90-100572 MECHANICAL PERMIT 9"0-100,570?
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90- 789 M OWNER'S NAME SUNRIDGE DEV JOB ADDRESS 30313 17TH AVE S.W.
CONTRACTOR ASSOCIATED HEATING & SUMN5 METAL POBOX 309 MONROE WA CONT.PHONE 823-5000
CONT.REG. NO. ASSOCI238R7 OWNER'S PHONE 854-6100 OWNER'S ADDRESS 25725 1O1AVE SE KENT
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 ADELADE FOREST ESTATES LOT 2
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 5-23-90
BUILDING INFORMATION
itNE 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 PIPING100+FT. 3.50 BO, ExRANGE 6.50
BATHTUBS LAUNDRY DRAINS COMPRESSOR DRYER -rxw(S) 6.50 RECEIVED
SHOWERS URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC. BBQ 6.50
SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FIXTURES UNIT HEATERLOG LITE 6.50 TOTAL MECHANICAL 66-00 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 66_00
OTAL 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 66.00 Account No. 010-000-322-10-004 Total Fee $ 66.00 Receipt No. /002- 6c1/9
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 V;;A-411
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING 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. SO. FT.
SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. J MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. 4 - - BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
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 isi[� )
TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: V W
PART PIC FEEn
SEPA REVIEW GAS PIPING OK (D "45"'610 Date� ' V By S(7/
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
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATEBY __ ___ DATE ____ _BY _-__ o4TE _ _ _ _eY _
' -
PLUMBING ROUGH |w WATER LINE O.K. MECHANICAL INSPECTION
DATE BY_8v' _- - _ GA8P|P|wGOm. _ __ DATE __BY -_
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY __ _- _ DATE BY _- -_ DATE BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE
_ 7/ BY °�� -�
_
• mit #_ U 78 94
CITY OF FEDERAL WAY •
BUILDING PERMIT APPLICATION
—Please Print-
BOX 1 TENANT NAME:
OWNER S(1%11L(, ' SITE LOCATION '1 o. I 3 t7 - Se 1V
OWNER'S ADDRESS '` • t7 �.4 . CITY ter. PHONE 0 0
DESCRIBE JOBS A- , .� . ,2 c. .)or_fC, 901-e'p •
THE PROPERTY IS OWNED BY: SINGLE/ ARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 244- t . '1, _ f • CONTRACTOR'S REG. #_,k' SO C 123
Card MUST be presented
CONTRACTOR'S ADDRESS f D ,�t�( J7 l v CITY itt010•60 PHONE rz3-5oOt)
EXPIRATION DATE l . l ?-? l 70
1
— 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 L_Q n nt (7Y tf-c-`4-4, PHONE ?d3_S O 170
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST _ EXIS►TING B ILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER ` ) 0 EX�IS�_ jz�zi --Cot. O
LEGAL DESCRIPTION
(If necessary, please submit a separate age with the II al description.)
K.C. Plat Recording# COO/' 00�
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( SINGLE FAMILY (>e(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$ 2-0.0D
NO. WATERCLOSETS GAS PIPING, FEET /OD- ZOO $ S.rao
BATHTUBS NO. FURNACE, ELEC. GAS y $ 10.00
SHOWERS E GAS HOT WATER HEATER $ C .
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 1-/ OTHER/-q Q.,-,11,- cAQ'AO $ z.t 00
DRAINS U
OTHER /III
1e/k $
TOTAL FIXTURES (q@(,,,All $
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 Y OF FEDER A` WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOY, UPON THE(C •RACY OF - NF'RMAT 1N SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: No. ilii- � Alkt.ime .I 4-BATE. /,
ANP-008 3/90