90-101649 MECHANICAL PERMIT
CITY OF B U I LD I NG PERMIT BUILDING INSPECTION ECgTION
9491.5,D515olFEDERAL WAY
PERMIT NO. 90-1863M OWNER'S NAME E.L. MILTON JOB ADDRESS 33698 7 C'T SW
CONTRACTOR UNIVERSAL HOMES ADDRESS POB 2566 GIG HARBOR CONT. PHONE 564-3904
CONT. REG. NO. UNIVERH1O1OS 4/91 OWNER'S PHONE 381-4814 OWNER'S ADDRESS POB 2566 GIG HARBOR
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
TAX ACCOUNT NO. 729804-0170 LEGAL DESCRIPTION NA
UED BY ELIZABETH SNYDEROn
DATE OF ISSUE _ .. --fes DATE OF APPLICATION 12/5/90
BUILDING INFORMATION
ZONE NA OCCUPANCY NA TYPE OF CONSTRUCTION MEC BLDG. SQ. FT. NA
SET BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER 1 GAS PIPING-9-0-FT. 2.00 BOILER
2 RECEIVED
BATHTUBS LAUNDRY DRAINS 1 COMPRESSOR TANK(S)
SHOWERS 2 URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER
LAVATORIES 4 DRINKING FOUNTAINS GAS frIOT WATER HTR. 6.50 MISC.
2 BASIC FEE 20.00 RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS 1 TOTAL FIXTURES 16 X $5.00 UNIT HEATER TOTAL MECHANICAL 18.50
AMOUNT NONE
VALUATION NONE
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
MIT FEE
CHECK FEE
PLUMBING FEE $100.00 INSPECTION RECORD
MECHANICAL FEE 18.50
TOTAL BLDG. FEES $118.50 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 $118.50 Account No. 010-000-322-10-004 Total Fee $ 118.50 Receipt No. 15
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 ET:
OWNER OR AGENT DATE / )'--4-- 1--- (-. C-
MECHANICAL PERMIT
CITY OF BUII_ DING PERMIT BUILDING INSPECTION
FEDERAL WAY 941-1555
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. SQ. FT.
SET BACKS: 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 pOT WATER HTR. MISC.
SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION
liiGAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
LUMBING FEE INSPECTION RECORD
_CHANICAL FEE
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK /..-4; y/ Date By
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
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4110 Perp
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER Z. / dL iLT,i/ SITE LOCATION ...3(0.-C-8 7" CLL .5', cc:•
OWNER'S ADDRESS " O 2-S l4 CITY ►y / —tore_ PUONE.3 ( `fps/
DESCRIBE JOB A%�-//0 r?G'yS"t- / m v\A IL Vele-wk.‘'C"
THE PROPERTY IS OWNED BY: SINGLE/MARRIED kli(P, .D PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 2/t4MFCONTRACTOR'S REG. # 13 i PI.
Card MUST be presented
CONTRACTOR'S ADDRESS Po 674- 98 o iq CITYLv?O///<S PHONE .54,V-3 5,f'(/
EXPIRATION DATE CO' I I�i5O
— 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 _ � LL �_%/vleNC l2,- PHONE 5 ; �q(a f
BOX 4 SEWER DISTRICT 7 ()2. ?C -),47-7 WATER DISTRICT 7-7 ..a•'=1?);?-i. LU ?�yj
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION �J
` BOX 6 PROPERTY TAX ACCOUNT NUMBER .72. `I&'-)4/ O / 7C,
LEGAL DESCRIPTION S 47 4t t ef
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR //g2-2— 2ND FLOOR / /3�`
3RD FLOOR / BASEMENT / DECK /_30'/ GARAGE / ?Zc'
BOX 8 (-)INGLE 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. •3 WATERCLOSETS GAS PIPING, FEET '
2 BATHTUBS NO. ✓ FURNACE, ELEC. GAS L $
SHOWERS ✓GAS HOT WATER HEATER $
4 LAVATORIES CONVERSION BURNER $
a. 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: 2/ m E',v DATE: ' _' ` 7�
ANP-008 3/90
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
RECEIVED
DEC - 5 1990 PARTIAL PLAN CHECK FEE RECEIVED
CITY OF FEDERAL WAY Amount Date Receipt#
BUILDING DEPT. BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING