92-100099 MECHANICAL PERMIT 93,loDa 9 5
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 92-0040 M OWNER'S NAME OLSEN JOB ADDRESS 31417 31ST AVE SW
CONTRACTOR ENVIRONMENTAL DESIGNd6REss 25328 SE 200TH MAPLE VALLEY CONT.PHONE 432-4247
CONT. REG. NO. ENVIRD1O98K1 OWNER'S PHONE 874-6895 OWNER'S ADDRESS 31417 31ST AVE 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. 438801-0420 LEGAL DESCRIPTION
(ISSUED BY JOANNE JOHNSON DATE OF ISSUE 7— //`9.� DATE OF APPLICATION 1-13-92
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 10 FT. 2.00 BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
4 LAVATORIES DRINKING FOUNTAINS GASrHOT WATER HTR. 6.50 MISC.
SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 28.50 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
AN CHECK FEE
LAN
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 28.50 Account No. 010-000-322-10-004 Total Fee $ 28.50 Receipt No.
ALL PERMITS EXP -E 180 DAY AFTER ISSUANCE IF NO •RK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT HE INFOR - ION FURNI;;!; " UE AND ERECT TO THE BEST OF MY KNOWLEDGE AND THE APPLI ABLE CITY OF FEDERAL WAY
REQUIREMENT WILL BE/ •
f
OWNER OR AGE T VW?t '11111".Y, '' DATE
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING 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
ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. 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 1OT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
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
LUMBING FEE INSPECTION RECORD
CHANICAL FEE
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 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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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE ___ BY �-___ DATE ____- _Bv ___� _ DATE ____ ____ _8Y
PLUMBING ROUGH IN WATER LINE O.K. -__ _-___ ____ MECHANICAL INSPECTION
��,
DATE __ _�ev _____ GASP|p|wGO.K._- 0,5/P-2"��u�� DATE __ ��__sY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BYDATE BY _ DATE _�__ _-__�_BY
FINAL O.K. TO
DCD PSD FD
oxrEv��� '7----BY
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Peet # 53)_ ODv
JAN 3 11,g2CITY OF FEDERAL WAY°111401I�r�
°"�'' RN.„ BUILDING PERMIT APPLICATION
orztor4Y -Please Print—
BOX 1 TENANT NAME:
OWNER • r A / SITE LOCATIO / 1-- %
OWNER'S ADDRESS _J • Al / % CITY -I -.y '_ HONE f&�� r
DESCRIBE JOB /it f T7-/1 6-A-5” /-7/t27-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED "— PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME AA./LI//0/J/Ve 7-7- . D&S/ /4/ ONTRACTOR'S REG. #/ 'i OR n I0r1 ci<l
Card MUST be presented
CONTRACTOR'S ADDRESS 253 2 6 SG 2-CC'f-4- CITY In/t L-LA - PHONE 14 3 2 4,0 4 7
EXPIRATION DATE I-1 - 1/ - j Z
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO D IONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WH H PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON S PHONE ' .2- SEs- 7
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING B DING VALUATION
YBOX 6 PROPERTY TAX ACCOUNT NUMBER 4,13 - YO/ 04 a C)
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat l,ecording#
BOX 7 BUILDING `66QUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( INGLE FAMILY ( ) N NSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) (- XISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET Il) $
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 $
URINAL AIR COOLING UNITS, SIZE $
DRIN. G FOUNTAINS COMMERCIAL HOOD $
S , PS, SPRINKLER VACUUM BREAKERS OTHER $
i RAINS $
OTHER $
TOTAL FIXTURES $
r 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 IE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFEN'6E OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAI E CITY OF FEDERAL W , BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AN MPLO EES, UPON THEi CC ACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGE T. MP:**or i, DATE: / /,D 6_
ANP-008 3/90