92-100980 MECHANICAL PERMIT 9D,/00 , &0
CITY OF I D BUILDING INSPECTION
FEDERAL WAY U L I N G PERMIT 661-4140
PERMIT NO. 92001 M OWNER'S NAME CLYDE GRIFFEY SITE ADDRESS 30611 2ND AVE SW
CONTRACTOR AMERICAN HEATING sEmIgg INC 7517 PORTLAND AVENUE TACOMA CONT.PHONE 847-8399
CONT.REG.NO. AMERIHS107M6 EXP. 792 OWNER'S PHONE 874-4159 OWNER'S ADDRESS 30611 2ND AVE SW FEDEAL WAY
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. 556000-0630 LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE � 1 .--)„ DATE OF APPLICATION 7-6-92
BUILDING INFORMATION
IlkONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SO.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING 10 FT. 2.00 GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED
SINKS MISC. Bao 5 T AIR COOLING yNITBASIC FEE 20.00
DISHWASHERS TOTAL FIXTURES DRYER 0UTOTAL MECHANICAL 2R. 50 AMOUNT .
VALUATION
GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE INSPECTION RECORD
DECHANICAL FEE 78 50
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 28. 50 Total Fee $ 28. 50 Receipt No. 0'219.3 b 2-----
-
ALL
—
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
1 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 • �- �- �% '7 �7
DATE
MECHANICAL PERMIT
CITY OF BUILDING PERMIT BUILDING INSPECTION
FEDERAL WAY
661-4140
92-3)01 14 CLYDE GRIFFEY 30611 2ND AVE SW
PERMIT NO. OWNER'S NAME SITE ADDRESS
AriERIC : Ir1C 7517 PURT1..ANu AVKNu- TACOMA 847-839'
CONTRACTOR A�nR1nSLt l �a ADDRESS 874-4159 311611 2ND ANTNE FEDEAL WAV
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 jUNITS )MULTI.ADD._ __SIGN GRADING OTHER _ -
10_
TAX ACCOUNT NO. LEGAL DESCRIPTION
7-8
ISSUED BY - _ DATE OF ISSUE _- DATE OF APPLICATION -92
• BUILDING INFORMATION
ZONE SET BACKS:FRONT SIDF _ 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. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. 20.00
RETURNED
l' AIR' C'IOOLn4'b. 4
SINKS MISC. BBC : 5, BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTA AL 2R-50 AMOUNT
VALUATION •
GAS PIPING TEST MUST BE WITNESS ' = .' • AFFIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE ,
MBING FEE • ORD V
CHANICAL FEE 28.5u
TOTAL BLDG. FEES Water Line OK 1 •- ion Notes:
PART P/C FEE 4/
SEPA REVIEW GAS PIPING OK , `
« � ' By ft,
WATER SERVICE �' 10
WATER MAIN CHG.
S.B.C.C. FEE ''. -;4 o
•
OTHER FEES MECHANICAL PERMIT
AMOUNT DUE
28.50 V Total Fee $ Receipt No.
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL RADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE B ST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
''11/ / 7 �/�
OWNER OR AGENT • . "« DATE
•rmit # 9 ° u /
RECEIVED BY
CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT APPLICATION
— Please Print— J U L 2 1992
BOX 1 TENANT NAME:
OWNER (2 LQ - / SITE LOCATION
OWNER'S ADDREe G' / CITY ' PHONE
DESCRIBE JOB NGLt9 6-(e
'
THE PROPERTY IS OWNED BY: SIE/MARRIPARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
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 PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER ,h dy-c9dd-- 0&30
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 J
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 9 C-)
BATHTUBS NO._ FURNACE, ELEC. GAS $
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 X AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
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, PON THE ACC 'ACY)OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: / �.fi� �� DATE: de) -72
ANP-008 3/90