' q :° 41
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION I Iti" v.-)G1-7
— Please Print—
BOX 1 OWNER Ai# /--f 'P JOB LOCATION n'`�
OWNER'S ADDRESS - VAIII 1 - , CITY- 4�« 'HONE . 7
DESCRIBE JOB, /- / fl C-4, X l to t--
THE PROPERTY IS OWNED BY: SINGLLE/MARRIED , _ i PARTNERSHIP CORPORATION
it---1,4V-e'
BOX 2 CONTRACTOR'S NAME ,Z7/d '- c- 4CONTRACTOR'S REG. #fir /- , `✓fi !?2,11.2--
Card MUST be presented
CONTRACTOR'S ADDRESS 87 / � v,-4,) t jell- CITY ' C_. PHONE e z-7- i/U 7
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 ' ( / r PHONE ,fe/`L, c 4dL/
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER rx c. / - - _e
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / -__I . GARAGE /
BOX 8 ( ) SINGLE FAMILY ( . ),NEW CONSTRUCTION \1
( ) MULTIFAMILY (NO. OF UNITS = _ ) V EXISTING STRUCTURE �"
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHtyAL APPLIANCES — ASIC 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 COGS �() S $
TOTAL FIXTURES Pi-(' $
SO MECHANICAL FEE $
I CERTIFY UNDER PENALTY OF PERJUr THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
BEST OF MY KNOWLED E • N r4 FURTER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WOR O' WHI. PER 10 APPLICATION IS MADE.
�i
OWNER/AGENT: 4V�� DATE: 0 c,e
ANP0062/90