92-101062 MECHANICAL PERMIT 9 g,../0)6 (o
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 661-4140
92-1130 MLOUIE BORT 33610 4TH AVE SW
PERMIT NO. OWNER'S NAME SITE ADDRESS
B & B HEATING & A/C 5309 84TH ST E TACOMA 536-6681
CONTRACTOR ADDRESS CONT.PHONE
CONT.REG.NO. BBHEAAO94RC EXP 10/92 OWNER'S PHONE 939-9806 _OWNER'S ADDRESS 33623 170TH AVE SE AUBURN
TYPE JOB: NEWRESIDENCF 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. 729805-0240 LEGAL DESCRIPTION _
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 77"-- 2 C. ' 92— 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. 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 MI) IREPLANCE —b_.5_0 RETURNED
SINKS MISC. BBQ BASIC FEE _20.00
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL _78_'i 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 213. 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 28.50 Total Fee $ 28.50 Receipt No. U 7 -(9r52-S'
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:
t -
-
OWNER OR AGENT 4--L' ,--1- 7 r DATE ✓/ t r {
C
MECHANICAL PERMIT
CITY OF FEDERAL WAY BUILDING PERMIT BUILDING INSPECTION661-4140
92-113C ;XYIF 3361C WE SW
PERMIT NO. O,'s !.'el
'S
B & B �:.s�1.�.. , r qp S 30 84T0 .est SITE ADDRESS
536-6681
CONTRACTOR ti_A£Cc..e , ,094Rt' tt7* 939-980 33623 1 T0`1i QAV Q
CONT.REG.NO. EXP. OWNERS PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAI COMMERCIAL ADD. ___ _INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY - 7 Ib�S-024)-UMULTI.ADD._ SIGN GRADING OTHER -
TAX ACCOUNT NO. v _ LEGAL DESCRIPTION
ISSUED BY 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
11
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING _ FT. 2.011GAS 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. .(ELPLANL S 6.54
SINKS MISC. BBQ _ BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FIXTURES DRYER - TOTAL M - ?P=50 AMOUNT
sn
VALUATION •.x
GAS PIPING TEST MUST BE WITNESSED BY 3k .Pl - -'. FIDAVIT WILL NOT SUFFICE.
PERMIT FEE
PLAN CHECK FEE rt
/NUMBING FEE • • (/1U
CHANICAL FEE ...!:Z. 4'
TOTAL BLDG. FEES Water Line OK - - t •n otes:
PART P/C FEE
SEPA REVIEW GAS PIPING OK V Dat - ��
WATER SERVICE ~'
CI
WATER MAIN CHG. - ' •fir-
S.B.C.C. FEE ".':5 fk,OTHER FEES MECHANICAL PERMIT
AMOUNT DUE "r�'S0 ''�R, al Fee $ Receipt No.
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND G�DI PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST fi,MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
RECEIVED BpEPARTMENT Permit # q •C'k-‘
� 3°1 ) 17\
COMMUNITY DEVELOPMENT
' 4 211992 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
J U L 2 2 1992 — Please Print—
BO 'ins. l.:- -i4 Vf'A°`
OW` 11
u.-411611=111=13111 SITE LOCATION . `� , ' .itlEinargaln, r' /
OWNER'S ADDRESS 3 3i-_,:a. 3 I -16'4' aue 3( CITY act .i-&L4'1 PHONE 9 39 -g317 'J.c(
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME g 144 r; v / ..-- CONTRACTOR'S REG. # P)ti- 4-4i MY -
� G� _ Card MUST be presented g.
CONTRACTOR'S ADDRESS 55 8 LI ,1---
10 CITY '( ,4.'o1iL fel- PHONE . ---3 :-, t
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 _� —� ,` I
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER C`-),i I ' L_- S----
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 EW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) NIXISTING 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 $
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 AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS `J ' IC, rI rp t et $
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 EMPLOY ES UPON THE ACCU'ACYOF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
JI ,
OWNER/AGENT: 1 , L., DATE:
ANP-008 3/90