92-102054 MECHANICAL PERMIT 9 - s '
CITY OF g I LD I N PERMIT BUILDING INSPECTION
FEDERAL WAY u G 661-4140
PERMIT NO. 92-1145 M OWNER'S NAME WILLIAM DALE SITE ADDRESS 31825 10TH ST SW
CONTRACTOR NORTHWEST WATER HEATERODREss 8201 DURANGO ST SW TACOMA CONT.PHONE 984-6404
CONT.REG.NO. NROTHWH1O3R2 EXP12/92 OWNER'S PHONF 984-6404 OWNER'S ADDRESS 318255 10TH ST SW FEDERAL WAY
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. 555730-0460 LEGAL DESCRIPTION
*SUED BY _ JOANNE JOHNSON DATE OF ISSUE C
_ t DATE OF APPLICATION 7-27-92
BUILDING INFORMATION
ZONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
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 19 FT. 2.00 GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ BASIC FEE
20.00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 28.50 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
ERMIT FEE
N CHECK FEE
PLUMBING FEE INSPECTION RECORD
MECHANICAL FEE 28.50
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 2850 Total Fee $ 28. 50 Receipt No. C).2- 1 `lj 6-2,--
ALL
?/SILL 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 INFO ATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
RFOUIREMENTS WILL B
;:ed( 1(
I/�OWNER OR AGENT DATE �
MECHANICAL PERMIT 7a- '.)to Sy
CITY OF BUILDING PERMIT T BUILDING INSPECTION
FEDERAL WAY
661-4140
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92-1145
L92-1145 14 WILLIAM DALE; 31825 1OTI Apr SW
PERMIT NO. OWNER'S NAMESITE ADDRESS �J
CONTRACTOR EST NA•3• ` 8 Q T' DDRESS 8201 '' CONT.PHONE 984-6404
CONT.REG.NO. MH
103R2 EXP12/92 OWNER'S PHONE 984-6404 OWNER'S ADDRESS 31825 10TH ST SW FEDERAL NAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIA' NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS_ )MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 555730-046n LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 1 ;L DATE OF APPLICATION Z7-27-92
• BUILDING INFORMATION
ZONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY _ TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. _STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
2.
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. ® GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
6.
SHOWERS URINALS GAS HOT WATER HTR. 5C AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
20.00 RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 29.50 AMOUNT
VALUATION
/ /if ' GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
FEE INSPECTION RECORD•LUMBING
ECHANICAL FEE
28.50
TOTAL BLDG. FEES Water Line OK Mechanical Ins F t.. 111 .
PART P/C FEE � I) .
SEPA REVIEW GAS PIPING OK -/fs 5'26) Date By A ` ` ' `�"t�
WATER SERVICE "-
WATER MAIN CHG. Es, , 6i. c2;4W ..—
S.B.C.C. FEE ' n- D��C -
OTHER FEES MECHANICAL PERMIT G y
AMOUNT DUE Z i Total Fee $ �. '5 eipt No. 07 . .
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:
LOWNER OR AGENT DATE
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BUILDING DEPARTMENT
7 CITY OF FEDERAL WAY
176/UP . . .
Correction Notice
,„
Job Located at 3/is =' S. -v
I have this day inspected this structure and these premises
and have found the following violations of City and/or State
laws governing same:
p1/4-I°/754 i/V Pv2('1i'//1/f/z_/) L4 cf 7/0 A.) ,;ick,
/ 3c r C//v/AVIA( /`'1 cM4A6/A - C0/.1=, P1,T?C- crew
L'/ /5 j4Jus/Us
2) P/V 5"i2E/ �-,�J-r,� ,2�i i u./ c z L' GAJ/
c 4)i7Y //1-- h,/) YU c:X71.7---/f/cv('' ��, �- yo _ i 772/11--)j
You are hereby notified that no more work shall be approved
upon these premises until the above violations are corrected.
When corrections have been made, call for inspection.
Date . 7 1.1'4) 11/4/
Inspector for Building Dept.
DO NOT REMOVE THIS TAG
ANP 007 3/05/90
• • •
BUILDING DEPARTMENT
CITY OF FEDERAL WAY
. . .
Correction Notice
Job Located at 3/ 2 5 id - s_. •
I have this day inspected this structure and these premises
and have found the following violations of City and/or State
laws governing same:
c a/7/54%5 lc• 9me /s "/ / /z a 't n -,2
e) S/z C . ("f 7 ( //cc/2A4 '/( L CJ1/4 /'L..h oci,/e
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1/t/:- co 1'1 ATI./s%7o,' 1'f'/irte' //vj9Ai)
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a Ain C.i/> 4//u G c u/7////Nj l�/1 C-6(-)1/1^i 2 ).2 ' nj� j f1%< 11:711(:-/ f/L=
/
/f"' O/V/2 � f//JA1 7///l �cr,(//-i✓' /2 ' e/i" ///11 /?/%f<rs ciA4*7-
j/f%S "PPAO G/9T/ON A Y // 1 o/: _1e $ 4�_ J/t+ .
1=2/i/2- /9/Z/i/4 /.S iZ� (,ice//2/z""/J ,v/U/i)/IU /5 ii i 'z/z N �//l1 ;we,
OIP/Itii Nbj
You are hereby notified that no more work shall be approved
upon these premises until the above violations are corrected.
When corrections have been made, call for inspection.
Date �/-f1- 2. A,M%% )5c i itig/rvi.5
Inspector for Building Dept.
DO NOT REMOVE THIS TAG
AMP-007 3/05/90
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER k- ^J‘\\\O-yv .1/2)ALL., SITE LOCATIO • -� Ic - `31 u
OWNER'S ADDRESS "4'5 CITY ,1 i .. PHONE 1
DESCRIBE JOB \
THE PROPERTY IS OWNED BY: SINGLE/MARRIED rm PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ` r \U ti ' .ti CONTRACTOR'S REG. #\ All \
Card MUST be pre enter
CONTRACTOR'S ADDRESS \>� +-Yca,11 ;7f 5 CITY U-�C��'Yl.� PHONES - �
EXPIRATION DATE ' �3�� R�3—
— 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 ( PHONEcM -{.0t- Z '\
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 5 3c1L, EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER S`-' •7 U
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$
NO. _WATERCLOSETS GAS PIPING, FEET «1 $
BATHTUBS NO._ 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 $
TOTAI. 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' NFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: � .� .L_ V _L DATE: At .�I.
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:
PARTIAL PLAN CHECK FEE RECEIVED
J U L 2 7 1992 Amount Date Receipt#
riOF FEDERAL%NAY BUILDING DEPARTMENT APPROVAL
eJLD O DEPT
RECEIVED BY DATE ACCEPTED FOR FILING