90-100671 MECHANICAL PERMIT
CITY OF BUILDING PERMITBUILDING INSPECTION
FEDERAL WAY
941-1555
91),ht)&-7l
PERMIT NO. 90-1289M OWNER'S NAME DAVID BRANNAN JOB ADDRESS 30520 7 AVE SW
CONTRACTOR NW USI ADDRESS 1908 S 341 PL STE 9 FEDERAL WAY CONT. PHONE 661-7852
CONT. REG. NO. NORTHUS1O1JJ 4/91 OWNER'S PHONE 946-2343 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 NA
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE !6/9c DATE OF APPLICATION 8/2/90
BUILDING INFORMATION
NE NA OCCUPANCY NA TYPE OF CONSTRUCTION MECHANICAL BLDG. SQ. FT. NA
T BACKS: FRONT
MBING
NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA
NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANKS) RECEIVED
SHOWERS
LAVATORIES
URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER
DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
iii
SINKS MISC. CONVERSION BURNER BASIC FEE
20.00 RETURNED
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 3Q_00 AMOUNT NONE
LNONEVALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
FEE
PLINSPECTION RECORD
MECHANICAL FEE $30_00
TAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
RT P/C FEE
PA 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 $ 3O.vrOReceipt No. c� }e c.
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 THE1FORMATION'FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL gg``i�z MET:
OWNER OR AGENT A . DATE ' I /J
MECHANICAL PERMIT
CITY OF Bu I I_ DI N 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
ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
S CKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
SACKS:
NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT BOILER
BATHTUBS LAUNDRY DRAINS COMPRESSOR _ TANK(S) RECEIVED
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT 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 d
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes:
likP/C FEE
mprREVIEW GAS PIPING OK Date By
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
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RECEIVED _ eirrmit # ql)'— ij rr
AUG 0 2 1990 CITY OF FEDERAL WAY
CITY OF RAL WAY
BUILDINGLDING DEPT. BUILDING PERMIT APPLICATION
—Please Print-
BOX 1 TENANT NAME: Cr-OWNER DAti ID RRA Ain.,4"-) SITE LOCATION r3 a O - P7 /5/c* S • (
OWNER'S ADDRESS -coS aO 7 Av S CITY Few w—7 PHONE 9 `--Re - a 3 5/3
DESCRIBE JOB i; Li.lc_e 1)i-41, giRrr r 4.i/ ,.,Q ,Std
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 11.)002,7" tO/S7 US I CONTRACTOR'S REG. #AJokri4 VS / 01 -3'r
/ Card MUST be presented
CONTRACTOR'S ADDRESS 1`liog 3V P4 .u�I�e 7 CITY /c (...JA--7PHONE k:AD/- a8--S--,R
EXPIRATION DATE y --S "'': /
k - OR-
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WkilQHH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON L1Je v,./ ,. 2 PHONE [o CO/-c)--kS-
BOX
)-kSBOX 4 SEWER DISTRICT WATER DISTRICT -_____________---
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER ,p
LEGAL DESCRIPTION 6 c S - r-N-d J S 1
(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_ .J GARAGE /
BOX 8 ( ) SINGLE FAMILY ( )
� NNSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( XISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANIC APPLIANCES - BASIC FEE$ 7 C i OD
=
NO. WATERCLOSETS GAS PIPING, FEET • $ '--..„
BATHTUBS NO. / FURNACE, ELEC. GAS / $ LI
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 $
ep OTHER $
TOTAL FIXTURES $ -1 c-,(2-4.2--
TOTAL MECHANICAL FEE $.
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES INCURRED , , , _TIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAI . T THE C Y OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMP OYEES, UPON THE ACGL iBBAC\ OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: _ • - CL-A--'k------- DATE: , -ate
ANP-008 3/90
0110 ► ••
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT _
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
�y'LI fid;)). ASSIGNED ADDRESS:
..yo-A9. PARTIAL PLAN CHECK FEE RECEIVED
6r
�/ bio
.))� ds' Amount Date Receipt#
($f BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING