Loading...
92-100526 MECHANICAL PERMIT a, IOb 5o1�o CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 92-0519 M OWNER'S NAME RALPH CAMBELL JOB ADDRESS 3713 SW 319TH STREET CONTRACTOR NORTHWEST USI ADDRESS 1908 341ST PL S #9 FEDERAL WAY CONT. PHONE 952-5433 CONT. REG. NO. NROTHUS101JJ OWNER'S PHONE 838-1432 OWNER'S ADDRESS 3713 SW 319TH STREET 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. 873198-3200 LEGAL DESCRIPTION "'SUED BY JOANNE JOHNSON DATE OF ISSUE '474 - `l -- Cl ! DATE OF APPLICATION 4-2-92 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 FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS j1OT WATER HTR. MISC. RETURNED 20.00 SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL _30.00 AMOUNT VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE AN CHECK FEE ALAN 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 WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNT DUE 30.00 Account No. 010-000-322-10-004 Total Fee $ 30.00 Receipt No. ("' - A - S-- 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 INFO'MATIO URNISHED BY ME IUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE T: OWNER OR AGENT I 2$. 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. 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 FT BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) _ SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS frIOT 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 PLUMBING FEE INSPECTION RECORD MECHANICAL FEE TOTAL BLDG. FEES Water Line OK Mechanical Inspecti Notes: PART P/C FEE .� �,/f�/ �n SEPA REVIEW GAS PIPING OK Date /�/J By �f 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 AB i / '/ /31V0 ad aSd a8a Adf100O . 4 O IVNId A8 31V0 A8 31Va 19 31Va IIVM 381d ONV abVO8 -Flynn NOIIVlfSNI ONIWV8d 3S0-10N3 01 .>1.0 A8 31Va ...._ NO ONIdId SVO Ag 31Va NO1103dSNI -IVOINVH031A/ .- 'N O 3NI1a31VM NI HOfOa ONISIA IId A8 31Va _ - AS 31Va A8 31Va NEOMaNf1089 ONI8V fild SIIVM NOI1VaNf1Od aflOd O1 N 0 SONIIOOd aNV S)IOVS 13S 1 CI Per. # °I � -�2 % 1 YY RECEIVED • APR 0 2 1992 CITY OF FEDERAL WAY OfTYOF FEDERAL WAY BUILDING PERMIT APPLICATION BUILDING DEPT. — Please Print— BOX 1 TENANT NAME: OWNER C'`.ci c 0,, C°c`.rt-.�E> �� SITE LOCATION 31- 1'- S,ar3, ..- (j S7,4. OWNER'S ADDRESS 3}1'3 S . i .-.. 3\ =1 S"t'. CITY_/-eSec* (1%a , PHONE S'38 -1€(3:2 DESCRIBE JOB 2i--,--, (36, 7, Pe6P,n,,e�t- 0-1,.._ E-,��(�c ,_C e_ :� THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME MC*i4„ ,---€,• -t i,l :5.1 CONTRACTOR'S REG. #JV c.,czf\.,l.l`a 1( i Ji st Card MUST be presented CONTRACTOR'S ADDRESS \`°CY4 ,3`/l P/ >,'°c? CITY 11=eecc (k)c_;; `; PHONE 9 -S ..3 EXPIRATION DATE 4-1--_ -`12_ ---5 lJ — 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 0e,`r•v\-.`j -c-.Q PHONE c(50-S11-33 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXIS NG BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 9)1-23 \ct c7 '33 U 0 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 I 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 C'- $ BATHTUBS NO. FURNACE, ELEC. GAS k $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES —CONVERSION BURNER $ SINKS BOILER, SIZE BTU $ al WASHERS AIR HANDLING UNITS $ E'4 CTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ A NDRY 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 INVESTIGATI I AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED AGAINST T - Y I/FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLO E :, CCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: A► / �� DATE: ANP-008 3/90