90-100421 � MECHANICAL PERMIT
CITY OF g I L D I N BUILDING INSPECTION
FEaERAL WAY u G P E R M I T 941-1555
� 9b�roo y� 1
PERMIT NO. 9O-rJH1M OWNER'S NAME DONALD VANDERWOUDE ,JOB ADDRESS 1320 S 293 PL
CONTRACTOR ��IE SHEET METAL qDDRESS 6229 B SO ADAMS ST TACOMA CONT. PHONE 472-4099
CONT. REG. NO. ��ISMZZOQN 11�90 OWNER'S PHONE 941-3175 OWNER'S ADDRESS SAMF:
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMEFiCIAL COMMERCIAL ADO. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER ��CHANICAL ONLY"
TAX ACCOUNT NO. NA LEGAL DESCRIPTION NA G k f S����t� ��i
ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE - L � U DATE OF APPLICATION 5/8/9 0
BUILDING INFORMATION
NE NA OCCUPANCY NA TYPE OF CONSTRUCTION MECHANICAI� ONLY BLDG. S�. FT. NA
SET BACKS: FRONT NA SIDE NA �tEAR NA STORIES NA HEIGHT LIMIT NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPINC��FT. 2.�9 BOILER
BATHTUBS LAUNDRY DAAINS COMPRESSOR TANK(S) RECEIVED
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. 6_50 MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE �QO
DISHWASHERS TOTAL FIXTURES NS�NF� UNIT HEATEA TOTAL MECHANICAL ��_O AMOUNT NnNF.
VALUATION $NONE
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
CHANICAL FEE �7$ r1O
TAL 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 A'1ECHANICAL PERMIT
AMOUNT DUE $28.50 Account No. 010-000-322-10-004 Total Fee $ 28-50 Receipt No. �S t( -
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 Yl�a"-��-z�-- ��. /�_�_2x�,; DATE ��—f�� '`� C'
�
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l�
C�� RECE!!!�� "
N1 AY 1 1 1990
CITY OF FEDERAL WAY CITY OF ��.UERAL WAY
BUILDING PERMIT APPLICATIOI���`��'�G o��T.
—Please Print—
BOX 1 OWNER • �n 1- � �An�;��' ' �,. JOB LOCATION -Sr�rn� -
OWNER'S ADDRESS /3Z0 � . 2q=� P� . CITY_ feberJ�i i��A� PHONE S�l- � 1 'ls'
DESCRIBE JOB �c� U.��3�rTAN1:
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME �,E.. �t �►i .�N�- CONTRACTOR'S REG. # ^ rYI 6 D 'fJ
,/� n Card MUST be presen ed
CONTRACTOR'S ADDRESS ��i `� '�'f �7 �50 �I-Fc��A1S CITY-l�r� PHONE �7�-'�fC i�'
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 � " ' '► . PHONE �F 7 2 -`fC�f
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
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 / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$-�'�L
N0. WATERCLOSETS GAS PIPING, FEET _��� $ • �C..-
BATHTUBS N0. 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 PER-
FORM THE WORK FO WHICH PERMI�APPLICATION IS MADE.
OWNER/AGENT: -C�=�7+.. ��_���i�uzr�i DATE: �� � t �� ��
� ANP-006 2/90
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
96—/oo y2,/
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
ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT.
SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
TER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED
ATHTUBS 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 \4.,', 1
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
MECHANICAL FEE
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK Date I- 0/By 1
"TER SERVICEJ2Lei`'✓ l'l C ✓y4/�„ /
d1/4--k. t
ER MAIN CHG. "V
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE Account No. 010-000-322-10-004 Total Fee $ 28.50 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:
OWNER OR AGENT DATE
.. "711 715-07
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