92-100801 MECHANICAL PERMIT 9 .4015 50/
CITY OF BUILDING INSPECTION
BUILDING
FEDERAL WAY PERMIT 661-4140
PERMIT NO. 92-0851 M OWNER'S NAME VANESSA HARDIN SITE ADDRESS 1417 SW 319TH CT
CONTRACTOR WASHINGTON NATURAL GASSDSs 3130 S 38TH ST TACOMA CONT.PHONE 475-6700
CONT.REG.NO. WASHING285CB EXP. 3/93 OWNER'S PHONE 941-5569 OWNER'S ADDRESS 1 41 7 SW 31 4TH CT FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEWINDUSTRIAI NEW COMMERCIAL COMMERCIAL ADD_ INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 416795-0440 LEGAL DESCRIPTION
, F1As
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 6-1-92
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 25 IFT. 2.00 GAS LOGS
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT woRIDRYER 6. 50 RECEIVED
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. BBQ BASIC FEE 20-00
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 78_ 50 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
'LUMBING FEE INSPECTION RECORD
ECHANICAL FEE 2f1_ 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 I (� 0
OTHER FEES MECHANICAL PERMIT `'l
AMOUNT DUE 28. 50 Total Fee $ 28.50 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 I• .�C-Cx J i uZwrw2, DATE —1-f'67
MECHANICAL PERMIT
CITY OF BUILDING PERMIT BUILDING INSPECTION
FEDERAL WAY
661-4140
PERMIT NO. 92-0851 M
OWNER'S NA(MEE,,�� ��++��VANESSA HARDIN SITE ADDRESS 1417 SW 319TH CT
CONTRACTOR >SHINCTON Mini-. . GA DDPIESS 3130 S 38TH ST CONT.PHONE 475-6700
CONT.REG.NO. WASHING285CB EXP. 3193 OWNER'S PHONE 941-5569 OWNER'S ADDRESS 17 S 319TH CT FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAI NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. , _ -0440 LEGAL DESCRIPTION 1
(4/
ISSUED BY JOANNE JOHNSON
DATE OF ISSUE (' DATE OF APPLICATION 6-1-92
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 FT. GAS LOGS
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
x.50 RECEIVED
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYERTOTAL MECHANICAL 28. 5� 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 --
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE r
SEPA REVIEW GAS PIPING OK / 2 Date A. l'i By
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE 26.50 Total Fee $ 26.50 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-4,(4-"- �y -
DATE -47'0,1,
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. _i/217,4-
...__ MECHANICAL INSPECTION
DATE -._ BY GAS PIPING O.K. / 'im-- DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE _____ BY DATE BY
---._ DATE _ -- ----- _BY .._..--
FINAL O.K. TO OCCUPY
DCD PSD FD
/
DATE BY '
• Penh #_ 7 - s /1,1
RECEIVED BY
COMMUNITY DEVELOPMENT DEPAATIAINTCITY O F FEDERAL WAY
JUN 1 1992 BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER . o% Nci n of:t SITE LOCATION I Li <'1
OWNER'S ADDRESS _ CITY FPI Lu y PHONjLI) ._55 cJ
DESCRIBE JOB C ui- pt I ` LLp
THE PROPERTY IS WNE BY: INGff/MARRIED XRTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME WASHINGTON NATURAL GAS CO. CONTRACTOR'S REG. # WASHING285CB
Card MUST be presented
CONTRACTOR'S ADDRESS 3130 S 38 ST TACOMA, Y PHONE 475-6700
EXPIRATION DATE 3-1-93 I,
— 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 DENA IVEY PHONE 473-8337
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 4167950440
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 (x) 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) MECHANI9AL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET
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 X OTHER C�f- 'J $
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 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: •' < _ )A _ _
ANP-008 3/90