92-100975 MECHANICAL PERMIT 9,p, /a �7 5
CITY DU I LDI NG PERMIT BUILDING INS
661 4140
FEDERAL WAY
PERMIT NO. 92-0995 M OWNER'S NAME JOHN DYAKANOFF SITE ADDRESS 32326 9TH AVE S
CONTRACTOR NORTHWEST WATER HEATEJDRESS 8201 DURANGO ST SW TACOMA CONT.PHONE 984-6404
CONT.REG.NO. NORTHWH1O3R2 EXP. 1292 OWNER'S PHONE 941-1226 OWNER'S ADDRESS 32326 9THA VE S FEDEAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIA' NEWCOMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 150240-0600 LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 7- I -3 .- DATE OF APPLICATION 7-6-92
BUILDING INFORMATION
•ONE___ 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 PIPINGS 0 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
•OTALBLDG. 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 28.50 Total Fee $ 28.50 Receipt No. 02_- 1c1 3`1 `1
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
A
I CERTIFY THAT THE INFORMATI• FURNISHED BY E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL
OWNER OR AGENT ,7 e4/Y DATE
f
MECHANICAL PERMIT
CITY OF BUILDIN� INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
92-0995 ta5 -cot DYAICANOFF 32326 9Th AVP; S
PERMIT NO. OWNER'S NAME SITE ADDRESS„
-,Elrr ° 11201 uuRANGO ST SW 4. 994-6404
CONTRACTOR A J E$ 9 2 COLT.PHQNE FEDI, Y
+`111031(._ ��t �/�j $
CONT.REG.NO. _- EXP. 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
(iJ�u1.((►►S240- I MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. jj LEGAL DESCRIPTION
ISSUED BYjCIAPME �OM` 1' �v"b^92
DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE 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. 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. -.2Q• 0 RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 1 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 Inspection Notes:
PART P/C FEE �,,/
SEPA REVIEW GAS PIPING OK Date 71k6/ 9y 67,4,,
WATER SERVICE ,��"
WATER MAIN CHG. ;c c po 6`�(=5
S.B.C.C. FEE
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE 28.50 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:
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RECEIVED • •rmit # 92 - ' .S /t1
JUL 61992 CITY OF FEDERAL WAY
9LJFWABUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER . ... 4. '1 - A..... 414 SITE LOCATIO cl-on, ,j _
OWNER'S ADDRESS _ :‘ • i '' e.' " �{
CIT . - .t . �.. 'HONE ' 1
DESCRIBE JOB I nS c.)\. v)30-' ti • - ' '\
THE PROPERTY IS OWNED BY: SINGLE/MARRIED 2 PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME l'.‘ c t\t t� Q a` ems, 3.c -'L CONTRACTOR'S REG. # j\ �� CA-� ,,i 41(310-
,�/ S `,'1 Card MUST be presented
CONTRACTOR'S ADDRESS �s t GWl i) 'at)CITY U Y 1' —' PHONE c)( 6 1-1 ')q
EXPIRATION DATE I <D-. 'I'D- \.
— 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 C -, PHONE C'I :(-1- k;(-((,` I
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST Al 31'--I EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER —. -
I 0(_)'`-k O — n CC
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 3 D FT $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS J 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 $
T R ` L
$
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, UPON THE ACCURACY OF T E INFORMATION SUPPLIED TO THE CITY ASA PART OF THIS APPLICATION.
C- .-\1ilibN
OWNER/AGENT: �� L_ A4 DATE: 4 .�i (9
ANP-008 3/90
`/ 1
• • 3013
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:
RECE V D PARTIAL PLAN CHECK FEE RECEIVED
AUL
6 1992 Amount Date Receipt#
orry FEDERAcrri.W. AY BUILDING DEPARTMENT APPROVAL
gWy�� BY DATE ACCEPTED FOR FILING