90-100323 MECHANICAL PERMIT
CITY OF B BUILDING INSPECTION
BUILDING D I N
FEDERAL WAY u G PERMIT 941-1555
ga . 13b313
PERMIT NO9O-445M OWNER'S NAME OUADRANT CORPORATION JOB ADDRESS 34435 9 AVE SW
CONTRACTOR RELIABLE SHEET METAL ADDRESS 11447 120 AVE NE KIRKLAND CONT. PHONE 813-6R6R
CONT. REG. NO. RELIASM437RS 12/90 OWNER'S PHONE 455-2900 OWNER'S ADDRESS POR 1 30 RFT.T.FVTTF.
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 'MECHANTCAT. ONLY"
TAX ACCOUNT NO. NA LEGAL DESCRIPTION NA LOT 41 DIV II CAMPUS HIGHLANDS
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE -571174/9 0 oie. DATE OF APPLICATION 4/?6/9 0
BUILDING INFORMATION
aiiE NA OCCUPANCY NA TYPE OF CONSTRUCTION NA BLDG. SQ. FT. NA
T 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. 7 00 BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS _ FORCED AIR FURNACE JAL-0_0 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. 6_50 MISC.
SINKS MISC. CONVERSION BURNER BASIC FEE ao_oo RETURNED
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 38.50 AMOUNT NONE
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 $38.50
AL BLDG. FEES Water Line OK Mechanical Inspection Notes:
ART 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 $38.50 Account No. 010-000-322-10-004 Total Fee $ �I Receipt No. $075-/7
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:
/ L
OWNER OR AGENT �� �i �� DATE f�
a
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
� lJ l LD I N
FEDERAL WAY G 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
OFAC_ OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT.
KS: 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. 6-44 MISC.
SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
MECHANICAL FEE
BLDG. FEES Water Line OK Mechanical Inspection Notes:
P P/C FEE /
SEPA REVIEW GAS PIPING OK P-", - 9 v Date k1-lG OBy D&
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
• 0
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATEB, DATE _ ____- _av _ � DATE __-___-a, __������
PLUMBING ROUGH IN WATER LINE O.K. __ -_ _ _ _ MECHANICAL INSPECTION
DATE BY _______- GAS PIPING 0.n.-_� DATE __aY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE �_-____�Bv _ DATE BY --__-�_ __ DATE BY
FINAL OKTO OCCUPY
DCD PSD FD
DATE -0--6±kBY
_
*RECEIVED
NN 0 7 1990
CITY OF FE.D �-WAY
BU1LDItvG DBRA['T.
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 OWNER Quadrant Corporation JOB LOCATION 3/1/135 9th Ave S.W.
OWNER'S ADDRESS P.O. Box 130 CITY Bellevue PHONE 455-2900
DESCRIBE JOB New installation mechanical system furnace, HWT, gas piping
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME Reliable Sheet Metal CONTRACTOR'S REG. #RE-LI-AS-M4-37P.S
Card MUST be presented
CONTRACTOR'S ADDRESS 11447 120th Ave NE CITY Kirkland PHONE 823-6868
EXPIRATION DATE 12/90
— 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 VerrenP Johnson PHONE 823-6868
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 ( X) SINGLE FAMILY (X ) 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$ 20.00
NO. WATERCLOSETS GAS PIPING, FEET under 100' $ 2.00
BATHTUBS NO. 1 FURNACE, ELEC. GAS X $ 10.00
SHOWERS 1 GAS HOT WATER HEATER $ 6.50
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 $ 38. 50 _
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 FOR WHICH P RMIT APPLICATION IS MADE.
OWNER/AGENT: V - DATE: 5/4/90
ANP-006 2/90