90-100742 MECHANICAL PERMIT 90 1101)7y a,
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-1103M OWNER'S NAME ROBERT BARTH JOB ADDRESS 31820 32 PT. SW
CONTRACTOR AMERICAN ENERGY SYS. ADDRESS 2921 TALBOT RD S RENTON CONT. PHONE 255-1587**
CONT. REG. NO. AMERIES147N1 8/90 OK OWNER'S PHONE 838-6593 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 ONLY
TAX ACCOUNT NO. NA LEGAL DESCRIPTION EXISTING AOTTSE
-qlISSUED BY ELIZABETH SNYDER DATE OF ISSUE Z DATE OF APPLICATION
BUILDING INFORMATION
ZONE NA OCCUPANCY NA TYPE OF CONSTRUCTION MECHANICAL BLDG.SO. 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
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) RECEIVED
SHOW5RS URINALS FORCED AIR FURNACE 10_00 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 30.00 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
MECHANICAL FEE $30 00
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK Date By
WATER SERVICE
faWATER MAIN CHG.
S.B.C.C.FEE
OTHER FEES MECHANICAL PERMIT �,�
AMOUNT DUE $30.0.0 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,-7 ,...4.1
- DATE Y/4.71-5A6
_-
• •
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE BY DATE BY DATE BY
--.
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE BY GAS PIPING O.K. DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY DATE . BY DATE BY
FINAL O.K. TO OCCUPY
°41 ..).4.L.SICL DCD PSD FD
DATE IC.' ) BY
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION RECEIVED
—Please Print—
JUL 9 1990
BOX 1 TENANT NAME / CITY OF FEDERAL WAY
OWNER , . > �I e.✓ TE LOCATION �-,i BUILDING DEPT.
OWNER'S ADDRESS /! - - [�- CITY PHONE —� �
DESCRIBE JOB 14t// .? ‘//74
THE PROPERTY IS OWNED BY: SINGLE/yIABBIFD JC PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME A a y C 'Ile Sc s t " CONTRACTOR'S REG. # „ez_f_jc s / 744//
Card MUST be presented
CONTRACTOR'S ADDRESS y 1 TAI bo 7 d -S my—Pen/6 n 10 PHONE )55 /5C 1
EXPIRATION DATE a�1.5
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHI PROHIBITS ISSUING PERMITS rHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON / /vv// - /
•s� a`G PHONE ... 3------/(6---Y7
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 I GARAGE /
BOX 8 ()Q) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MEC L APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEE $
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 $
TOTAL 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 CI OF FEDERAL WAY,BUT ONLY / ERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLOYE,UPON THE ACCURACY OF T(INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: 41� , .. _�.c - �i�/_ _i'. DATE:
ANP-008 3/90