90-101028 LiL.....,„-,,,ll.t,, rntu"11I
CITY OF
FEDERAL WAY BUILDBUILDING INSPECTION
BUILDING 94,_
PERMIT 15 5
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PERMIT NO.90-1112 -- OWNER'S NAME MARTIN MOLONEY JOB ADDRESS 36606 9TH SW
CONTRACTOR AMER GAS ADDRESS 7506 RTVFR ROAD PUYALLUP
CONT REG. NO. 2AMERI101BP OWNER'S PHONE R3R-OR 95 _ OWNER'S ADDRESS 36606 9TH SW CONT PHONE 845-1731
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 TNSTAT,T.ATTON OF PROPANE TANK
TAX ACCOUNT NO. NA LEGAL DESCRIPTION NA
c4_ `rli-
ISSUED BY JOANNE JOHNSON DATE OF ISSUE / .
L' DATE OF APPLICATION 7-10-90
BUILDING INFORMATION
SE OCCUPANCY TYPE OF CONSTRUCTION
BACKS: FRONT BLDG. SQ. FT.
SIDE REAR STORIES
HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT.
AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT
BATHTUBS BOILER
LAUNDRY DRAINS COMPRESSOR PROPANR TANKS RECEIVED
SHOWERS URINALS ( ) SO_OO
FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR.
SINKS MISC.
MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 70.00
AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE INSPECTION RECORD
70.00
,AL BLDG. FEES Water Line OK Mechanical Inspection Notes:
T 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 70.00 Account No. 010-000-322-10-004 Total Fee $ 70.00 Receipt No.
1
ALL PERMITS EXP E180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT HE I FORMATI• F RNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENT WILL :: ' , 1.•
VI
OWNER OR AGE , ��;_ _
�� DATE
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY B U I L D I N PERMIT 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
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 HOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
V
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
lirANICAL FEE
L BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK Date 2/f'�3y /75
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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CITY 0 .. ERAL WAY
BUILDING PERMIT APPLICATION
,/ — Please Print—
BOX 1 TENANT NAME: A4\ ``� 1�C�pti� t:-�
OWNER �'`�&C�� V
1Vca • i2t
:,lt- SITE`LOCATIO _ �('C3(-, `" ` � `'V'
OWNER'S ADDRE§5 3 i.'CCo CE .51r. CITY p
k-<)�1 PHONE�Z`c7 ° LS
DESCRIBE JOB 4 > --c.:' Vet t1/4-- --.'T#\.4---1 c.-__
THE
THE PROPERTY IS OWNED'`BY: SINGLE/MARRIED .-72---.., PARTNERSHIP CORPORATION L�,-
BOX 2 CONTRACTOR'S NAME �v�L - S CONTRACTOR'S REG. #�\'' VA Inc
I Card MUST be presented
CONTRACTOR'S ADDRESS C-- -1 S C} 4.01
-1 CITY '�' ' `‘A - PHONE P4tC-- L 7 t
EXPIRATION DATE S [ i. I t c'').7-.,1 I
— 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 AA/` a IAA G 140' -- PHONE,•Z . ��cic
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.)
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$ 2_C - C'C)
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 $
DRAINS $
OTHER YG
fct' - kr aS0 9P(_$ 3-0
TOTAL FIXTURES lJ $
TOTAL MECHANICAL FEE $ 70 ,( )
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 INCURREII INV STIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AG. T CIT F F DERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND 'LI .ES, U ( N . ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: � -1 DATE:
U
ANP-008 3/90
• •
OFFICE USE ONLY (PLEASE D RITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT__
FIRE DEPARTMENT APPROVAL DATE 7- / 7 Ye
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 V4) 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 7o- O
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE 76 - 0
ASSIGNED ADDRESS: $ e__?c. (cam
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
J U L 1 01990 Amount Date Receipt#
CITY OF FEDERAL WAY BUILDING DEPARTMENT APPROVAL
BUILDING DEPT
RECEIVED BY L DATE / - I_Z ` l d ACCEPTED FOR FILING