92-100831 MECHANICAL PERMIT 9a- l'Oti, 5'3/
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 92-873 M OWNER'S NAME RICHARD BERRISFORD SITE ADDRESS 30803 7 AVE SW
CONTRACTOR FUTURE 2 ADDRESS 9505 120 ST E PUYALLUP CONT.PHONE 770-2785
CONT.REG.NO. FUTURINO99QM EXP. 11/92 OWNER'S PHONE 839-7272 OWNER'S ADDRESS
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. 555770-0260 LEGAL DESCRIPTION
ISSUED BY E SNYDER DATE OF ISSUE - a- DATE OF APPLICATION 6/3/92
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 3 FT. 2.00 GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE 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 28.50 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
'LUMBING FEE INSPECTION RECORD
•ECHANICAL FEE $28.50
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
OTHER FEES _ MECHANICAL PERMIT _
AMOUNT DUE $28.50 Total Fee $ 28.50 Receipt No. . Ti'- - ' `/' / 0
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 T: r•`
OWNER OR AGENTti* X • 1� L- h C DATE 1 i
MECHANICAL PERMIT
CITY OF I L D I N g BUILDING INSPECTION
FEDERAL WAY u G P E R M I T 661-4140
IPERMIT NO. 92-873 OWNER'S NAME RIS BERRISFORD SITE ADDRESS 30803 7 AVE SW
FUTURE 2 9505 120 ST E PUYALLUP 770-2785
CONTRACTORD S
CONT.PHONE
FUTCONT.REG.NO. UB Nn 4 z EXP. iOWNER'S PHONE 839-7272 OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY55�1�I�S 0268)MULTI.ADD._ _ SIGN GRADING OTHER
TAX ACCOUNT NO. 7 LEGAL DESCRIPTION
E SNYDER6/3/92
ISSUED BY DATE OF ISSUE if " _ DATE OF APPLICATION
IDBUILDING 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
4 .0
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING__ FT. v GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE 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 28.SO AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
LUMBING FEE INSPECTION RECORD
CHANICAL FEE $28.50
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK Dat Q .By C I 'i
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
•
AMOUNT DUE $28.bo 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
REC,.IVSD BY • Pipit �(l
COMMUNITY DEVELOPMENT DEPARTMENT
CITY OF FEDERAL WAY
JUN 3 1992 BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER 2.1 (.-hi4- O 13 Qj tc.,e0 SITE LOCATION 0E0.3 , n� S W •
OWNER'S ADDRESS3C$O3 1 `At/. S L,t. CITY C OlD t r2+a1. 1A,`9 PHONE 23 — 1212
DESCRIBE JOB . 1\./ t.t- G-A-S 4 —P -
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ATV 2 LPr _ C CONTRACTOR'S REG. #1—V TU 2-( NO9 1 QM
Card MUST be presented
CONTRACTOR'S ADDRESS 1 O a)112,__,C1-• L , CITY P U 1 P PHONE -110-21��
EXPIRATION DATE i I / 13 2-
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DE INITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON SC%(7-'71- ark Pt4126-11 PHONE 110 -2-1 fiS5
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 5-S5 -7/0 O.2 ,c
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET 3 $
BATHTUBS NO._ FURNACE, ELEC. GAS $
SHOWERS I 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 E LOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
— 1
OWNER/AGENT: a 'Lt C't CL /1/1. q=L, /L DATE: ,
ANP-008 3/90