92-100857 MECHANICAL PERMIT 9 ,- )01) $57
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
PERMIT NO. 92-895 M OWNER'S NAME NANCY SMITH SITE ADDRESS 2023 S 282 PL
CONTRACTOR NW WATER HEATER ADDRESS 8201 DURANGO ST SW TACOMA CONT.PHONE 984-6404
CONT.REG.NO. NORTHWH1O3R2 EXP. 12/92 OWNER'S PHONE 946-1145 OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEWINDUSTRIAI NEWCOMMERCIAI COMMERCIAL ADD. _INDUSTRIAL ADD. NEW PUBLIC __ PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER __.
TAX ACCOUNT NO. 422231-0120 LEGAL DESCRIPTION
ISSUED BY EBS DATE OF ISSUE - / DATE OF APPLICATION 6/10/g2
BUILDING INFORMATION
ZONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
II
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. GAS LOGS RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE 10.00 DUCT WORK
4SHOWERS URINALS GAS HOT WATER HTR. 6.50
AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. 20.00
RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 36.50 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
UMBING FEE INSPECTION RECORD
liptCHANICAL FEE $36.50
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 $36.50 Total Fee $ 36.50 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:
(
d QI
1
OWNER OR AGENT '4� 12 DATE Cc 5
Penn
E EIV D CITY OF FEDERAL WAY
an
101992 BUILDING PERMIT APPLICATION
�,w� `'�FEDERAL
— Please Print—
NG
BOX 1 TENANT NAME: ��r7
OWNER"inCc ct\C SITE LOCATI N
OWNER'S ADDRESS �l CITY- J- L 3 PHONE ")4,
DESCRIBE JOB 1 v. v A cc-
THE
t THE PROPERTY IS OWNED BY: SINGLE/MARRIED — PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME`-00\14a'I' l CLY R a CONTRACTOR'S REG. # 1�10>Z-C"14G�`�i ID3
Card MUST be presented
CONTRACTOR'S ADDRESS TX\ U-4(6-v\ E. CITY Ck C cw e-- PHONE °M--(LibtI
EXPIRATION DATE 1.)-
3,E
— 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 Q cU `' PHONE 'S'--t- 6 Li CA
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COSTAL S 2•--I EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER Li 'c)-:3 ( — C3 IXD
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) MECHAN CAL APPLIANCES— BASIC 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 $
I OTH RS IJJ
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:I v DATE:
ANP-008 3/90
Z o
O r
N H v
in V ,
C$0 a CDa W
O N V" a N H
c0 Z 40 U Ch w
J
0 "4' Cl)a
0\ 4.4 W
Z \ o H O W Q
U
ci , p a Z z z
w Q
> w z z
— w ¢
p U Z w m H �' N W
m 4-3 I
a m J 0 w D ¢ O a W
AI a i N o W
N U Z w H La u-
I- 0
CO I
D 0 a o >-
eV o D L1 Ci N ¢ v
LL • • H W
Il N a a D Ga4-1
0 4 W
J w N M1 Z a m
0 CC
el a a (.9 w a
— N a o m z 0 a R } a
N ¢ w 0 z p Z W
2 m ¢ zI
U O o w w z p 0 o o w W Crl41
v W ~
¢O 0 3 z LL ECC
,^^ ELI p
CC 0(,? w J ~ x U U a H U /U 1 x <
Q 14„ CO j Q , Q Q H y� ro W
F ri p Q O p a m H �i Sal (Q F C7 W
U.I can d Q Cr-1 En H " H w
¢ p '.yv Q _ W p
Z _ w • "? O W ? �. a
El 3 a x /- DWI t ' cal) H U 0 z
H O - ." Z LLO Q • •• W -H Z Y
C v\
w \. O w D a }
W2 w Q a m _1 H r- v Q
~ W U C7 W
0. 1- a: 0 t 41 cd O
Hl ° o
u. Q U.
w CCO q Q w— ¢ wssg
U ` 0 a. z = C _I CO
H5 Z Q cc CC x 1 .7 Q W
Z U OJ w u_ CO V1 Z H
xZ CC CD
2 z o m p v z a o \ El C OF
U w p H cn O ' Z a o H ¢ W w U W z o a z x a w > w w
z U o ¢ LL U cnco z o } w
a 3 w ° 01 w a o a O co cc C7 H G a
en
.' w w w z O LL CD 0 co 0 Z W
Sis
n z O Q w H F- O0
w < p 0 H 0 U WWWL1a H p
J ° J w 0 cn a
a O w
a o Z •r-I H Y
Z a a CC
1.4 w� H p 4. o
EN o J 3 CO
a� aw
lac
b Q W z
CD w o w_ m 3 C� LL
w ¢ o z z z i co
w cc° O_ cca W coz ~ w z ~ w 2 O
cn -I n j < s ) CC *Iw
2 t`1 Q ~ ~ p LL ~ cn —
Z
3 p ;� m z ox ¢ J z m
• • Z
�O I w OU pQY -J
WzzzUF
+ p .! LL
..)a J O
W D p H Oa ¢
y a--•-4 a )
Ct 1` zM H
it Q g
,,... f-, OW w
LT, Z *y' O `r z—
m
a OD W Z CC W
p I - F-
3 e� ` w m w t- 3 Z
�° Q oz ~ w w w W I W < z
U. J ¢p z w z >- Y LL LL w w 3 > Z w m w Hw Q
aNill
O CC ° a CC ° m < Z 0 m CC ¢ (n ° W w O U > Cr) W LL p ¢ W w 0
¢ x z Z m W H Q Q
} W ¢ U 0 x m ¢ F w o < a U m a 'a ¢ ¢ ¢ ci ¢ z a �CC - w
Q Q z z d 3 X O Z U H = a Y x O z U H ¢ a H H •° 2 0 J w Cl' Z
W O O } W a O J ¢ Q xO Q Z cn -Ja W J = 0 a w a Q m H 2 —I U W
0
LL d U U H Z H N a 3 m fn J (n O > 0- d H d cn 3 3 fn O a Q _ cc 0
iTIn AV:::/--Z.0.1/ 3 IVO
ad OSd GOG
Adn000 at .).ro 1VNId
A8 3/VCI A8 21Va AS 31VCI
11VM 31:11d CINV GEIVO9 -nvm Nolivinsm ONIINVdd 3901ON3 01 'WO
AS 31VG 'WO ONIdld SVO AS 31VCI
NO1103dSNI -IVOINVHOSIAI 'N•O 3NI-1 I:131VAA Ni Honoa ONISINfild
AS 31VG AS SDK) AS 31VCI
)•11:10MON1101:10 onnewn-id siivm NOI1VCINflOd 8flOd 01 WO 99N1100d CINV SNOVEI 13S