92-100966 MECHANICAL PERMIT 9',Pi /409&,�O
CITY OF BUII_ DING PERMIT I T BUILDING INSPECTION
FEDERAL WAY
661-4140
92-990 M TERENCE LINKLETTER 614 SW 321ST STREET
PERMIT NO._ OWNER'S NAME SITE ADDRESS
CONTRACTOR NORTHWEST WATER HTRADDRESS 8201 DURANGO ST SW TACOMA CONT.PHONE 984-6404
CONT.REG.NO. NOTHWH1O3R2 EXP. 12/92 OWNER'S PHONE 661-9100 OWNER'S ADDRESS 614 SW 321ST STREET 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. 926490-0650 LEGAL DESCRIPTION
7.ISSUED BY JOANNE JOHNSON DATE OF ISSUE C----F 2-- DATE OF APPLICATION 7-1-92
BUILDING INFORMATION
10ZONE 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. 2.00 GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 28.50 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 28.50
AllOTAL 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 -16“-{q3 `(
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 INFO ATION URNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
Is,REQUIREMENTS WILL B MET
OWNER OR AGENT DATE
cT, !&or)
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
92-990 H TERESCE` LMRLET"T'ER 614 SIC 32152 STREET
PERMIT NO.-,51:, mnwrirr_ieWNER'S NAME _ $ITE ADDRESS
8201 LGOO ST 'I`At;. �L�.Ii� 984-6404
CONTRACTOR it }i103R; ty� 661-910u X14 sw 321STc0i7a11RL"1Y1- FEDERAL
CONT.REG.NO. EXP. 76 OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION_____NEW INDUSTRIAL NEW COMMERCIAL_ COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD._
NEW MULTI-FAMILY 7(1)MTS )MULTI.ADD. SIGN _ GRADINGOTHER _ _
TAX ACCOUNT NO. LEGAL DESCRIPTION -97
_
ISSUED BY _ _ DATE OF ISSUE DATE OF APPLICATION'
BUILDING INFORMATION
ZONE_ _ ____ SET BACKS:FRONT _ _ _SIDEREARHEIGHT LIMIT
OCCUPANCY _ __ TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT_ _ BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. • t.1
SHOWERS AIR HANDLING UNIT _ _ NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL ____ AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
MECHANICAL FEE ZS
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: r--C-- 7 _(7i' 'Vd (A CCE-S5
PART P/C FEE Jb� /_ Y C /*CSK` / q// '- r (�rcit,'SEPA REVIEW GAS PIPING OK Date 1 l- ( ` /
WATER SERVICE // O6
WATER MAIN CHG. &2C S In (- e;
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT 7-2 _
AMOUNT DUE Z$ Total Fee $ Receipt No. `j / ' 3'L
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:
E
OWNER OR AGENT DATE
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Jut OtryoF ' p992 CITY OF FEDERAL WAY
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wAY BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER _ _ ' ' . Yl . ! . r, A SITE LOCATIO L _
OWNER'S ADDRESS / . 5 - . CITY • _ _ 'HONE -lc I —9 I On
DESCRIBE JOB IY N-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME-A,CS VV1a. --* CONTRACTOR'S REG. # C)CD
Card MUST be presente
il
CONTRACTOR'S ADDRESS ,(?"( Da'Y1 , ,�j, 'Y �C-�YY1 ek- PHONE "� 0-1
EXPIRATION DATE 0-1 aa-" (L /
—
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 \ PHONE c)1 cS�I- G L4cL.
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST tp I h.t EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER LI 90 - ()Log.)
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 ( ) 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 $
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 _. 1 _ —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 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:(T -1V `'l a DATE:
ANP-008 3/90