91-100187 MECHANICAL PERMIT
CITY OF U BUILDING INSPECTION
FEDERAL WAY B I L D I N G PERMIT 941-1555
c��.Io j87
PERMIT NO. 91 -01 4 2 M OWNER'S NAME HONG JOB ADDRESS 31470 7TH PT. SW
CONTRACTOR G & M MECHANTCAT. ADDRESS P 0 BOX 61 47 KENT CONT. PHONE 630-1937
CONT. REG. NO. GMMErC111RT I/ p.), OWNER'S PHONE OWNER'S ADDRESS 31420 7TH PL SW FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION KNEW INDUSTRIAL NEW COMMERCIAL_ COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD✓ 0
ADD. ,\ SIGN GRADING OTHER
TAX ACCOUNT NO. '.;-..% -S ',p�- 07 y G LEGAL DESCRIPTION
•ED BY JOANNE JOHNSON DATE OF ISSUE -:2. - / '1- ' / DATE OF APPLICATION
BUILDING INFORMATION
ZONE 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 60 FT. 9-00 :('ABS LOG 6_rill
RECEIVED
BATHTUBS _ LAUNDRY DRAINS COMPRESSOR COOKTORNK(S) 6_silk
SHOWERS URINALS FORCED AIR FURNACE 10-00 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS1-10T WATER HTR. 6_50 MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE 20 00
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL 51.50 AMOUNT
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
FEE
ONMBING ING FEEFEE INSPECTION RECORD
MECHANICAL FEE 51.50
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
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE 51.50 Account No. 010-000-322-10-004 Total Fee $ 51.50 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 FURN : ED 'Y ME IS T-•. AND CO -ECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
1 Z / Z � (
OWNER OR AGENT / z -=�, ail/ DATE / '
MECHANICAL PERMIT
CITY OF BUILDING BUILDING INSPECTION
FEDERAL WAY 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 RIOT 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
LUMBING FEE INSPECTION RECORD
CHANICAL FEE
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 Account No. 0.10-000-322-10-004 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
I
•
N
i 1
1 J
>- >-\ Q ›-
• Ca
m 0CC mit CO
o w
Q 0 i �
z a. N o
D c % z
o z \ Q I
'
� cc
cc J
z . 0
z a m
• m
a 0 W Q
20 0
L a
1 40
o
J
d \I.
Z
I
o ,- I ›-
=
H CO h, CO
Z c� �C
o Y Y I
0 0 _C
Lt.!o
_Z 2 oz
a Ja 17_w a
w
• UJ H 1- D I- 0
wY CO
O o 0 Z 0 0 s
j
Cr
• m m Q m ri.r m
OW 2wLi_ I U 'p
0
z 0, CC I O 1 O
Y Z W\ I
a O O \ „
m w 2 w I' w Q w \
o N D H Y t- Z F-
o a o 0 0 u - 0
C /)
II q /
Pe 't # � --/'/�
?�36- ?ExA — 90 /67-(S/ CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME: 11
OWNER M i SITE LOCATION '.2 d T / AJ
OWNER'S ADDRESS_ ` CITY PHONE
DESCRIBE JOB —'S44-cQ.J.stc.` p l6 J of-/4,..)4 ;„c_ C�yi".cl�
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME _14/9 A,cCiY 0yc69-e- CONTRACTOR'S REG. # h.1^C's'//.33/
Card MUST be presented
CONTRACTOR'S ADDRESS'PO j3o k- 1-ie ' CITY . T //
' PHONE l�30 /93
EXPIRATION DATE
— 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 PERM TS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 1 `i.�1�/` , / � ,�:i= PHONE 630 793 2_
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
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 6o ' $
BATHTUBS NO. / FURNACE, ELEC. GAS /0‘:`.00e) $
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 6qt-s t%�F c.¢c $
DRAINS / C'oo,,tj-o: $
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, U'j E AC -'ACY 0 THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
� .OWNER/AGENT: ��— DATE: / /kr C/
ANP-008 3/90
• •
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
ASSIGNED ADDRESS:
RECEiVED
FEB 0 7 1991 PARTIAL PLAN CHECK FEE RECEIVED
CITY OF FEDERAL WAY Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING