90-101502 MECHANICAL PERMIT 9b')0/ S 6 d
CITY OF Bu I I_ D IN G PERMIT BUILDING INSPECTION
FEDERAL WAY 941-1555
PERMIT NO. 90-1712M OWNER'S NAME JAMES BENNETT JOB ADDRESS 31237 10 CT SW
CONTRACTOR PACIFIC GAS HEATING/AIPj DDRESS 2702A 112 AVE E TACOMA CONT. PHONE 536-7997
CONT. REG. NO. PACIFGH11OME 7/91 (OK) OWNER'S PHONE OWNER'S ADDRESS SAME
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. 327581-0030 LEGAL DESCRIPTION NA
�
. �
•UED BY ELIZABETH SNYDER DATE OF ISSUE { , Aa. DATE OF APPLICATION 10/29/90
BUILDING INFORMATION ir
ZONE NA OCCUPANCY NA TYPE OF CONSTRUCTION MECHANICAL 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 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 frIOT WATER HTR. MISCGAS LOGS 6-50
SINKS MISC. CONVERSION BURNER BASIC FEE 90_00 RETURNED
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 76_50 AMOUNT NONE
VALUATION $NONE
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
ION CHECK FEE
MBING FEE INSPECTION RECORD
MECHANICAL FEE 26_ 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 -2
AMOUNT DUE $26.50 Account No. 010-000-322-10-004 Total Fee $ 26.50 Receipt No. i-- -,
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: I
OWNER OR AGENT DATE I 1196
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
7 7', 1a C 6t C'�R-f'k:
IIlb
I D j
J
mz £9 m
c 0 w
O
0 CC
O w w .
a
z 0
o z a
a
Z• 1 z 'f 0 1 .
0 m a
n w U w I-
w a
a o 2 0 o
1
J 1 0 INS
J V)
z
O m m
a
0
Z
7
O Y Y I da
O 0
D z
7 Z J
(7 O
a � z_
1-
acc a
O w w a J w
H < < 7 F 0
0 0 0 0 0
Iliti
u O
O i z 'i
z
m mQmr am
O Z li 7
O = w U �'
O
za 0 OJ ° �'
CC 0 E- .p
%z W YrcrU O \ 1a m O �mw
2 w I- w Q w
H h- 7 H Y F- z ~ \
w 0 -J <O0 0i o
ci)
Pest # lO - I1D-
•
CITY OF FEDERAL WAY RECEIVED
BUILDING PERMIT APPLICATION ;OCT 2 1990
— Please Print-
BOX 1 TENANT NAME: —scums WI-mei-T-
OWNER SqlMP SITE LOCATION Same.
OWNER'S ADDRESS a‘aal7 to CT Sty) CITY PHONE
DESCRIBE JOB GAN LAOS
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME VAC,IFIC. GAS * -t-A1'e. CONTRACTOR'S REG. # PSG I Fes} t I4aI&
Card MUST be presented
CONTRACTOR'S ADDRESS a1)D-.4 1.151 CITY -1AcoMQ PHONE 5.3 (0-1 qQt 7
EXPIRATION DATE '7 ( 51 el (
- OR -
I HAVE READ CHAPTER 18.27.010 RELATI G 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
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 3Q-1 Ski -60-a
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$ 20,(9' d
NO. WATERCLOSETS GAS PIPING, FEET 0 - $
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 1 OTHER C \Oa S $
6f.
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ (/,--1L\�
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: ..... DATE: tU ia5-/ 96
ANP-008 3/90