91-100483 MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
91-Joo `i S3
PERMIT NO. 91-447 M OWNER'S NAME FEDERAL WAY MISSION CHURCH JOB ADDRESS 405 S 312 ST
CONTRACTOR D&E REFRIGERATION ADDRESS 16850 SE WAX RD KENT CONT. PHONE 631-1330
CONT. REG. NO. DEREFH1O5M4 7/91 OWNER'S PHONE 839-3200 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 SEE BELOW
TAX ACCOUNT NO. 072104-9112 LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE Sr /C —9/ DATE OF APPLICATION 4/15/91
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 FT. BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE 10-00 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS SHOT WATER HTR. (7)EXHfiISCFANS 31 _ s0
SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 94.00 AMOUNT NONE
VALUATION NONE 5 HEAT PUMPS, SIZE 3,4,5 @ $6.50 EACH = $32.50
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
MECHANICAL FEE $94.00
• 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 $94.00 Account No. 010-000-322-10-004 Total Fee $ 94.00 Receipt No. ‘,2Y; )� �
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 INF•- , • sN FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL ' MET:
C
OWNER OR MET:
4/1/Pi__ DATE S 4, 2'G
MECHANICAL PERMIT
CITY OF BUILDING INSPECTION
FEDERAL WAY B l� I L D I N G 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.00T WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION
.. ,2.--, .... . ...: ..6 g w,y,...E.i., -3 j*%t i z: d : . 1. _sbw-s _ _ a _
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/I`nspection Notes:�%�,!(.£is,f--,6.- -7-="7c2/2/ C
PART P/C FEE ;9"`��/ /) �' %
SEPA REVIEW GAS PIPING OK Date By 1/f) A4C ,OI ) 4,41 C /2-* _.. _
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 $ 04 , nn 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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013ermit # 4 • . Ii
CITY OF FEDERAL WAY .
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME: R If 14 i..._ 1,014-L M/ S S/6 i C. it a ,P c k
OWNER " .4,A_.. 4 'C77 _ 'sit. TE LOCATION ' 0 - S S
OWNER'S ADDRESS AMigit .- -S. CITY, 4 L- Lc/ PHONE Ai 2, -
DESCRIBE JOB 'SNST11�y- j4 -%I92 g 'ST mS 7_--,<,) N)i_(.) 1+ r iilci
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME V-f-t- R'E F4-I 66-lz6 1 123N CONTRACTOR'S REG. # L Ei''fr/ /6s-in
Card MUST be presented
CONTRACTOR'S ADDRESS / .5 _C L L.�'4X A 1 CITY Kt ki PHONE G 3/-13-36
EXPIRATION DATE 7 I" %!
— OR —
I HAVE READ CHAPTER 18.27.010 RELAT TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 W PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON . d ! - - .E--C PHONE i 3 - . __?(I''
BOX 4 SEWER DISTRICT tt WATER DISTRICT /ce4,4t L I'JA
BOX 5 ESTIMATED PROJECT COST 4)-/tt)D EXISTING B ILDING VALUATION 'ri I ` 1'
BOX 6 PROPERTY TAX ACCOUNT NUMBER_ Al ,D Ir Jp '9 "c:)_i n-'--- c 1 .—
LEGAL DESCRIPTION 8E,6, xt W-19--e..
ff4
(If necessary, please submit a separl atepage 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 LX`) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTYi;7 *'/ SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ 0- c"c'
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS / $ f --c'C'
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER 3- HEAT PUMPS, SIZE -_SSC G-S L e-,‘ $ 3Z -5 c
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS % OTHER rXboaLk Cr Erb`s Q 'NZ R-- 413(•6-0
DRAINS,.(46
$
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ _qe{<dc)
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 PERMITAPPLICATION 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 T. CITY 0 EDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLIYEES, UPO THE ACCURAC iF THE INFORMATION SUPPLIED TO THE C TY AS A PART OF THIS APPLICATION.
OWNER/AGENT: - i'. i - DATE: 0/
(
ANP-008 3/90
{ t
. •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
LONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEP' ' MENT 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: See- (
CI1. OSWS°
�� PARTIAL PLAN CHECK FEE RECEIVED 1E r VI
61991
CC
p Amount Date Receipt# Mp►� ��►AY
V wz of We'An r.
�S BUILDING DEPARTMENT APPROVAL C�'(NU`�s$14
LEIVEV }0� BY —�/ DATE t ACCEPTED FOR FILING
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