92-100251 MECHANICAL PERMIT /),/Doal
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 92-0193 M OWNER'S NAME SEATTLE HOME BROKERS JOB ADDRESS 1327 SW 322ND CT
CONTRACTOR NOR PAC HEATING & A/C ADDRESS 3414 "A" STREET SE SUITE 103 AUBURN CONT. PHONE 931-0610
CONT. REG. NO. NORPAHA123A OWNER'S PHONE 628-0789 OWNER'S ADDRESS 500 S LANDER SEATTLE
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. 010450-0100 LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE � - 7 ` fj 2-V DATE OF APPLICATION 2-6-92
BUILDING INFORMATION
*NE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
T BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER . GAS PIPING 85 FT. 2.00 BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS1-1OT WATER HTR. 6.50 MISC.
SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FIXTURES UNIT HEATER _ TOTAL MECHANICAL 38.50 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEELUMBING FEEECHANICAL FEE
PINSPECTION RECORD
M 38.50
TAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
RT 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 3850 Account No. 010-000-322-10-004 Total Fee $ 38.50 Receipt No. L/ 7' 72 7
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 !17 2.1%4-4"-. DATE 2/i,/ 9
MECHANICAL PERMIT
CITY OF Bu ' I_ D IN G PERMIT BUILDING INSPECTION
FEDERAL WAY 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
INE 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 pOT WATER HTR. MISC.
SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED
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
ECHANICAL FEE
.TAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK /
v�
Date By
WATER SERVICE }IWATER 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: A3
OWNER OR AGENT DATE _.
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RECEIVED "'Permit # Q.) - 1 -3 hr-----
FEB
r--FEB 0 6 1992 CITY OF FEDERAL WAY
Of YOFFEC►IERALWAY BUILDING PERMIT APPLICATION
BUILDING DEPT
— Please Print—
BOX 1 TENANT NAME:
OWNER Sc, tl/a lie,,,,. /3-, kr, 4 SITE LOCATION /3 2 7 s: .312 '' C F 4.�-../�1,
OWNER'S ADDRESS S'el a S 4-.., -,4:--- CITY S e n /`//c PHONE c L {f- –[i 7 a- r,
DESCRIBE JOB Iit,S/*//..4,j f‘•5 fbr.•;cr 4 Adtv. le• /4 ••-,Er "'-fwcr/c. G•.-y/04►.s�.�/•,7
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X.
BOX 2 CONTRACTOR'S NAME A%c r PA, c /,/c, /,.•j .t /f/c CONTRACTOR'S REG. # 4OA /'/////111.3 4
Card MUST be presented
CONTRACTOR'S ADDRESS 3 4' / y 4 cf. . ..F. S,.,/e "CITY /A 44., 4-' PHONE ' 3 / - UG/v
EXPIRATION DATE 7/'/52
— OR —
I HAVE READ CHAPTER 18.27.010 RELATIN 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 A/..f f' .. //f5 r 4/C- C 0 e L ) PHONE 93/ -D(/0
BOX 4 SEWER DISTRICT WATER DISTRICT
SOX 5 ESTIMATED PROJECT COST EXISTING BUIL NG VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBS 0 /41, il S C U/O v
Ll - S66!-PTION
(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 8SINGLE FAMILY ( NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) EXISTING STRUCTURE ,
( ) COMMERCIAL/INDUSTRIAL OTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET f S $
BATHTUBS NO. I FURNACE, ELEC. GAS k $
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 $
DINS $
THER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
I CERTI 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: 12,„4 i 24%-. DATE: .Z/G/> 2
ANP-008 3/90