92-101021 9J0POc) l
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 92-1080 M OWNER'S NAME OBRIEN SITE ADDRESS 3907 SW 328TH STREET
CONTRACTOR AMERICAN HEATNIG SERVADSs 7517 PORTLAND AVE TACOMA _ CONT.PHONE 847-8399
CONT.REG.NO. AMREIHS1O7M6 EXP. 7 92 OWNER'S PHONE 838-1552 OWNER'S ADDRESS 3907 SW 328TH STREET _ FEDERAL WAY
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. 873195-0210 LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 7 2 Z.-' DATE OF APPLICATION ___ 7-15-92
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 10 FT. 2.00 GAS LOGS
I ATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE
10-00 DUCT WORK RECEIVED
B
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 38.50 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 38.50
•OTAL 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 38.50 Total Fee $ 38.50 Receipt No. D.2 74,n, r--
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:
`�j�
OWNER OR AGENT �° ? j / ,...0.a.,;(4-(-- DATE ",.....e-
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 924080 OWNER'S NAME mutual SITE ADDRESS 3907 SW 3178
CONTRACTORAMERICEIN ` _ ADDR 9S 7517 POW "OD Alt CONT.PHONE 847-8399
CONT.REG.NO. AMREIHS10 2. EXP. 7/92 OWNER'S PHONE 638-1552 OWNER'S ADDRESS 3907 SW 328TH STREET FEDERlu. WAY
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. 873195-0210,, LEGAL DESCRIPTION
ISSUED BY TOANWE JOHNSON DATE OF ISSUE j DATE OF APPLICATION 7-15-92
IPBUILDING 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. ; 00 GAS LOGS RECEIVED
BATHTUBS LAUNDRY DRAINS - FORCED •AIR FURNACE `0'00 DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ BASIC FEE
20.00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 38.50 AMOUNT
VALUATION (X- - f /it./,'Y 1� / -/e1-i (- 5 rah
GAS PIPING TEST MUST/BA SSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
•UMBING FEE INSPECTION RECORD
CHANICAL FEE . 8.50
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK 7/201,47/77 Date 7 _they LGr'Ii
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE 3$ L 30 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: 7/7:
OWNER OR AGENT y'� '� `r "--{_A-- DATE
RECEIVED BYG�2._ v
COMMUNITY DEVELOPMENT OEPARTME. �rmit it I
..
JUL 15 1992 CITY OF FEDERAL WAY
RECEIVED BUILDING PERMIT APPLICATION
— Please Print-
Jul 151992
BOLA etiottiggiY .
tallAW1 _ ?,(,-/xiSITE LOCATION
OWNER'S ADDRESS G 7 4'4' --3d13 CITY .M %• PHONE' ''•-- -
DESCRIBE JOB '!!� 4n�2�L �.LGN),2� , 2 '
THE PROPERTY IS OWNED n: SINGLE/M RRIED /PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 1 (2 2 "2.1.41-r2- ...1,/ i�.e>. A. CONTRACTOR'S REG. # /9/Ve/'..r 5iO /1/(,
Card MUST be presented
CONTRACTOR'S ADDRESS /.-r27I�'Gg* C.l'/Z CITY '---.1".-/-e': PHONE -8'47- 99
EXPIRATION DATE 7-—/s= 9,2
— OR—
I HAVE READ CHAPTER 18.27.IV RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHIC 4•140HIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON _ PHONE,_'77—397
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER S /Vi---0,2/6
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
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANy C L APPLIANCES— BASIC FEE$
NO. _WATERCLOSETS GAS PIPING, FEET ! o $
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,BU LY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLOY .4 PON THE ACS 'A OF fE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGEN Y` A / � DATE: ` �i
ANP-008 3/90